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Diagnosis of soft tissue disorders of the upper limb

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.
6f832276-87b7-4a76-a9ed-b4b3df0a3f66
Coggon, D.
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Palmer, K.
18f008b9-648b-4d4b-8a3c-9e32b8e7505c
Cooper, C.
e05f5612-b493-4273-9b71-9e0ce32bdad6
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), 97-106.

Record type: Article

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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More information

Published date: 2003

Identifiers

Local EPrints ID: 26097
URI: http://eprints.soton.ac.uk/id/eprint/26097
PURE UUID: e7749c6a-5cb3-4cdf-b45c-cb33f7af172c
ORCID for K. Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459
ORCID for I. Reading: ORCID iD orcid.org/0000-0002-1457-6532
ORCID for D. Coggon: ORCID iD orcid.org/0000-0003-1930-3987
ORCID for C. Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 19 Apr 2006
Last modified: 18 Mar 2024 02:51

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Contributors

Author: K. Walker-Bone ORCID iD
Author: I. Reading ORCID iD
Author: D. Coggon ORCID iD
Author: K. Palmer
Author: C. Cooper ORCID iD

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