Diagnosis of soft tissue disorders of the upper limb
Diagnosis of soft tissue disorders of the upper limb
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.
97-106
Walker-Bone, K.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Reading, I.
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Coggon, D.
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Palmer, K.
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Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
2003
Walker-Bone, K.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Reading, I.
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Coggon, D.
2b43ce0a-cc61-4d86-b15d-794208ffa5d3
Palmer, K.
18f008b9-648b-4d4b-8a3c-9e32b8e7505c
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
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), .
Abstract
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.
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Published date: 2003
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Local EPrints ID: 26097
URI: http://eprints.soton.ac.uk/id/eprint/26097
PURE UUID: e7749c6a-5cb3-4cdf-b45c-cb33f7af172c
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Date deposited: 19 Apr 2006
Last modified: 18 Mar 2024 02:51
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Author:
I. Reading
Author:
D. Coggon
Author:
K. Palmer
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