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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), pp. 97-106.

Record type: Article


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


Local EPrints ID: 26097
PURE UUID: e7749c6a-5cb3-4cdf-b45c-cb33f7af172c
ORCID for K. Walker-Bone: ORCID iD
ORCID for D. Coggon: ORCID iD
ORCID for C. Cooper: ORCID iD

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Date deposited: 19 Apr 2006
Last modified: 17 Jul 2017 16:08

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

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