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Reliability and validity of active and passive pectoralis minor muscle length measures
Journal article   Open access   Peer reviewed

Reliability and validity of active and passive pectoralis minor muscle length measures

Margaret Finley, Noel Goodstadt, Daniel Soler, Kristin Somerville, Zachary Friedman and David Ebaugh
Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), v 21(3)
May 2017
DOI: https://doi.org/10.1016/j.bjpt.2017.04.004
PMID: 28454725
Featured in Collection :   UN Sustainable Development Goals @ Drexel
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https://doi.org/10.1016/j.bjpt.2017.04.004View
Published, Version of Record (VoR)Open Access (License Unspecified),  Open

Abstract

Muscle length Rehabilitation Shoulder
•This manuscript presents the measurement properties of a novel technique for lengthening the pectoralis minor muscle.•Active and passive lengthening procedures resulted in greater changes in pectoralis minor muscle length when compared to previously reported pectoralis minor muscle stretches.•This investigation provides the first evidence to support measurement of the extensibility of the pectoralis minor muscle. Pectoralis minor muscle length is believed to play an important role in shoulder pain and dysfunction. Current clinical procedures for assessing pectoralis minor muscle length may not provide the most useful information for clinical decision making. To establish the reliability and construct validity of a novel technique to measure pectoralis minor muscle length under actively and passively lengthened conditions. Cross-sectional repeated measures. Thirty-four healthy adults (age: 23.9, SD=1.6 years; 18 females) participated in this study. Pectoralis minor muscle length was measured on the dominant arm in three length conditions: resting, actively lengthened, and passively lengthened. Based upon availability, two raters, out of a pool of five, used a caliper to measure the distance between the coracoid process and the 4th rib. The average of two pectoralis minor muscle length measures was used for all muscle length conditions and analyses. Intraclass correlation coefficients determined intra-and inter-rater reliability, and measurement error was determined via standard error of measurement and minimal detectable change. Construct validity was assessed by ANOVA to determine differences in muscle length across the three conditions. Our intra- and inter-rater reliability values across all three conditions ranged from 0.84 to 0.92 and from 0.80 to 0.90, respectively. Significant differences (p<0.001) in muscle length were found among all three conditions: rest-active (3.66; SD=1.36cm), rest-passive (4.72, SD=1.41cm), and active-passive (1.06, SD=0.47cm). The techniques described in this study for measuring pectoralis minor muscle length under resting and actively and passively lengthened conditions have acceptable reliability for clinical decision making.

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9 citations in Web of Science
13 citations in Scopus

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Web of Science research areas
Orthopedics
Rehabilitation
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