Diagnosis of soft tissue disorders of the upper limb

Walker-Bone, K., Reading, I., Coggon, D., Palmer, K. and Cooper, C. (2003) Diagnosis of soft tissue disorders of the upper limb. Journal of Orthopaedic Medicine, 25, (3), 97-106.


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We conducted a comprehensive computerised literature review in order to derive a workable examination schedule. In two separate studies in a hospital clinic and a general population sample, we tested its feasibility for use by trained research nurses and its reproducibility and face validity in two different populations. The between-observer reproducibility of physical signs in the hospital clinic was good to excellent (kappa coefficients 0.66-1.0 for most categorical variables). In the general population, between-observer reliability of physical signs was generally less good, but the reliability of agreement of specific diagnoses remained acceptable, with a median kappa coefficient of 0.66 (range 0.21-0.93). When compared against the standard of physicians’ diagnoses, the schedule was sensitive (58-87%) and highly specific (84-100%). Conclusion: The Southampton examination schedule represents a feasible, and reproducible tool with face validity; suitable for use in future research into upper limb disorders, and has the backing of UK consensus criteria.

Item Type: Article
Related URLs:
Subjects: R Medicine > RC Internal medicine
Divisions : University Structure - Pre August 2011 > School of Medicine > Developmental Origins of Health and Disease
ePrint ID: 26097
Accepted Date and Publication Date:
Date Deposited: 19 Apr 2006
Last Modified: 31 Mar 2016 11:48
URI: http://eprints.soton.ac.uk/id/eprint/26097

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