The Clinical Utility of the Seated Wall Angel as a Test with Scoring.

IF 1.6 Q3 SPORT SCIENCES International Journal of Sports Physical Therapy Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI:10.26603/001c.123512
Chad Kofoed, Allison Palmsten, Jonathon Diercks, Michael Obermeier, Marc Tompkins, Terese L Chmielewski
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Abstract

Background: The seated wall angel (SWA) is an intervention to improve upper quarter mobility but has not been described as a clinical test with scoring.

Hypothesis/ purpose: To explore the clinical utility of the SWA as a test with scoring. The authors hypothesized that SWA test scores would be lower on the injured than uninjured side, improve over time, and show stronger association with patient-reported shoulder function than shoulder mobility tests.

Study design: Prospective cohort.

Methods: Patients diagnosed with anterior shoulder instability and referred to physical therapy participated. Testing occurred after physical therapy examination (initial) and six weeks later (follow-up). Rehabilitation was not controlled. Testing included clinical tests (SWA, passive shoulder external rotation range of motion, total arc of motion) and patient-reported outcomes including the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, (ASES) and the Western Ontario Shoulder Instability Index (WOSI). The SWA test was scored 0 to 3 points bilaterally based on number of body contacts with the wall (i.e., elbows and fingertips, posterior fingers, posterior forearm). Passive range of motion was measured with a standard goniometer. SWA scores were compared between sides at initial testing and compared between testing timepoints on the injured side. Associations among injured side clinical test values and patient-reported outcome scores were examined.

Results: Mean (SD) SWA score on the injured side was significantly lower than the uninjured side at initial testing [1.6 (1.0) vs 2.2 (1.1), p = 0.045] and significantly increased at follow-up testing [2.4 (1.0), p = 0.041]. Only SWA test score was significantly correlated with ASES (r=0.597) and WOSI (r=-0.648) scores at initial testing, and SWA test score was significantly correlated with WOSI score at follow-up testing (r=-0.611).

Conclusions: The clinical utility of the SWA test is supported by distinguishing the injured and uninjured sides and having stronger associations with patient-reported shoulder function than shoulder mobility tests.

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将 "坐墙天使 "作为一种带评分的测试方法的临床实用性。
背景:坐壁天使(SWA)是一种改善上半身活动度的干预方法,但尚未被描述为一种带评分的临床测试。假设/目的:探讨SWA作为一种带评分测试的临床实用性。作者假设,与肩关节活动度测试相比,受伤侧的 SWA 测试得分低于未受伤侧,且随着时间的推移会有所改善,并与患者报告的肩关节功能有更强的关联:研究设计:前瞻性队列:研究设计:前瞻性队列研究。测试在理疗检查(初始)和六周后(随访)进行。康复治疗不受控制。测试包括临床测试(SWA、肩关节被动外旋活动范围、总活动弧度)和患者报告结果,包括美国肩肘外科医生标准化肩关节评估表(ASES)和西安大略省肩关节不稳定指数(WOSI)。根据身体与墙壁接触的次数(即肘部和指尖、手指后侧、前臂后侧),SWA 测试的双侧得分从 0 分到 3 分不等。被动活动范围用标准动态关节角度计测量。在初始测试时对两侧的 SWA 评分进行比较,并在受伤一侧的测试时间点之间进行比较。研究了受伤侧临床测试值与患者报告结果评分之间的关联:结果:在初次测试时,受伤侧的平均(标清)SWA 评分明显低于未受伤侧[1.6 (1.0) vs 2.2 (1.1),p = 0.045],而在后续测试时则明显升高[2.4 (1.0),p = 0.041]。在初次测试时,只有SWA测试得分与ASES(r=0.597)和WOSI(r=-0.648)得分有明显相关性,而在后续测试时,SWA测试得分与WOSI得分有明显相关性(r=-0.611):结论:与肩关节活动度测试相比,SWA测试能区分受伤侧和未受伤侧,与患者报告的肩关节功能有更强的相关性,因此具有临床实用性。
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来源期刊
CiteScore
2.50
自引率
5.90%
发文量
124
审稿时长
16 weeks
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