Hemiplegic shoulder pain syndrome: Interrater reliability of physical diagnosis signs

Alexander W. Dromerick, Ashok Kumar, Oksana Volshteyn, Dorothy F. Edwards

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Objective: To determine the interrater reliability of shoulder physical diagnosis signs in the acute stroke rehabilitation setting. Design: Prospective inception cohort. Setting: Academic inpatient stroke rehabilitation service. Participants: People admitted to stroke rehabilitation service. Interventions: Not applicable. Main Outcome Measures: 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 κ 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.

Original languageEnglish
Pages (from-to)294-295
Number of pages2
JournalArchives of Physical Medicine and Rehabilitation
Issue number2
StatePublished - Feb 2006


  • Cerebrovascular accident
  • Joint diseases
  • Physical examination
  • Rehabilitation
  • Shoulder
  • Shoulder pain
  • Stroke


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