Purpose: With recent technological advances, goniometric applications have increasingly been used for the measurement of joint angles due to the greater practicality and accessibility. It is therefore important to determine the reliability of these applications. The evaluation of the wrist is important, as this joint is commonly affected by trauma that can lead to limitations of movement. Thus, the aim of the study was to determine the intra-examiner and inter-examiner reliability of the Goniometer PRO© smartphone application for measuring the range of motion of the wrist. Basic procedures: A correlational, blind, cross-sectional study was conducted involving 43 healthy women (mean age: 20 ± 2.3 years) with no upper limb injuries. Both wrists were examined in each participant (n=86). Active wrist flexion and extension were measured by three previously trained examiners using the smartphone application for the determination of inter-examiner reliability and a second evaluation was performed after 48 hours for the determination of intra-examiner reliability. Main findings: Excellent intra-examiner (ICC>0.75) and inter-examiner (ICC>0.90) reliability were found for both wrists. A very good correlation (r>0.90; p<0.0001) was found for the intra-examiner evaluation of the left wrist and good correlations (r>0.80; p<0.0001) were found for the right wrist and for the inter-examiner evaluations of both wrists. Good agreement was found for all measures, as demonstrated by the Bland-Altman analysis. Conclusions: The present data on intra-examiner and inter-examiner reliability of the Goniometer PRO© for the smartphone demonstrate that this goniometric application can be used as an effective tool for the evaluation of the range of motion of the wrist.
The aim of this review is to understand the feasibility and potential clinical utility of US in measurements of the quadriceps muscles in patients with COPD. A total of 217 studies were identified and after applying the inclusion criteria, 12 were selected. The data were systematically searched by two independent reviewers. Of the included articles, five evaluated the maximal voluntary contraction of the quadriceps muscle and the Transverse Section Area (TSA) measured by US, of these, 4 found a remarkably reduced strength in COPD and in one article, it was described that this reduction occurs in all grades of the disease. Moreover, the greater the thickness of the quadriceps, the greater the maximum voluntary contraction of this musculature, however, the TSA is reduced in these patients when compared to healthy individuals. Thus, it is suggested that the AST, evaluated by US, can be used to assess the presence and/or severity of musculoskeletal dysfunction in these patients. The sonographic evaluation of the quadriceps in patients with COPD may provide a safe, effective, low-cost, reliable and reproducible evaluation, allowing the identification and monitoring of peripheral muscle dysfunction in this population, even when compared with other strategies.
O objetivo desta revisão sistemática foi verificar as principais evidências descritas na literatura relacionadas ao uso da realidade virtual (RV) no tratamento fisioterapêutico cardiorrespiratório. A busca dos estudos foi realizada nas bases de dados LILACS, PubMed, PEDro, Scielo e Scopus. Foram selecionados estudos originais que abordaram o uso da RV no tratamento fisioterapêutico cardiorrespiratório em idiomas português, inglês e espanhol. Durante a pesquisa, foram encontrados 415 estudo dos quais, cinco estudos contemplaram os critérios de inclusão. Os estudos foram submetidos a julgamento do risco de viés através da ferramenta Cochrane Risk of Bias Tool. Dos cinco estudos selecionados, nenhum apresentou alto risco de viés. Quatros estudos utilizaram à RV não imersiva como recurso auxiliar. Três estudos foram realizados em ambiente hospitalar e dois em ambulatorial. Dois estudos avaliaram a capacidade funcional através da MIF e três estudos utilizaram o TC6 para avaliar a capacidade cardiorrespiratória. Apenas um estudo avaliou os efeitos hemodinâmicos agudos produzido pelo uso da RV na terapia e outro a função pulmonar através da avaliação das forças inspiratórias e expiratórias máximas. Todos os atendimentos de RV eram associados a cinesioterapia. Concluiu-se que o uso da RV como método coadjuvante no tratamento fisioterapêutico cardiorrespiratório, tanto em ambiente hospitalar quanto ambulatorial, apresenta resultados semelhantes ao tratamento convencional na melhora da capacidade funcional e física, com benefícios motores e respiratórios.
Introdução: Os aplicativos goniométricos dos smartphones, são ferramentas acessíveis e portáteis que por meio de sensores internos, são capazes de realizar a medida do movimento articular. Contudo, todo instrumento utilizado na prática clínica deve ser válido e confiável, mantendo uma consistência em seus valores quando submetido às mesmas variáveis, circunstâncias e sujeitos. Objetivo: Analisar a mensuração angular de diferentes aplicativos goniométricos para smartphone, com diferentes tempos de uso e diferentes sistemas operacionais. Material e métodos: O presente estudo analisou a confiabilidade dos aplicativos de smartphones para goniometria, através da medida das angulações de um polígono projetado para o estudo, utilizando 100 smartphones, correlacionando diferentes aspectos e condições dos aparelhos. Resultados: De uma maneira geral não houve diferenças para quase todas as variáveis analisadas quando comparadas entre si, apenas houve diferença quando confrontados os dados coletados com os valores de referência. Conclusão: As variáveis analisadas nesse estudo não influenciaram nas leituras angulares, apresentando variações mínimas dos ângulos para todas as condições.
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