title: Hemiplegic shoulder pain syndrome: interrater reliability of physical diagnosis signs.
abstract: OBJECTIVE
  To determine the interrater reliability of shoulder physical diagnosis signs in the acute stroke rehabilitation setting.
  
  
  METHODS
  Prospective inception cohort.
  
  
  METHODS
  Academic inpatient stroke rehabilitation service.
  
  
  METHODS
  People admitted to stroke rehabilitation service.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  The Neer impingement test, Speed test, acromioclavicular shear test, Rowe shoulder score, and palpation.
  
  
  RESULTS
  Two examiners evaluated 46 consecutively admitted participants at 18.9+/-14.1 days after stroke. Percentage agreement was 78% or higher on all tests. The kappa statistic was in the fair to excellent interrater reliability range on all tests except those involving the acromioclavicular joint, for which findings were infrequent.
  
  
  CONCLUSIONS
  Most of the shoulder physical diagnosis signs used in this study have sufficient interrater reliability for use in future clinical studies of hemiplegic shoulder pain.
authors.affiliation: Division of Physical Medicine and Rehabilitation and Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA. alexander.w.dromerick@medstar.net
authors.forename: Alexander W
authors.initials: AW
authors.lastname: Dromerick
authors.forename: Ashok
authors.initials: A
authors.lastname: Kumar
authors.forename: Oksana
authors.initials: O
authors.lastname: Volshteyn
authors.forename: Dorothy F
authors.initials: DF
authors.lastname: Edwards
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D011446:Prospective Studies; D020069:Shoulder Pain / Q000175:diagnosis / Q000209:etiology*; D020521:Stroke / Q000150:complications*; D000071939:Stroke Rehabilitation; D013577:Syndrome