Avaliação da amplitude articular do joelho: correlação entre as medidas realizadas com o goniômetro universal e no dinamômetro isocinético

Batista, LH; Camargo, Paula R.; Aiello, GV; Oishi, Jorge; Salvini, Tania F.

doi:10.1590/s1413-35552006000200009

Cited by 26 publications

(23 citation statements)

References 18 publications

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“…We found that both methods are reproducible and highly correlated for the measured movements. Our findings are supported by previous results using UG 1,2,6 . Photogrammetry is a reliable method for postural analysis and has been increasingly used to obtain specific measures of joint angles 17 .…”

Section: Discussionsupporting

confidence: 93%

“…It is essential for establishing physiotherapeutic diagnosis, as well as estimating and quantifying the effectiveness of therapeutic intervention, therefore measuring the progress of rehabilitation [1][2][3] . Different methods for measuring ROM are available, ranging from visual inspection to the use of precision tools and computer-assisted estimates.…”

Section: Introductionmentioning

confidence: 99%

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Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction

et al. 2017

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The universal goniometer (UG) is the most frequently used tool for measuring range of motion (ROM), with demonstrated reliability. Computerized photogrammetry (CP) is widely used for postural assessment, but its role in the measurement of ROM of hip flexion and abduction has not yet been fully explored. This study aimed to test inter- and intra-rater reliability for measuring ROM of hip flexion and abduction using UG and CP, as well as the reliability between the instruments. Our sample consisted of 40 healthy volunteers (aged from 18 to 28 years). Measurements of ROM were conducted by two independent raters, 15 minutes apart, using UG and CP to assess inter-rater reliability. The procedures were repeated one week later by the first rater (intra-rater reliability). Using UG, inter-rater reliability was excellent for flexion and abduction (ICC=0.92 and 0.91, respectively); using CP, it was rated as very good (ICC=0.77 and 0.80, respectively). Intra-rater reliability using UG was excellent for flexion and abduction (ICC=0.95 and 0.92), and very good using CP (ICC= 0.81 and 0.89). The correlation between the instruments was excellent for flexion and very good for abduction (r=0.92 and r=0.82). Future investigations should seek a more diversified sample and symptomatic patients. Inter- and intra-rater reliability is high when measuring range of motion of hip flexion and abduction using both UG and CP, and the correlation between instruments is excellent for flexion and very good for abduction, meaning that both are valid.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction

et al. 2017

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“…They were also advised to stop the dynamometer resistance arm using the device as soon as they felt the beginning of knee flexor muscular tension in stretching, which occurred normally between 90° and 20° of knee extension for the subjects who were selected, could not perform total knee extension (0°). The measurements were taken three times and the mean value was used for the statistical analysis 14 . No warm-up was performed before the measurement of the amplitude of movement.…”

Section: Methodsmentioning

confidence: 99%

Efeitos do alongamento ativo excêntrico dos músculos flexores do joelho na amplitude de movimento e torque

Batista

Camargo

Oishi

et al. 2008

Rev. bras. fisioter.

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Objective: To evaluate the changes in knee range of motion (ROM) and torque of knee flexor and extensor muscles after an active eccentric stretching program for the knee flexor muscles. Methods: Thirty-four volunteers (23 women and 11 men), aged 34.42±9.3 years, performed an active eccentric stretching program for the knee flexor muscles in the standing posture, consisting of seven repetitions of one minute each, with 30 seconds of resting between them. The stretching program was performed twice a week, for four weeks. Knee extension ROM and the torque of the knee flexor and extensor muscles were evaluated using an isokinetic dynamometer before and after the stretching program. The torque was evaluated in the isometric, isokinetic concentric and eccentric modes at 30°/s and 60°/s. Results: There was an increase in ROM from 53.7±13° to 30.1±16° (p=0.0001), in isometric torque of the flexors from 89±32Nm to 93±33Nm (p=0.01) and of the extensors from 178±67Nm to 187±73Nm (p=0.006). The concentric and eccentric torque of the flexors at 30°/s increased from 90±31Nm to 96±31Nm (p=0.001) and from 100±34Nm to 105±35Nm (p=0.01), respectively.The concentric torque of the extensors at 60°/s increased from 144±51Nm to 151±58Nm (p=0.02), and the eccentric torque at 30°/s increased from 175±71Nm to 189±73Nm (p=0.01). Conclusions: The stretching program proposed was effective for increasing the flexibility of the stretched muscles and the torque of the agonist (stretched) muscle groups and their antagonists.Key words: active eccentric stretching; flexibility; torque; ROM; knee flexors. ResumoObjetivo: Avaliar a amplitude de movimento (ADM) e o torque flexor e extensor do joelho após a realização de um programa de alongamento ativo excêntrico dos músculos flexores do joelho. Materiais e métodos: Trinta e quatro voluntários (23 mulheres e 11 homens), 34,42±9,3 anos, realizaram um programa de alongamento ativo excêntrico dos músculos flexores do joelho na postura em pé, que consistiu de sete repetições de um minuto com 30 segundos de descanso entre as repetições. O programa de alongamento foi realizado duas vezes por semana, durante quatro semanas. A ADM de extensão e o torque flexor e extensor do joelho foram avaliados no dinamômetro isocinético pré e pós-programa de alongamento. O torque foi avaliado nos modos isométrico e isocinético concêntrico e excêntrico a 30°/s e 60°/s. Resultados: Houve aumento na ADM de 53,7±13° para 30,1±16° (p=0,0001), no torque isométrico flexor de 89±32Nm para 93±33Nm (p=0,01) e extensor de 178±67Nm para 187±73Nm (p=0,006). O torque flexor concêntrico e excêntrico a 30°/s aumentou de 90±31Nm para 96±31Nm (p=0,001) e de 100±34Nm para 105±35Nm (p=0,01), respectivamente. O torque extensor concêntrico a 60°/s aumentou de 144±51Nm para 151±58Nm (p=0,02) e o excêntrico a 30°/s de 175±71Nm para 189±73Nm (p=0,01).Conclusões: O programa de alongamento proposto foi efetivo para aumentar a flexibilidade dos músculos alongados e torque dos grupos musculares agonistas (alongados) e seus antagonistas.Pala...

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“…Então foram realizadas, com marcações adesivas, marcações nas seguintes estruturas: trocânter maior do fêmur, epicôndilo femoral lateral e maléolo lateral do membro que foi avaliado. O quadril foi mantido nesta posição e o primeiro avaliador realizou a extensão passiva do joelho direito até que o indivíduo referisse desconforto para completar a amplitude do movimento 7 . Neste momento, anotou-se a angulação obtida na extensão do joelho.…”

Section: Goniômetro Universalunclassified

Avaliação da confiabilidade intra e interavaliadores e intertécnicas para três instrumentos que mensuram a extensibilidade dos músculos isquiotibiais

Boldrini¹,

Tomé²,

Moesch³

et al. 2009

Fit Per J

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Boldrini CM, Tomé F, Moesch J, Mallmann JS, Oliveira LU, Roberti NF et al. Avaliação da confiabilidade intra e interavaliadores e intertécnicas para três instrumentos que mensuram a extensibilidade dos músculos isquiotibiais. Fit Perf J. 2009 set-out;8(5):342-8. RESUMOIntrodução: A medida da amplitude de movimento (ADM) é importante nas avaliações terapêuticas. Avaliou-se a confiabilidade intra e interavaliadores e intertécnicas para três instrumentos que mensuraram a extensibilidade dos isquiotibiais. Materiais e Métodos: A amostra foi composta por universitários (n=20/22,6±1,5 anos), foi mensurada a extensibilidade dos músculos isquiotibiais do membro inferior direito, e, para isto, analisou-se a ADM do joelho por meio de três instrumentos: goniômetro universal (GU), goniômetro fixo (GF) e prancha de goniometria (PR). Ao todo foram seis avaliadores, dois por instrumento (avaliadores A e B). A confiabilidade foi obtida pelo índice de correlação Interclasses (ICC). Resultados: A confiabilidade intraavaliador foi heterogênea, sendo: ausente (GFA); moderada (GUB); alta (GUA e PRB) e muito alta (GFB e PRA). A confiabilidade interavaliador foi baixa para o GF e alta para os demais instrumentos; já a intertécnica foi alta entre GU e PR, porém foi moderada quando envolveu o GF. Discussão: Observou-se que o GU e a PR têm maior confiabilidade que o GF e, na prática clínica, isso permite ao examinador escolher o instrumento que lhe é mais acessível. PALAVRAS-CHAVEReprodutibilidade dos Testes; Artrometria Articular; Amplitude de Movimento Articular. The measurement of range of motion (ROM) is important in therapeutic evaluations. It was evaluated the reliability intra and inter-valuators and inter-techniques, for three tools that measured the extensibility of the hamstring. Materials and Methods: The sample was composed of university students (n=20 /22.6±1.5 years). It was measured the extensibility of hamstring muscles of the right lower limb, and for this, ROM of the knee was examined by means of three tools: universal goniometer (UG), fixed goniometer (FG) and board goniometry (BO). There were six valuators in all, two by instrument (valuators A and B). The reliability was obtained by the index of correlation interclasses (ICC). Results: The intra-valuators reliability was heterogeneous, being: absent (FGA); moderate (UGB); high (UGA and BOB) and very high (FGB and BOA). The intervaluators reliability was low for the FG and high for the other tools; while the inter-technique was high between UG and BO, but moderate when involving the FG. Discussion: It was observed that UG and BO are more reliable than FG and, in the clinical practice, allows an examiner to choose the tool that it is more accessible to him.

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Avaliação da amplitude articular do joelho: correlação entre as medidas realizadas com o goniômetro universal e no dinamômetro isocinético

Cited by 26 publications

References 18 publications

Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction

Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction

Efeitos do alongamento ativo excêntrico dos músculos flexores do joelho na amplitude de movimento e torque

Avaliação da confiabilidade intra e interavaliadores e intertécnicas para três instrumentos que mensuram a extensibilidade dos músculos isquiotibiais

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