Article

Constituents of proprioception
include our awareness of the position (joint position sense [JPS]) and motion
(kinesthesia) of our limbs in space. Proprioceptive deficits are associated with
musculoskeletal disorders but remain a challenge to quantify, particularly at the
shoulder. PURPOSE OF THE STUDY: To report the psychometric values of validity,
reliability, and responsiveness for shoulder JPS and/or kinesthesia protocols.
METHODS: A review of 5 databases was conducted from inception to July 2016 for
studies reporting a psychometric property of a shoulder proprioception protocol.
The included studies were evaluated using the QualSyst checklist and COSMIN
4-point scale. RESULTS: Twenty-one studies were included, yielding 407
participants and 553 evaluated shoulders (n). The included studies support
excellent methodological scores using the QualSyst checklist (88.1 +/- 9.9%) and
good psychometric scores with the COSMIN for reliability (71.1%) and
moderate-to-low quality score (50%) for criterion validity. Weighted average
intraclass correlation coefficients (ICCs) for intrarater reliability were
highest for passive JPS and kinesthesia, ICC = 0.92 +/- 0.07 (n = 214) and ICC =
0.92 +/- 0.04 (n = 74), respectively. The most reliable movement and tool are
internal rotation at 90 degrees of abduction, ICC = 0.88 +/- 0.01 (n = 53), and
the dynamometer, ICC = 0.92 +/- 0.88 (n = 225). Only 2 studies quantify an aspect
of validity and no responsiveness indices were reported among the included
studies. CONCLUSION: Based on the results of the included studies, the evaluation
of shoulder proprioception is most reliable when using a passive protocol with an
isokinetic dynamometer for internal rotation at 90 degrees of shoulder abduction.
Standardized protocols addressing the psychometric properties of shoulder
proprioception measures are needed. LEVEL OF EVIDENCE: Level 1a: systematic
review.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS