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Interrater Reliability of the Prone Apprehension Relocation Test

BACKGROUND: The Prone Apprehension Relocation Test (PART) augments existing radiographic measures and clinical provocative maneuvers in diagnosing hip instability. One measure of the potential clinical utility of the PART depends on the reproducibility of test results by evaluating providers includi...

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Autores principales: Watchmaker, Lauren E., Hetzel, Scott J., Sink, Ernest L., Spiker, Andrea M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461127/
https://www.ncbi.nlm.nih.gov/pubmed/34568506
http://dx.doi.org/10.1177/23259671211032229
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author Watchmaker, Lauren E.
Hetzel, Scott J.
Sink, Ernest L.
Spiker, Andrea M.
author_facet Watchmaker, Lauren E.
Hetzel, Scott J.
Sink, Ernest L.
Spiker, Andrea M.
author_sort Watchmaker, Lauren E.
collection PubMed
description BACKGROUND: The Prone Apprehension Relocation Test (PART) augments existing radiographic measures and clinical provocative maneuvers in diagnosing hip instability. One measure of the potential clinical utility of the PART depends on the reproducibility of test results by evaluating providers including physicians, licensed athletic trainers, and physical therapists. PURPOSE: To determine the interrater reliability of the PART among health care providers. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 3. METHODS: We retrospectively identified patients in our institution’s hip preservation registry who presented between September 2017 and June 2019 for evaluation of hip pain. Patients included in the study had the PART performed by a single physician as well as 1 of 12 physician extenders (a licensed athletic trainer or a physical therapist). The providers were blinded to the findings of the other examining professional. Interrater reliability was assessed using the Cohen κ (≥0.75 was considered excellent; between 0.75 and 0.40, moderate; and ≤0.40, poor). RESULTS: A total of 96 patients (190 hips) were included in this study (61 women and 35 men, average age 32 ± 12.1 years). A total of 23 hips had a positive PART from both examiners. Interrater reliability was excellent between health care professionals for the PART when evaluating the right hip (κ = 0.80), left hip (κ = 0.82), and when combining the results for left and right (κ = 0.81). A subanalysis of patients with a positive PART from both raters demonstrated that 19 of the 23 hips had a lateral center-edge angle >25°. CONCLUSION: Our study demonstrated excellent interrater reliability of the PART, supporting its use in the physical evaluation of painful hips.
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spelling pubmed-84611272021-09-25 Interrater Reliability of the Prone Apprehension Relocation Test Watchmaker, Lauren E. Hetzel, Scott J. Sink, Ernest L. Spiker, Andrea M. Orthop J Sports Med Article BACKGROUND: The Prone Apprehension Relocation Test (PART) augments existing radiographic measures and clinical provocative maneuvers in diagnosing hip instability. One measure of the potential clinical utility of the PART depends on the reproducibility of test results by evaluating providers including physicians, licensed athletic trainers, and physical therapists. PURPOSE: To determine the interrater reliability of the PART among health care providers. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 3. METHODS: We retrospectively identified patients in our institution’s hip preservation registry who presented between September 2017 and June 2019 for evaluation of hip pain. Patients included in the study had the PART performed by a single physician as well as 1 of 12 physician extenders (a licensed athletic trainer or a physical therapist). The providers were blinded to the findings of the other examining professional. Interrater reliability was assessed using the Cohen κ (≥0.75 was considered excellent; between 0.75 and 0.40, moderate; and ≤0.40, poor). RESULTS: A total of 96 patients (190 hips) were included in this study (61 women and 35 men, average age 32 ± 12.1 years). A total of 23 hips had a positive PART from both examiners. Interrater reliability was excellent between health care professionals for the PART when evaluating the right hip (κ = 0.80), left hip (κ = 0.82), and when combining the results for left and right (κ = 0.81). A subanalysis of patients with a positive PART from both raters demonstrated that 19 of the 23 hips had a lateral center-edge angle >25°. CONCLUSION: Our study demonstrated excellent interrater reliability of the PART, supporting its use in the physical evaluation of painful hips. SAGE Publications 2021-09-20 /pmc/articles/PMC8461127/ /pubmed/34568506 http://dx.doi.org/10.1177/23259671211032229 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Watchmaker, Lauren E.
Hetzel, Scott J.
Sink, Ernest L.
Spiker, Andrea M.
Interrater Reliability of the Prone Apprehension Relocation Test
title Interrater Reliability of the Prone Apprehension Relocation Test
title_full Interrater Reliability of the Prone Apprehension Relocation Test
title_fullStr Interrater Reliability of the Prone Apprehension Relocation Test
title_full_unstemmed Interrater Reliability of the Prone Apprehension Relocation Test
title_short Interrater Reliability of the Prone Apprehension Relocation Test
title_sort interrater reliability of the prone apprehension relocation test
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461127/
https://www.ncbi.nlm.nih.gov/pubmed/34568506
http://dx.doi.org/10.1177/23259671211032229
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