Goniometric Reliability in a Clinical Setting. Elbow and Knee Measurements

Rothstein, Jules M; Miller, P. J.; Roettger, Richard F.

doi:10.1097/01241398-198403000-00026

Cited by 110 publications

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“…The arms of the goniometer should be aligned, with the proximal arm along the midline of the fibula, the fulcrum by the lateral malleoli and the distal arm parallel to the fifth metatarsal (Norkin and White, 1985). Regular goniometric range of motion evaluations have been shown to be reliable, with intra-tester reliability being higher than inter-tester reliability (Boone et al, 1978, Rothstein et al, 1983. HaglundÅkerlind and Eriksson (1993) used ankle range of motion in an hydraulic isokinetic dynamometer to obtain a more objective measure of muscle flexibility.…”

Section: Physical Examinationmentioning

confidence: 99%

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

Neeter

Thomeé

Silbernagel

et al. 2003

Scandinavian Med Sci Sports

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The purpose of this double‐blind study was to evaluate the effects of iontophoresis with dexamethazone to iontophoresis with saline solution on patients who had acute (less than 3 months) pain from the Achilles tendon, in terms of range of motion, muscular endurance, pain and symptoms. Twenty‐five patients (15 men and 10 women), aged between 18 and 76 years (mean = 38), were evaluated before and after 2 weeks of treatment with iontophoresis, as well as after 6 weeks, 3 and 6 months and 1 year. Two groups were treated for 2 weeks with iontophoresis for each treatment. Three ml of dexamethazone were used for the experiment group (n = 14) and 3 ml of saline solution for the control group (n = 11). Both groups then followed the same rehabilitation programme for 10 weeks. Good reliability was found for the toe‐raise and range of motion tests. Poor reliability was, however, found for the pain on palpation test, which was therefore excluded. No difference was found between or within groups for the toe‐raise test. Several significant improvements were seen in the experiment group but not in the control group, in the range of motion test, pain during and after physical activity, pain during walking and walking up and down stairs, morning stiffness and tendon swelling. Even though the small sample size limits the possibilities to draw definite conclusions, we conclude from the present study, using a double‐blind, randomised approach and a 1‐year follow‐up period, that positive effects from using iontophoresis with dexamethazone were found in the treatment of patients with acute Achilles tendon pain.

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Section: Physical Examinationmentioning

confidence: 99%

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

Neeter

Thomeé

Silbernagel

et al. 2003

Scandinavian Med Sci Sports

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“…10 Knee joint ROM of the test leg was quantified using an 18-inch flexible and adjustable plastic goniometer (Baseline TM , Diagnostic and Measuring Instruments) that is commonly employed by healthcare practitioners working in a clinical setting. 8 All measurements were made according to visibly identifiable anatomical landmarks, and avoided procedures that would require examiners to estimate the exact center of rotation about which the knee joint moves. Pilot testing demonstrated that the greater trochanter of the femur (hip), head of the fibula (knee), and lateral malleolus of the fibula (ankle) were the most readily identifiable landmarks of the region.…”

Section: Data Collection Protocolmentioning

confidence: 99%

“…Because of its widespread use in orthopedics, the reliability of goniometric assessment (continuous data) has been rigorously investigated. [6][7][8][9] Clinicians also utilize pass/ fail (or negative/positive) scoring systems (dichotomous data) to assess ROM about a particular joint. These orthopedic tests (sometimes referred to as ''special tests'') help to determine whether a particular type of dysfunction (i.e., impingement syndrome, agonist/antagonist imbalance in muscle strength or flexibility, etc.)…”

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confidence: 99%

Reliability of the Ely's test for assessing rectus femoris muscle flexibility and joint range of motion

Peeler

Anderson

2008

Journal Orthopaedic Research

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Rehabilitative protocols and orthopadic research are significantly influenced by the ability to perform reliable measures of specific physical attributes or functions. The hypothesis was that the Ely's test for evaluating rectus femoris flexibility and joint range of motion (ROM) is a reliable clinical tool. Participants (n ¼ 54) were between the ages of 18 and 45, and had no history of trauma. Three clinicians with orthopedic expertise assessed quadriceps flexibility and joint ROM using pass/fail and goniometer scoring systems. A retest session was completed 7 to 10 days later. Statistically, Kappa values for pass/fail scoring (intrarater X ¼ 0.52, interrater X ¼ 0.46) and ICC values (intrarater X ¼ 0.69, interrater X ¼ 0.66) for goniometer data both indicated that the Ely's test demonstrated only moderate levels of intra-and interrater reliability. Measurement error values (SEM ¼ 48, ME ¼ 48, and CV ¼ 3%) and Bland and Altman plots (with 95% Limits of Agreement) further demonstrated the degree of intrarater variance for each examiner when executing the Ely's test in a clinical setting. Results call into question the statistical reliability of the Ely's test, and provide clinicians with important information regarding the reliability limits of the Ely's test when used to clinically evaluate flexibility and joint ROM in a physically active population. More research is required to determine the variables that may confound statistical reliability of this orthopedic technique that is commonly used in a clinical setting to assess function about the thigh region. ß

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“…Um outro aspecto importante da aferição goniométrica é a conϐiabilidade da medida intra-avaliador, que representa a habilidade de um único avaliador obter resultados consistentes em mensurações sucessivas, e a inter-avaliador, que representa a concordância entre medidas da mesma articulação por diferentes avaliadores (Rothstein et al 1983, Gajdosik & Bohannon 1987, Norkin & White 1997, Hayes et al 2001, Araújo et al 2009. No presente estudo a mensurações com menor conϐiabilidade foram as do avaliador 2, em especial no carpo e cotovelo, provavelmente por ser o avaliador menos experiente.…”

Section: Discussionunclassified

Goniometria dos membros torácicos e pélvicos de ovinos em duas faixas etárias

Conceição

Rahal

Agostinho³

et al. 2012

Pesq. Vet. Bras.

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Pesq. Vet. Bras. 32(8):812-816, agosto 2012 812 RESUMO.-O trabalho teve por objetivo comparar os valores goniométricos das articulações dos membros torácicos e pélvicos em ovinos da raça Santa Inês em duas faixas etá-rias (jovens e adultos). Foram utilizados 30 ovinos hígidos, fêmeas, divididos em dois grupos: Grupo 1 com 15 animais jovens (idade entre 6 e 12 meses), Grupo 2 com 15 animais adultos (entre 3 e 6 anos). Foram aferidas a máxima ϐlexão, a máxima extensão e calculou-se a amplitude de movimen- The purpose of this study was to compare goniometric values for forelimb and hind limbs in clinically healthy Santa Ines sheep with two ages (young and adult). Thirty female Santa Ines sheep were separated into two groups of 15 animals each: Group 1 with 6 to 12-month-old sheep (classiϐied as young), and Group 2 with 3 to 6-year-old sheep (classiϐied as adult). Maximum ϐlexion, maximum extension, and range of motion (ROM) of the shoulder, elbow, carpal, hip, stiϐle, and tarsal joints, in the right and left limbs were measured with a standard transparent plastic goniometer. The measurements were performed in triplicate by two independent investigators with the sheep in a standing position. There was no statistically signiϐicant difference between the right and left sides, between investigators or between groups. In conclusion, in clinically healthy sheep the goniometric values were not inϐluenced by age.

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Goniometric Reliability in a Clinical Setting. Elbow and Knee Measurements

Cited by 110 publications

References 0 publications

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

Iontophoresis with or without dexamethazone in the treatment of acute Achilles tendon pain

Reliability of the Ely's test for assessing rectus femoris muscle flexibility and joint range of motion

Goniometria dos membros torácicos e pélvicos de ovinos em duas faixas etárias

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