Accuracy and Reliability of Three Different Techniques for Manual Goniometry for Wrist Motion: A Cadaveric Study

Carter, Timothy I.; Pansy, Brian S.; Wolff, Aviva L.; Hillstrom, Howard J.; Backus, Sherry I.; Lenhoff, Mark; Wolfe, Scott W.

doi:10.1016/j.jhsa.2009.06.002

Cited by 86 publications

(52 citation statements)

References 8 publications

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“…Those previous studies used goniometers or motion tracking systems to measure active motion in healthy subjects, whereas we measured range of motion in cadavers with the application of a 2-Nm moment. However, given the low magnitude of this moment, the high stiffness of the wrist at the extremes of motion, and the findings that our range of motion values were less in flexion-extension but greater in an oblique direction than those previously reported, it is more likely, in our opinion, that the discrepancies in these range-of-motion values are due to the challenges of the use of a goniometer or a surface-based measurement system to accurately differentiate a wrist position of pure flexion or pure extension from a position along an oblique axis 46 . Our finding of 42°of ulnar deviation and 21°of radial deviation in the range of motion are in general agreement with the averages of 36°and 21°, respectively, in previous reports 1,2,26 .…”

Section: Discussioncontrasting

confidence: 56%

The Mechanical Axes of the Wrist Are Oriented Obliquely to the Anatomical Axes

Crisco

Heard

Rich

et al. 2011

The Journal of Bone and Joint Surgery-American Volume

111

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Section: Discussioncontrasting

confidence: 56%

The Mechanical Axes of the Wrist Are Oriented Obliquely to the Anatomical Axes

Crisco

Heard

Rich

et al. 2011

The Journal of Bone and Joint Surgery-American Volume

111

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“…The fulcrum was perpendicular to the distal forearm with the fixed arm of the goniometer parallel to the longitudinal axis of the humerus and perpendicular to the floor and the movable arm placed at the level of the ulnar styloid process, on the dorsal surface of the wrist to asses pronation and on the anterior surface of the wrist, to assess supination ( Figure 2). 8,14,15,[17][18][19] All pronation and supination movements were measured three consecutive times, 10 with a 30-second interval between each measurement, by two trained physiotherapists following the same procedures, in a randomized order. Each examiner had no access to their previous records of ROM for each volunteer/ patient.…”

Section: Methodsmentioning

confidence: 99%

A study to compare two goniometric methods for measuring active pronation and supination range of motion

et al. 2013

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Introduction: Movement of the forearm allows positioning the hand during several functional activities of daily living. Assessing range of motion of supination and pronation is essential for clinical identification of functional limitations, although many methods can be used. Confounding values can be found due to different techniques used by therapists. The purpose of this study was to compare two standard goniometric methods for measuring active range of motion of forearm pronation and supination, aiming to define its reliability and ease of use. Methods: The study included 33 individuals, 13 injured and 20 non-injured volunteers. We analyzed two standard goniometric methods for measuring pronation and supination. For the first method, the volunteers had to hold a pencil as a guide for the movable arm of the goniometer and for the second method the movable arm was in contact with the distal dorsal surface of the wrist near the ulna head, and the hand was free. Two trained examiners performed the evaluations. Intraclass correlation coefficient and limits of agreement of Bland and Altman were used to analyze the data. Results: Intraclass correlation coefficient values were excellent for both groups and movements at inter-rater and intermethods comparison. Bland and Altman plots showed that, although excellent reliability, some data dispersion was present. Conclusion: These data suggest that both methods could be used in clinical practice with excellent reliability. The goniometric method with the movable arm placed in contact with the distal dorsal surface of the wrist near the ulna head might be easier to perform and useful in cases where finger prehension is absent or weak, which would prevent the use of a pencil as reference.

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“…In addition, various pathologies such as autoimmune diseases, neurological diseases, soft tissue diseases, and degenerative joint disease (DJD) can greatly impede normal wrist ROM (Horger, 1990;Cauraugh et al 2000;Dziedzic & Hammond, 2010;Squeri et al 2014;Tonga et al 2015;Bain et al 2016). Therefore, measurement of wrist ROM with a valid and reliable instrument can help clinicians determine the amount of limitation, monitor the effectiveness of the rehabilitation process, and improve effective communication between them (Carter et al 2009). The method or instrument a clinician uses to measure wrist ROM may vary and is dependent upon biomedical criteria such as accessibility of the instrument, easy administration, cost, familiarity, insusceptibility or insensitivity to external influences, safety, and educational background (Chaffin et al 2006;Kolber et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Reliability and concurrent validity of a new iPhone^® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects

et al. 2016

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Measurement of wrist range of motion (ROM) is often considered to be an essential component of wrist physical examination. The measurement can be carried out through various instruments such as goniometers and inclinometers. Recent smartphones have been equipped with accelerometers and magnetometers, which, through specific software applications (apps) can be used for goniometric functions. This study, for the first time, aimed to evaluate the reliability and concurrent validity of a new smartphone goniometric app (Goniometer Pro©) for measuring active wrist ROM. In all, 120 wrists of 70 asymptomatic adults (38 men and 32 women; aged 18-40 years) were assessed in a physiotherapy clinic located at the School of Rehabilitation Sciences, Iran University of Medical Science and Health Services, Tehran, Iran. Following the recruitment process, active wrist ROM was measured using a universal goniometer and iPhone 5 app. Two blinded examiners each utilized the universal goniometer and iPhone to measure active wrist ROM using a volar/dorsal alignment technique in the following sequences: flexion, extension, radial deviation, and ulnar deviation. The second (2 h later) and third (48 h later) sessions were carried out in the same manner as the first session. All the measurements were conducted three times and the mean value of three repetitions for each measurement was used for analysis. Intraclass correlation coefficient (ICC) models (3, k) and (2, k) were used to determine the intra-rater and inter-rater reliability, respectively. The Pearson correlation coefficients were used to establish concurrent validity of the iPhone app. Good to excellent intra-rater and inter-rater reliability was demonstrated for the goniometer with ICC values of ≥ 0.82 and ≥ 0.73 and the iPhone app with ICC values of ≥ 0.83 and ≥ 0.79, respectively. Minimum detectable change at the 95% confidence level (MDC ) was computed as 1.96 × standard error of measurement × √2. The MDC ranged from 1.66° to 5.35° for the intra-rater analysis and from 1.97° to 6.15° for the inter-rater analysis. The concurrent validity between the two instruments was high, with r values of ≥ 0.80. From the results of this cross-sectional study, it can be concluded that the iPhone app possesses good to excellent intra-rater and inter-rater reliability and concurrent validity. It seems that this app can be used for the measurement of wrist ROM. However, further research is needed to evaluate symptomatic subjects using this app.

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Accuracy and Reliability of Three Different Techniques for Manual Goniometry for Wrist Motion: A Cadaveric Study

Cited by 86 publications

References 8 publications

The Mechanical Axes of the Wrist Are Oriented Obliquely to the Anatomical Axes

The Mechanical Axes of the Wrist Are Oriented Obliquely to the Anatomical Axes

A study to compare two goniometric methods for measuring active pronation and supination range of motion

Reliability and concurrent validity of a new iPhone^® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects

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Accuracy and Reliability of Three Different Techniques for Manual Goniometry for Wrist Motion: A Cadaveric Study

Cited by 86 publications

References 8 publications

The Mechanical Axes of the Wrist Are Oriented Obliquely to the Anatomical Axes

The Mechanical Axes of the Wrist Are Oriented Obliquely to the Anatomical Axes

A study to compare two goniometric methods for measuring active pronation and supination range of motion

Reliability and concurrent validity of a new iPhone® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects

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Reliability and concurrent validity of a new iPhone^® goniometric application for measuring active wrist range of motion: a cross‐sectional study in asymptomatic subjects