Goniometric assessment of shoulder range of motion: Comparison of testing in supine and sitting positions

Sabari, Joyce S.; Maltzev, Inna; Lubarsky, Diane; Liszkay, Eva; Homel, Peter

doi:10.1016/s0003-9993(98)90038-7

Cited by 118 publications

(84 citation statements)

References 14 publications

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“…The reproducibility of the various devices used to assess shoulder ROM has been evaluated in several studies. [10][11][12][13][14][15][16][17][18][19] Although in clinical practice ROM assessment is often based on visual inspection of the movement, insight into the reproducibility of the visual estimation of shoulder ROM is limited. 20,21 The level of reproducibility of ROM measurement may be influenced by many factors such as the instruments and procedures applied, the joint examined, or the type of movement tested.…”

Section: By American Congress Of Rehabilitation Medicine and The Amermentioning

confidence: 99%

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Terwee

Winter

Scholten

et al. 2005

Archives of Physical Medicine and Rehabilitation

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Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility.Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (Nϭ201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists.Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners Ϯ1.96 ϫ standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance.Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, Ϫ43.4 to 39.8 and Ϫ46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, Ͼ.70) except for horizontal adduction (ICCϭ.49).Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects.Key Words: Range of motion, articular; Rehabilitation; Reproducibility of results; Shoulder.© by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and RehabilitationC OMPLAINTS OF SHOULDER DYSFUNCTION are often associated with restricted range of motion (ROM). [1][2][3][4] The difference between the affected and the contralateral sides is related to the ability to perform the activities of daily life, such as dressing, washing, and lifting above shoulder level. [4][5][6] Measurement of the ROM plays a vital role in diagnosis, 7-9 assessment of the severity of disability, and the assessment of treatment outcome in clinical practice and research. 9 Several methods are available for quantifying ROM, such as goniometry, inclinometry, and even high-speed cinematography. High reproducibility is an important prerequisite if measurements are to be useful for discriminative and evaluative purposes. The reproducibility of the various devices used to assess shoulder ROM has been evaluated in several studies. [10][11][12][13][14][15][16][17][18][19] Although in clinical practice ROM assessment is often based on visual inspection of the movement, insight into the reproducibility of the visual estimation of shoulder ROM is limited. 20,21 The level of reproducibility of ROM measurement may be influenced by many factors such ...

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Section: By American Congress Of Rehabilitation Medicine and The Amermentioning

confidence: 99%

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Terwee

Winter

Scholten

et al. 2005

Archives of Physical Medicine and Rehabilitation

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“…Several methods have been used to assess the alignment of body segments, such as visual analysis, X-rays 16 , video cameras 6,7,[18][19][20] and goniometry [21][22][23][24][25] . The use of photography as a postural record is recommended for its simplicity and low cost and for the possibility of creating a database to follow postural development 6 and, therefore, observe subtle modifications 24,[26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

Análise postural fotogramétrica de crianças saudáveis de 7 a 10 anos: confiabilidade interexaminadores

Santos¹,

Mpc²,

Ls³

et al. 2009

Rev. bras. fisioter.

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“…18 The center of the goniometer was placed on the posterior glenohumeral joint 19 with one arm perpendicular to the floor and the other aligned according to the angle of the proximal humerus. 20 For ER, the patient had their elbow flexed at 90 degrees with their humerus on the side.…”

Section: Rom Assessmentmentioning

confidence: 99%

Feasibility of an at Home, Online, Yoga-Based and Standard Exercise Intervention for Rotator Cuff Injuries

Mehta¹

2017

MOJYPT

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This study investigates the feasibility of conducting a 6-week intervention program comparing online yoga-based and standard exercises among 10 injured pre-surgery rotator cuff patients. A feasibility study of 10 patients recruited from surgical wait lists was conducted. Patients were assessed for shoulder flexion, abduction and external rotation range of motion and strength at baseline and 6-weeks. The SPADI questionnaire was used to assess pain/function. 8/10 patients did not complete the full study protocol. The case report illustrates that the yoga group patient worsened, while the standard exercise group patient improved in strength. SPADI results were changed by less than 10% indicating no clinically important change. Qualitative feedback suggested that patients might be open to online exercises however further developmental work is needed to define a feasible protocol.

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Goniometric assessment of shoulder range of motion: Comparison of testing in supine and sitting positions

Cited by 118 publications

References 14 publications

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Análise postural fotogramétrica de crianças saudáveis de 7 a 10 anos: confiabilidade interexaminadores

Feasibility of an at Home, Online, Yoga-Based and Standard Exercise Intervention for Rotator Cuff Injuries

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