Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey
Approval Date: 2019
Thesis Language: Turkish
Student: GİZEM PEKEN AVCI
Supervisor: Selda Başar
Open Archive Collection: AVESIS Open Access Collection
Abstract:
The functional disorder of shoulder is one of the most common complaints for Subacromial Impingement Syndrome (SIS). Even the Nine - Hole Peg Test (NHPT) is a valid and reliable method to evaluate the upper extremity function of some neurological diseases, the validity and reliability of this method is not analyzed for patients with shoulder problem yet. The aim of this study is to analyze the validity and reliability of the NHPT to evaluate upper extremity function of patients diagnosed with SIS. 36 (19 female, 17 male) patients diagnosed with SIS whose average age is 50,94 ± 4,90 years old and 38 (16 female, 24 male) individuals without any disease on shoulder whose average age is 50,13 ± 5,34 years old, participated to the study. Pain, range of motion (ROM), muscle strength were evaluated after demographic characteristics of all individuals were recorded. Also DDPT was performed at three different positions which are the standard position, the shoulder was in 90° flexion in the sagittal plane (1st position) and 90° flexion in the scapular plane (2nd position). In addition, The Functional Impairment Test- Head and Neck/Shoulder/Arm (FIT-HaNSA) and surveys ((Constant & Murley Score (CMS), Disabilities of The Arm, Shoulder and Hand Scale (DASH)) were applied. The reliability of NHPT was determined by the test – retest method, Standard Error of Measurement (SEM) and inter – tester compliance. Intra – Class Correlation Coefficient (ICC) was calculated for reliability analysis. Additionally the correlations between NHPT and FIT-HaNSA, ROM, muscle strength, CMS, DASH were determined by Pearson Correlation Coefficient for construct validity. The ICC values of NHPT were calculated as 0,911 in the standard position, 0,896 in the 1st position, and 0,769 in the 2nd position and the SEM value was calculated as 0,78 in standard position, 0,71 in 1st position and 0,92 in 2nd position. The ICC values for NHPT's inter – tester reliability were found as; 0,969 in the standard position, 0,959 in the 1st position and 0,903 in the 2nd position respectively. A moderate significant negative correlation was found between the FIT-HaNSA’s all the tasks and the standard, 1st position of the NHPT (p<0,001). There was no significant correlation between NHPT’s 2nd position and FIT-HaNSA's tasks (p>0,05). Significant negative weak correlations were observed between NHPT performed in standard position and horizontal adduction ROM, internal rotation and elbow flexion muscle strength (p<0,05). There was a significant negative moderate correlation between 1st position of NHPT and muscle strength of internal rotation and elbow flexion (p<0,05). A significant moderate negative correlation was found between standard and 1st positions of DDPT and CMS (p<0,001). DDPT (standard and 1st positions) also was correlated with DASH moderate/high positively (p<0,001). As a result, each three positions of NHPT have both test – retest and inter – tester reliability while evaluating upper extremity function of patients diagnosed with SIS, and furthermore, NHPT have construct validity in the standard and 1st position.
Key Words : Impingement, Inter-Tester, FIT-HaNSA, Function, Nine Hole Peg Test, Shoulder