Evaluation of knee range of motion: Correlation between measurements using a universal goniometer and a smartphone goniometric application

Santos, Rodrigo Marques dos; Derhon, Viviane; Brandalize, Michelle; Brandalize, Danielle; Rossi, Luciano Pavan

doi:10.1016/j.jbmt.2016.11.008

Cited by 55 publications

(35 citation statements)

References 18 publications

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“…Twenty of 25 studies observed excellent/substantial relative validity as defined by ICC > 0.75, r > 0.9 or CCC > 0.95 for more than 50% of the joint movements examined, with five studies not meeting this threshold for this criteria [28, 30, 36, 45, 54]. Seventeen of 23 studies observed excellent/substantial absolute validity as defined by SEM or MDC < 5 o or LOA < ± 9.8 o for more than 50% of the joint movements they examined, with six studies not meeting this threshold of absolute validity [27, 34, 36, 42, 53, 57].…”

Section: Resultsmentioning

confidence: 99%

Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review

et al. 2019

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Measuring joint range of motion is an important skill for many allied health professionals. While the Universal Goniometer is the most commonly utilised clinical tool for measuring joint range of motion, the evolution of smartphone technology and applications (apps) provides the clinician with more measurement options. However, the reliability and validity of these smartphones and apps is still somewhat uncertain. The aim of this study was to systematically review the literature regarding the intra- and inter-rater reliability and validity of smartphones and apps to measure joint range of motion. Eligible studies were published in English peer-reviewed journals with full text available, involving the assessment of reliability and/or validity of a non-videographic smartphone app to measure joint range of motion in participants >18 years old. An electronic search using PubMed, Medline via Ovid, EMBASE, CINAHL, and SPORTSDiscus was performed. The risk of bias was assessed using a standardised appraisal tool. Twenty-three of the eligible 25 studies exceeded the minimum 60% score to be classified as a low risk of bias, although 3 of the 13 criteria were not achieved in >50% of the studies. Most of the studies demonstrated adequate intra-rater or inter-rater reliability and/or validity for >50% of the range of motion tests across all joints assessed. However, this level of evidence appeared weaker for absolute (e.g. mean difference ± limit of agreement, minimal detectable change) than relative (e.g. intraclass correlation, correlation) measures; and for spinal rotation than spinal extension, flexion and lateral flexion. Our results provide clinicians with sufficient evidence to support the use of smartphones and apps in place of goniometers to measure joint motion. Future research should address some methodological limitations of the literature, especially including the inclusion of absolute and not just relative reliability and validity statistics.

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Section: Resultsmentioning

confidence: 99%

Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review

et al. 2019

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“…The inclusion criterion was a minimum limitation of 20° for the ROM of final knee extension of the dominant limb, measured with a universal goniometer, with the volunteer in the supine position and the hip flexed at 90° [17]. Individuals with pain or any lower limb disorder that could affect the evaluation of knee ROM were excluded from the study.…”

Section: Participantsmentioning

confidence: 99%

“…Individuals with pain or any lower limb disorder that could affect the evaluation of knee ROM were excluded from the study. The data collection was part of another study of the same authors [17] concerning a smartphone application for range of motion measurement. This study received an approval from the ethics committee of the Universidade Estadual do Centro-Oeste, Brazil (approval number: 1.015.221).…”

Section: Participantsmentioning

confidence: 99%

Intra- and inter-examiner reliability in angular measurements of the knee with a smartphone application

Derhon¹,

Santos²,

Brandalize³

et al. 2018

Hum Mov.

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Purpose. Goniometric smartphone applications to measure joint angles offer greater practicality and accessibility, which makes them potential alternatives to a conventional goniometer. The aim of the present study was to evaluate the intra-and interexaminer reliability in measuring the angles of the range of motion of the knee with the use of the ROM© goniometric smartphone application. Method. The total of 34 young healthy women with an at least 20° limitation in knee extension range of motion participated in the study. Angular measurements of knee flexion in the dominant leg were performed with the aid of the smartphone application by three trained examiners for the evaluation of the inter-examiner reliability. The second evaluation was carried out after a 48-hour period for the determination of the intra-examiner reliability. Conclusions. The findings reveal that the ROM© goniometric smartphone application can be considered a useful tool for the evaluation of the knee range of motion in healthy women.

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“…Although Krause et al observed no changes in the ankle joint excursion immediately after a 1-min bout of WBVE, they found an increase in the knee joint active angular excursion during flexion and extension (p < 0.01) in individuals with cerebral palsy [29]. In another study performed in children with cerebral palsy, a significant increase in ROM was detected immediately after treatment with WBVE [44]. These conflicting results about the effect of WBVE on the ROM of joints could be associated with the variability of the protocols and the populations evaluated.…”

Section: Effect Of Whole Body Vibration Exercise (Wbve) On Range Of Mmentioning

confidence: 92%

“…A standard digital goniometer (EMG 830RF, EMGSystem ® , São Paulo, Brazil) was used to measure the active ROM [44][45][46] of the knees during flexion from extension. The goniometer was properly fixed on the skin with tape on the lateral side of the knee joint, alternately right and left, to measure the flexion angle.…”

Section: Evaluation Of Knee Range Of the Motionmentioning

confidence: 99%

Evaluation of Whole-Body Vibration Exercise on Neuromuscular Activation Through Electromyographic Pattern of Vastus Lateralis Muscle and on Range of Motion of Knees in Metabolic Syndrome: A Quasi-Randomized Cross-Over Controlled Trial

et al. 2019

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Metabolic syndrome (MetS) is related to overweight and obesity, and contributes to clinical limitations. Exercise is used for the management of MetS individuals, who are often not motivated to perform this practice. Whole body vibration exercise (WBVE) produces several biological effects, besides being safe, effective, and feasible for MetS individuals. This pseudo-randomized and cross-over controlled trial study aimed to analyze the effects of WBVE on MetS individuals’ neuromuscular activation using the surface electromyography (sEMG) pattern (root mean square (RMS)) of the vastus lateralis (VL) muscle and on the range of motion (ROM) of the knees. Participants (n = 39) were allocated to two groups: the treatment group (TG), which was exposed to WBVE, and the control group (CG). WBVE interventions were performed twice a week, for a period of 5 weeks. ROM and sEMG were analyzed at baseline, after the first session, and before and after the last session. sEMG (%RMS) significantly increased in the acute effect of the last session of WBVE (108.00 ± 5.07, p < 0.008, right leg; 106.20 ± 3.53, p < 0.02, left leg) compared to the CG. ROM did not significantly change in TG or CG. In conclusion, 5 weeks of WBVE exerted neuromuscular effects capable of increasing VL muscle RMS in individuals with MetS, this effect being potentially useful in the physical rehabilitation of these individuals.

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Evaluation of knee range of motion: Correlation between measurements using a universal goniometer and a smartphone goniometric application

Cited by 55 publications

References 18 publications

Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review

Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review

Intra- and inter-examiner reliability in angular measurements of the knee with a smartphone application

Evaluation of Whole-Body Vibration Exercise on Neuromuscular Activation Through Electromyographic Pattern of Vastus Lateralis Muscle and on Range of Motion of Knees in Metabolic Syndrome: A Quasi-Randomized Cross-Over Controlled Trial

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