Comparison of the Repeatability and Diagnostic Objectivity of Two Methods of Measuring the Range of Motion in the Joints (original) (raw)
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Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity
Physical Therapy, 1988
Clinical measurement of range of motion is a fundamental evaluation procedure with ubiquitous application in physical therapy. Objective measurements of ROM and correct interpretation of the measurement results can have a substantial impact on the development of the scientific basis of therapeutic interventions. The purpose of this article is to review the related literature on the reliability and validity of goniometric measurements of the extremities. Special emphasis is placed on how the reliability of goniometry is influenced by instrumentation and procedures, differences among joint actions and body regions, passive versus active measurements, intratester versus intertester measurements, and different patient types. Our discussion of validity encourages objective interpretation of the meaning of ROM measurements in light of the purposes and the limitations of goniometry. We conclude that clinicians should adopt standardized methods of testing and should interpret and report goniometric results as ROM measurements only, not as measurements of factors that may affect ROM.
International Journal of Advanced Research, 2020
Background: Evaluation of range of motion is integral part of assessment of musculoskeletal system. Range of motion is an essential outcome measure for any orthopedic management protocol. A new technology is developed to measure range of motion by using mobile phones. The objective of this study is to determine intra and inter-rater reliability of mobile device goniometer "goniometer records" in measuring knee flexion range of motion. Objectives : To find out intra and inter rater reliability of goniometer records application. Material and Methods: 100 students of physiotherapy aged between 19-25 years. Outcome Measure:-Range of motion is the main outcome measure for this study. Result:-23 males and 77 females within normal body mass index participated. Mean age of participants was 20.39 years .by using student"s unpaired "t" test intra rater reliability for goniometer records application was high & inter rater reliability was moderate to high. (p<0.05). Conclusion: "Goniometer Records" application has high intra-rater and inter-rater reliability was moderate to high..this device can be used to assess range of motion of knee joint.
Philippine Journal of Physical Therapy, 2022
Aim: This study aimed to create an alternative tool for joint measurements with higher level of confidence and minimal error. Methods: This was a quantitative exploratory research study that determines the inter-rater reliability of the Digitalized telescoping Goniometer (DTG). 25 healthy individuals were selected using Slovin’s Formula. SPSS version 24 was used in analyzing the reliability and validity. The inter- rater reliability is described by Intra class coefficient (ICC) and Limits of Agreement (LOA). The references for the interpretation of the ICC in the present study were poor reliability < 0.5, moderate reliability 0.5-0.75 good reliability 0.75-0.90, and excellent reliability for > 0.90. The Bland-Altman plots was used to investigate systematic differences and assess 95% limits of agreement (LOA) visual indication of agreement. In LOA is calculated as LOA = mean difference + 1.96 (SD). Results: The ICC result of the DGT had moderate to good reliability for shoulder...
Journal of Orthopedic Research and Therapy, 2020
Background: Range of Motion (ROM) assessments of the lower extremity are an important measurement tool for assessing an individual's joint health and affects their ability to complete activities of daily living. Lower extremity ROM has been identified as a useful predictor for lower limb injuries in both the general population and sporting professionals. The advent of novel ROM assessment technology, such as the HALO © (model HG1, HALO © Medical Devices, Australia) Digital Goniometer (HDG), presents an avenue for research and potential application within clinical and surgical settings. The aim of the present study was to validate the HDG in terms of its validity, intra-and inter-rater reliability, for ROM assessment of the lower limb. Methods: The Universal Goniometer (UG) and the HDG were used as the acquisition system. The methodology for lower limb ROM assessment was carried out per the American Association of Orthopedic Surgeons (AAOS) guidelines. One hundred healthy subjects were recruited for the study and were split into two groups to be assessed by either physiotherapists or medical students. Results: There were high levels of agreement between the two devices with most motions having a mean difference < 2 o. Intrarater reliability was modest for all ranges of motion using the UG and for the HDG, with values between 0.368 and 0.663. In the physiotherapist cohort, inter-rater reliability was highest for hip flexion for both the UG and the HDG, with modest reliability at ICC values of 0.709 and 0.711, respectively. Reliability was poorest for ankle dorsiflexion for both devices, with ICCs of 0.409 and 0.436. In the medical student cohort, inter-rater reliability for all ROM was modest or good for the UG, ranging from 0.410 to 0.865 except for ankle dorsiflexion, which was poor with an ICC of 0.330. Inter-rater reliability was either modest or good for the HDG, with values between 0.468 and 0.889. Conclusions: The present validation study identified the HALO Digital Goniometer as a valid and reliable substitute for the universal goniometer, with moderate to high inter-rater agreement and consistency, along with moderate intra-rater reliability.
Iberoamerican Journal of Medicine
Introduction: The use of tele-rehabilitation devices to aid physiotherapy has gained popularity in recent years. In particular, measuring limb range of motion with a wearable mobile sensor can facilitate rehabilitation therapies by providing more efficient progress monitoring and reducing clinicians’ workload. This study aimed to examine the test-retest reliability and validity of using a wearable mobile sensor to measure upper limb range of motion (ROM). Materials and methods: Participants were recruited by convenient sampling. They were instructed to perform four kinds of upper limb movements including shoulder flexion, abduction, external rotation and elbow flexion, from which the ROM was measured by Mobile sensors REBEE (XCLR8 Technologies) and a standard goniometer (Model 12-1000) in each movement. Each kind of movements and the two ROM measurements were performed twice for the evaluation of test-retest reliability using Intraclass Correlation Coefficients (ICC). Pearson's ...
Does range of motion measurement and reference values differ?: a multi-centered study
Acta Scientiarum. Health Sciences, 2022
This study is aimed to estimate and measure reference values in the normal range of motion of extremity joints in females and to provide a database for the assessment of impairments related to the mobility of the joints. This observational cross-sectional study was conducted at seven major educational institutes areas of Rawalpindi and Islamabad in Pakistan from January to June 2020 with a sample size of 600 healthy females aged 15 to 45 years and divided into three groups through non-probability sampling technique. In study Instruments, an electronic Goniometer was used for the measurement of the range of motions for different joints and then those ranges were recorded. The questionnaire had two sections demographic characteristics and ROM for both upper and lower limbs. Data was analyzed using SPSS V21. A p < 0.05 was considered statistically significant.In the result,Out of 600 participants,there was a statistically significant difference of (p < 0.001) in both upper and lo...
Background & Objective: The high cost and the seldom availability of Isokinetic moving devices and Electro goniometer devices in Indian market gives less opportunity to do research as well as accurately measure the proprioception of joints. Hence Shadow goniometer was developed and designed. However the reliability and validity of it need to be investigated in measuring range of motion. So that this tool can be used to measure the joint position sense. Materials & Methods: Ten healthy subjects were selected with an age group of 20 to 25. The standard goniometer was used to measure knee flexion followed by Shadow goniometric measurement of knee flexion. The measurements were repeated with shadow goniometer on the second day. Results: The shadow goniometer was found to be a good reliable with Intraclass correlation of 0.993(p value < 0.0001) and valid tool with correlation coefficient 0.996(p value < 0.0001) in measuring knee flexion range of motion. Conclusion: The shadow goniometer found to be a reliable and valid tool for measuring knee flexion range of motion. This instrument can be alternative to electro-goniometer for measuring joint position sense.
Journal of bodywork and movement therapies, 2017
Goniometers are commonly used to measure range of motion in the musculoskeletal system. Recently smartphone goniometry applications have become available to clinicians. Compare angular measures using a universal goniometer and a smartphone application. Thirty four healthy women with at least 20° of limited range of motion regarding knee extension were recruited. Knee flexion angles of the dominant limb were measured with a universal goniometer and the ROM(©) goniometric application for the smartphone. Three trained examiners compared the two assessment tools. Strong correlations were found between the measures of the universal goniometer and smartphone application (Pearson's correlation and interclass correlation coefficient > 0.93). The measurements with both devices demonstrated low dispersion and little variation. Measurements obtained using the smartphone goniometric application analyzed are as reliable as those of a universal goniometer. This application is therefore a u...