Journal
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
Volume 52, Issue 10, Pages 1014-1018Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0b013e3181f4396b
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Funding
- National Institute for Occupational Safety and Health (NIOSH) [OH 07316]
- Washington State Department of Labor and Industries, Olympia, WA
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Objective: To test the inter-rater reliability of physical examinations for upper extremity musculoskeletal disorders. Methods: A total of 111 subjects were examined by both an occupational medicine physician and a physical therapist, who were blinded to each others' tests results and subjects' current symptoms and health histories. Results: Inter-rater reliability was moderate to excellent (0.52 to 0.88) for shoulder tests but required the inclusion of symptoms for increased inter-rater reliability of fair to excellent (0.27 to 0.57) for the elbow and hand/wrist tests. Conclusions: With the lack of gold standard tests, it is important that epidemiologic field studies conduct and report inter-rater reliability testing results between study examiners. It is important for researchers to report the results of inter-rater reliability, so that practitioners can weigh the results of study findings to improve both their diagnosis and treatment of these costly injuries.
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