The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Reliability of the Southampton examination schedule for the diagnosis of upper limb disorders in the general population

Reliability of the Southampton examination schedule for the diagnosis of upper limb disorders in the general population
Reliability of the Southampton examination schedule for the diagnosis of upper limb disorders in the general population
Background: Epidemiological research in the field of soft tissue neck and upper limb disorders has been hampered by the lack of an agreed system of diagnostic classification. In 1997, a United Kingdom workshop agreed consensus definitions for nine of these conditions. From these criteria, an examination schedule was developed and validated in a hospital setting.

Objective: To investigate the reliability of this schedule in the general population.

Methods: Ninety seven adults of working age reporting recent neck or upper limb symptoms were invited to attend for clinical examination consisting of inspection and palpation of the upper limbs, measurement of active and passive ranges of motion, and clinical provocation tests. A doctor and a trained research nurse examined each patient separately, in random order and blinded to each other's findings.

Results: Between observer repeatability of the schedule was generally good, with a median ? coefficient of 0.66 (range 0.21 to 0.93) for each of the specific diagnoses considered.

Conclusion: As expected, the repeatability of tests is poorer in the general population than in the hospital clinic, but the Southampton examination schedule is sufficiently reproducible for epidemiological research in the general population.
soft tissue, upper limb, classification, examination, repeatability
0003-4967
1103-1106
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Byng, P.
3c4d1ae4-c659-4fca-8112-f399a32711dc
Linaker, Catherine
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Reading, Isabel
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Palmer, Keith T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Byng, P.
3c4d1ae4-c659-4fca-8112-f399a32711dc
Linaker, Catherine
6c6d1b90-ee40-4c96-8b2e-b06efbe030ae
Reading, Isabel
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Palmer, Keith T.
0cfe63f0-1d33-40ff-ae8c-6c33601df850
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6

Walker-Bone, Karen, Byng, P., Linaker, Catherine, Reading, Isabel, Coggon, D., Palmer, Keith T. and Cooper, Cyrus (2002) Reliability of the Southampton examination schedule for the diagnosis of upper limb disorders in the general population. Annals of the Rheumatic Diseases, 61 (12), 1103-1106. (doi:10.1136/ard.61.12.1103).

Record type: Article

Abstract

Background: Epidemiological research in the field of soft tissue neck and upper limb disorders has been hampered by the lack of an agreed system of diagnostic classification. In 1997, a United Kingdom workshop agreed consensus definitions for nine of these conditions. From these criteria, an examination schedule was developed and validated in a hospital setting.

Objective: To investigate the reliability of this schedule in the general population.

Methods: Ninety seven adults of working age reporting recent neck or upper limb symptoms were invited to attend for clinical examination consisting of inspection and palpation of the upper limbs, measurement of active and passive ranges of motion, and clinical provocation tests. A doctor and a trained research nurse examined each patient separately, in random order and blinded to each other's findings.

Results: Between observer repeatability of the schedule was generally good, with a median ? coefficient of 0.66 (range 0.21 to 0.93) for each of the specific diagnoses considered.

Conclusion: As expected, the repeatability of tests is poorer in the general population than in the hospital clinic, but the Southampton examination schedule is sufficiently reproducible for epidemiological research in the general population.

This record has no associated files available for download.

More information

Published date: 2002
Keywords: soft tissue, upper limb, classification, examination, repeatability

Identifiers

Local EPrints ID: 24542
URI: http://eprints.soton.ac.uk/id/eprint/24542
ISSN: 0003-4967
PURE UUID: 1aee96f7-aa14-415d-8a73-6b98a81ea295
ORCID for Karen Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459
ORCID for Catherine Linaker: ORCID iD orcid.org/0000-0003-1091-9283
ORCID for Isabel Reading: ORCID iD orcid.org/0000-0002-1457-6532
ORCID for D. Coggon: ORCID iD orcid.org/0000-0003-1930-3987
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 31 Mar 2006
Last modified: 09 Jan 2022 03:02

Export record

Altmetrics

Contributors

Author: P. Byng
Author: Isabel Reading ORCID iD
Author: D. Coggon ORCID iD
Author: Keith T. Palmer
Author: Cyrus Cooper ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×