Reliability of the evaluation of shoulder girdle retraction in a neonatal intermediate unit care
DOI:
https://doi.org/10.17267/2238-2704rpf.2022.e4416Keywords:
Shoulder girdle retraction, Newborns, Infants, Shoulder bladesAbstract
OBJECTIVE: To evaluate the inter and intra-examiner reliability in the use of instruments to assess shoulder girdle retraction in children hospitalized in a neonatal intermediate care unit. METHODS: Quantitative, cross-sectional and observational study, carried out with newborns and infants who required hospitalization in a neonatal intermediate care unit. Data collection took place from October 2019 to February 2020. To evaluate the retraction of the shoulder girdle, a biomechanical inspection protocol developed by the researchers was used, which made it possible to measure (in centimeters) from the upper and lower medial edges, right and left, to the spine, with the head in rotation to right and left, and the scarf sign. The evaluations were always carried out by the same evaluators. To estimate the inter- and intra-examiner reliability of the biomechanical inspection protocol and scarf signal, the Kappa Index was used and, for measurements of scapular positioning, the Intraclass Correlation Coefficient. RESULTS: The biomechanical inspection protocol for signs suggestive of scapular girdle retraction showed mild to moderate inter-examiner agreement and substantial to almost perfect intra-examiner agreement. The intra-examiner agreement obtained in the scarf sign was mild to moderate, and almost perfect intra-examiner. The positioning of the scapulae showed good inter-examiner agreement and excellent intra-examiner agreement. CONCLUSION: The evaluation of signs suggestive of scapular girdle retraction in newborns and infants has low inter-examiner reliability and very high intra-examiner reliability.
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