Reliability of shoulder range of motion comparing a goniometer to a digital level

Reliability of shoulder range of motion comparing a goniometer to a digital level
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DOI:
10.3109/09593980903094230
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发表时间:
2010-07-01
影响因子:
2
通讯作者:
Tyler, Timothy F.
Tyler, Timothy F.
中科院分区:
医学4区
文献类型:
--
作者:
Mullaney, Michael J.;McHugh, Malachy P.;Tyler, Timothy F.

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临床上使用数字水平仪进行关节测量,可能是标准测角的一种可行的替代方法。本研究的目的是确定建筑等级数字水平仪与测量主动辅助肩关节活动范围(ROM)的标准通用测角器相比的测试者内和测试者间的可靠性。两位经验丰富的理疗师使用测角仪和数字水平仪,在两个不同的场合,测量了20例单侧肩关节病变患者(男9例,女11例,年龄18-79岁)的双侧肩关节屈曲、外旋(ER)和内旋(IR)的活动度。用组内相关系数(ICC)评估相对可靠性,用95%一致限值(LOA)评估绝对可靠性。使用测角器和数字水平仪进行测量时,Icc在0.91到0.99之间,LOA在3到9度之间。测验间ICC值为0.31~0.95,LOA为6度~25度。对于测角和数字水平只读存储器的比较,ICC在0.71到0.98之间。数字水准仪的ER和IR ROM值比测角仪大3-5度(p
The clinical use of digital levels, for joint measurement, may be a viable alternative to standard goniometry. The purpose of this study was to determine the intra- and intertester reliability of a construction grade digital level compared to the standard universal goniometer for measurements for active assisted shoulder range of motion ( ROM). Two experienced physical therapists measured shoulder flexion, external rotation ( ER), and internal rotation (IR) ROM bilaterally, on two different occasions, in 20 patients ( 9 males, 11 females, 18-79 years old) with unilateral shoulder pathology, using a goniometer and a digital level. Relative reliability was assessed by using intraclass correlation coefficients (ICC), and absolute reliability was assessed by using 95% limits of agreement ( LOA). Intratester ICCs ranged from 0.91 to 0.99, and LOA ranged from 3 degrees to 9 degrees for measurements made with the goniometer and digital level. Intertester ICCs ranged from 0.31 to 0.95, and LOA ranged from 6 degrees to 25 degrees. For the comparison of goniometric vs. digital level ROM, ICCs ranged from 0.71 to 0.98. ER and IR ROM were 3-5 degrees greater for the digital level than the goniometer (p