Relative and absolute intra-rater reliability in shoulder range of motion and handgrip strength assessments in breast cancer survivors: a case-control study
DOI:
https://doi.org/10.47197/retos.v48.95431Keywords:
reliability, breast cancer, postoperative, reproducibilityAbstract
This study aimed to evaluate the relative (intraclass correlation coefficient, ICC) and absolute (minimum detectable difference, MDD and standard error of measurement, SEM) reliability for shoulder range of motion (ROM) and handgrip strength in adult women breast cancer survivors. Thirty-four participants (n=17 in the control group, CG; n=17 in the postoperative breast cancer group, GPO) were evaluated for shoulder flexion, abduction, external rotation ROM, and handgrip strength to obtain the degree of intra-rater intra-day reliability. The GPO obtained high reliability in the ROM (ICC=0.93-0.97; MDD: 3.85°-12.7°; SEM: 1.66°-5.47°) and in the handgrip strength (ICC= 0.95; MDD=0.71Kgf; SEM: 8.89Kgf). The CG presented moderate to high reliability in the ROM of both extremities (ICC= 0.77°-0.98°; MDD: 5.33°-10.51°; SEM: 2.3°-4.53°) and handgrip strength (CCI: 0.84-0.91 KgF; MDD: 3.6-3.72 Kgf; SEM: 1.55-1.61 Kgf). The results of this study suggest that the intra-rater reliability for evaluation of shoulder ROM and handgrip strength in post-operative breast cancer women compared to a control group has high reliability. These results reinforce the application of these evaluations in the clinical practice of the Physiotherapist and other health professionals in patients operated on for breast cancer.
Keywords: reliability, breast cancer, postoperative, reproducibility
References
Beckerman, H., Roebroeck, M. E., Lankhorst, G. J., Becher, J. G., Bezemer, P. D., & Verbeek, A. L. (2001). Smallest real difference, a link between reproducibility and responsiveness. Qual Life Res, 10(7), 571-578. doi: 10.1023/a:1013138911638
Binkley, J. M., Stratford, P., Kirkpatrick, S., Farley, C. R., Okoli, J., & Gabram, S. (2018). Estimating the Reliability and Validity of the Upper Extremity Functional Index in Women After Breast Cancer Surgery. Clin Breast Cancer, 18(6), e1261-e1267. doi: 10.1016/j.clbc.2018.02.008
Cools, A. M., Cambier, D., & Witvrouw, E. E. (2008). Screening the athlete's shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. Br J Sports Med, 42(8), 628-635. doi: 10.1136/bjsm.2008.048074
Cortés-Reyes, É., Rubio-Romero, J. A., & Gaitán-Duarte, H. (2010). Métodos estadísticos de evaluación de la concordancia y la reproducibilidad de pruebas diagnósticas. Revista Colombiana de Obstetricia y Ginecología, 61, 247-255.
Donner, A., & Eliasziw, M. (1987). Sample size requirements for reliability studies. Stat Med, 6(4), 441-448. doi: 10.1002/sim.4780060404
Espinoza-Oviedo, J., Ortega, M. A., & Díaz-Chang, B. (2018). Evaluación de las alteraciones biomecánicas del tren superior post mastectomía en pacientes que asisten al Instituto Oncológico Nacional Dr. Juan Tanca Marengo (SOLCA) de la ciudad de Guayaquil. Revista Lasallista de Investigación, 15, 378-389.
Ferlay, J., Ervik, M., Lam, F., Colombet, M., Mery, L., Piñeros, M., . . . Bray, F. (2018). Global Cancer Observatory: Cancer Today. Retrieved 02 april 2020, from International Agency for Research on Cancer. https://gco.iarc.fr/today
Ghoncheh, M., Pournamdar, Z., & Salehiniya, H. (2016). Incidence and Mortality and Epidemiology of Breast Cancer in the World. Asian Pac J Cancer Prev, 17(S3), 43-46. doi: 10.7314/apjcp.2016.17.s3.43
Gomes, P. R., Freitas Junior, I. F., da Silva, C. B., Gomes, I. C., Rocha, A. P., Salgado, A. S., & do Carmo, E. M. (2014). Short-term changes in handgrip strength, body composition, and lymphedema induced by breast cancer surgery. Rev Bras Ginecol Obstet, 36(6), 244-250. doi: 10.1590/s0100-720320140005004
Gumiel-Urrutia, J. M., Burgos-Mansilla, B., & Olave, E. (2019). Secuelas Morfo-Funcionales en Mujeres Operadas de Cáncer de Mama en las Regiones de la Araucanía y del Bío-Bío, Chile. International Journal of Morphology, 37, 965-970.
Haddad, C. A. S., Saad, M., Perez, M. d. C. J., & Júnior, F. M. (2013). Avaliação da postura e dos movimentos articulares dos membros superiores de pacientes pós-mastectomia e linfadenectomia. einstein (São Paulo), 11(4), 426-434. doi: 10.1590/S1679-45082013000400004
Hallgren, K. A. (2012). Computing Inter-Rater Reliability for Observational Data: An Overview and Tutorial. Tutor Quant Methods Psychol, 8(1), 23-34. doi: 10.20982/tqmp.08.1.p023
Kimberlin, C. L., & Winterstein, A. G. (2008). Validity and reliability of measurement instruments used in research. Am J Health Syst Pharm, 65(23), 2276-2284. doi: 10.2146/ajhp070364
Kolber, M. J., & Hanney, W. J. (2012). The reliability and concurrent validity of shoulder mobility measurements using a digital inclinometer and goniometer: a technical report. Int J Sports Phys Ther, 7(3), 306-313.
Kottner, J., Audigé, L., Brorson, S., Donner, A., Gajewski, B. J., Hróbjartsson, A., . . . Streiner, D. L. (2011). Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. J Clin Epidemiol, 64(1), 96-106. doi: 10.1016/j.jclinepi.2010.03.002
Lexell, J. E., & Downham, D. Y. (2005). How to assess the reliability of measurements in rehabilitation. Am J Phys Med Rehabil, 84(9), 719-723. doi: 10.1097/01.phm.0000176452.17771.20
Rasmussen, G. H. F., Kristiansen, M., Arroyo-Morales, M., Voigt, M., & Madeleine, P. (2020). Absolute and relative reliability of pain sensitivity and functional outcomes of the affected shoulder among women with pain after breast cancer treatment. 15(6), e0234118. doi: 10.1371/journal.pone.0234118
Ribeiro, I. L., Camargo, P. R., Alburquerque-Sendin, F., Madeleine, P., Fernandez-de-las-Penas, C., & Salvini, T. F. (2016). Topographical pressure pain sensitivity maps of the shoulder region in individuals with subacromial pain syndrome. Man Ther, 21, 134-143. doi: 10.1016/j.math.2015.07.002
Ribeiro, I. L., González, X. G., Torres, D. L., & Lorca, L. A. (2021). Signs of Central Hypersensitivity, Stress, and Anxiety following Treatment for Breast Cancer: A Case Control Study. 2021, 5691584. doi: 10.1155/2021/5691584
Ribeiro, I. L., Rivera Mañán, C., García Sepúlveda, F., Fuentealba Naranjo, M., Yáñez Benavides, N., Ortega Gonzales, F., . . . Lorca, L. (2022). Disminución de la funcionalidad de miembro superior y bajo nivel de actividad física en supervivientes de cáncer de mama: Un estudio de caso-control. Retos, 44, 302-308. doi: https://doi.org/10.47197/retos.v44i0.90594
Sagen, A., Kaaresen, R., Sandvik, L., Thune, I., & Risberg, M. A. (2014). Upper limb physical function and adverse effects after breast cancer surgery: a prospective 2.5-year follow-up study and preoperative measures. Arch Phys Med Rehabil, 95(5), 875-881. doi: 10.1016/j.apmr.2013.12.015
Sanzana, N. D., Álamos, J. C. G., Salazar, A. M. J., Cortés, J. M., Cid, M. E. U., & Stagno, C. V. (2012). Estimación de incidencia de cáncer para Chile 2003-2007. Santiago, Chile: Ministerio de Salud.
Šerbetar, I. (2015). Establishing Some Measures of Absolute and Relative Reliability of a Motor Test / Određivanje nekih mjera apsolutne i relativne pouzdanosti motoričkih testova. Croatian Journal of Education - Hrvatski časopis za odgoj i obrazovanje, 17. doi: 10.15516/cje.v17i0.1484
Stratford, P. W., & Goldsmith, C. H. (1997). Use of the standard error as a reliability index of interest: an applied example using elbow flexor strength data. Phys Ther, 77(7), 745-750. doi: 10.1093/ptj/77.7.745
Thomas, S. J., Swanik, C. B., Higginson, J. S., Kaminski, T. W., Swanik, K. A., Bartolozzi, A. R., . . . Nazarian, L. N. (2011). A bilateral comparison of posterior capsule thickness and its correlation with glenohumeral range of motion and scapular upward rotation in collegiate baseball players. J Shoulder Elbow Surg, 20(5), 708-716. doi: 10.1016/j.jse.2010.08.031
Walton, D. M., Macdermid, J. C., Nielson, W., Teasell, R. W., Chiasson, M., & Brown, L. (2011). Reliability, standard error, and minimum detectable change of clinical pressure pain threshold testing in people with and without acute neck pain. J Orthop Sports Phys Ther, 41(9), 644-650. doi: 10.2519/jospt.2011.3666
Weir, J. P. (2005). Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res, 19(1), 231-240. doi: 10.1519/15184.1
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Retos
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and ensure the magazine the right to be the first publication of the work as licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of authorship of the work and the initial publication in this magazine.
- Authors can establish separate additional agreements for non-exclusive distribution of the version of the work published in the journal (eg, to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Is allowed and authors are encouraged to disseminate their work electronically (eg, in institutional repositories or on their own website) prior to and during the submission process, as it can lead to productive exchanges, as well as to a subpoena more Early and more of published work (See The Effect of Open Access) (in English).
This journal provides immediate open access to its content (BOAI, http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess) on the principle that making research freely available to the public supports a greater global exchange of knowledge. The authors may download the papers from the journal website, or will be provided with the PDF version of the article via e-mail.
