Inter-rater reliability for measurement of passive physiological movements in lower extremity joints is generally low: a systematic review

Trijffel, Emiel van; Pol, Rachel J. van de; Oostendorp, Rob A.B.; Lucas, Cees

doi:10.1016/s1836-9553(10)70005-9

Cited by 66 publications

(46 citation statements)

References 48 publications

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“…[4][5][6][7] The reliability of the goniometric (GON) technique may be reduced when measuring hip, shoulder, and ankle ROM and varies greatly depending on the movement assessed. 2,3 These results suggest that limitations are associated with the GON techniques, specifically when assessing the hip joint.…”

mentioning

confidence: 92%

“…A variety of ROM measurement instruments and techniques are available to clinicians; the most commonly applied is the universal goniometer. 1 The consistency of the universal goniometer for assessing joint ROM has been reviewed extensively, 2,3 and this instrument has shown both intrarater and interrater reliability when hinge joints, such as the elbow and knee, are assessed. [4][5][6][7] The reliability of the goniometric (GON) technique may be reduced when measuring hip, shoulder, and ankle ROM and varies greatly depending on the movement assessed.…”

mentioning

confidence: 99%

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Reliability of Goniometric and Trigonometric Techniques for Measuring Hip-Extension Range of Motion Using the Modified Thomas Test

Wakefield¹,

Halls

Difilippo

et al. 2015

Journal of Athletic Training

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Context: Goniometric assessment of hip-extension range of motion is a standard practice in clinical rehabilitation settings. A weakness of goniometric measures is that small errors in landmarking may result in substantial measurement error. A less commonly used protocol for measuring hip range of motion involves applying trigonometric principles to the length and vertical displacement of the upper part of the lower extremity to determine hip angle; however, the reliability of this measure has never been assessed using the modified Thomas test.Objective:To compare the intrarater and interrater reliability of goniometric (GON) and trigonometric (TRIG) techniques for assessing hip-extension range of motion during the modified Thomas test.Design: Controlled laboratory study. Setting: Institutional athletic therapy facility. Patients or Other Participants: A total of 22 individuals (12 men, 10 women; age range, 18-36 years) with no pathologic knee or back conditions.Main Outcome Measure(s): Hip-extension range of motion of each participant during a modified Thomas test was assessed by 2 examiners with both GON and TRIG techniques in a randomly selected order on 2 separate days.Results: The intraclass correlation coefficient (ICC) revealed that the reliability of the GON technique was low for both the intrarater (ICC ¼ 0.51, 0.54) and interrater (ICC ¼ 0.30, 0.65) comparisons, but the reliability of the TRIG technique was high for both intrarater (ICC ¼ 0.90, 0.95) and interrater (ICC ¼ 0.91, 0.94) comparisons. Single-factorial repeated-measures analyses of variance revealed no mean differences in scoring within or between examiners for either measurement protocol, whereas a difference was observed when comparing the TRIG and GON tests due to the differences in procedures used to identify landmarks.Conclusions: Using the TRIG technique to measure hipextension range of motion during the modified Thomas test results in superior intrarater and interrater reliability when compared with the GON technique.Key Words: assessment, musculoskeletal testing, flexibility Key PointsFor measuring hip-extension range of motion, reliability of the trigonometric technique was high, but reliability of the goniometric technique was poor to moderate. Both intrarater and interrater reliability were higher when examiners used the trigonometric technique than when they used the goniometric technique to assess hip-extension range of motion during the modified Thomas test.

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confidence: 92%

mentioning

confidence: 99%

Reliability of Goniometric and Trigonometric Techniques for Measuring Hip-Extension Range of Motion Using the Modified Thomas Test

Wakefield¹,

Halls

Difilippo

et al. 2015

Journal of Athletic Training

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“…In a recent systematic review by van Trijffel et al [26], the authors stressed that the inter-rater reliability of the measurement of the ROM in lower extremity joints is generally lower than ROM measurement in upper extremity joints and therefore careful consideration should be given to uniform standards of measurement procedure in order to ensure stability of participants' and raters' characteristics during the assessment. The authors also stressed that the measurement procedures should be in accordance with international standards such as described by Clarkson [27].…”

Section: Definition Of Contracturesmentioning

confidence: 99%

“…This is particularly problematic when effective treatments are available and nursing home residents are at risk of not receiving them due to inappropriate decision-making due to diagnostical errors and variation in interpretation among raters/therapists. Van Trijfel et al [26] recommend that raters/physiotherapists should incorporate a wider range of findings from their clinical assessment into their decision about patients with lower extremity disorders and not rely too strongly on results from measurements of passive movements in joints. It has been shown that a comprehensive hip and knee examination including a number of physical signs can be performed with adequate reliability if a standardized evaluation protocol is followed [29,30] allowing for reliable, and therefore, improved outcome assessments.…”

Section: Definition Of Contracturesmentioning

confidence: 99%

Contractures with special reference in elderly: definition and risk factors – a systematic review with practical implications

Offenbächer¹,

Sauer

Riess³

et al. 2013

Disability and Rehabilitation

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In most of the studies it seems that the presence of a contracture is equivalent with the presence of restriction in the range of motion (ROM) of a joint. Very little is known about risk factors for contractures. But it seems that immobility may play a pivotal role in the development of this condition. IMPLICATION FOR REHABILITATION: The prevalence of contractures in nursing home residents is estimated at 55% with significant functional and medical consequences. In most studies, which were published in the last 10 years, the presence of a contracture is equivalent with the presence of restriction in the range of motion of a joint. Immobility seems to play a role in the development of contractures. Potential avenues to prevention of contractures and subsequent functional limitations are exercise programmes for and maintenance of mobility of the elderly.

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“…The best evidence synthesis was based on quality ratings using the new 4-point COSMIN checklist and guidelines, which is a purpose-specific quality assessment tool that can be used to grade evidence. In addition, a highly sensitive search filter (21) and hand searching were used to minimize potential bias of missed eligible studies because there is a known inherent difficulty in locating studies of clinimetric measurement properties due to large variations in the terms used to index such studies (21,51).…”

Section: Dobson Et Almentioning

confidence: 99%

Clinimetric properties of observer‐assessed impairment tests used to evaluate hip and groin impairments: A systematic review

Dobson¹,

Choi²,

Hall³

et al. 2012

Arthritis Care & Research

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Objective. To recommend the most suitable observer-assessed impairment tests in people with hip and/or groin pathologies by conducting a systematic review of the clinimetric properties of these tests. Methods. Electronic searches were performed in the Cochrane, PubMed, CINAHL, Embase, SPORTDiscus, and PsycINFO databases up to August 2011. Two reviewers independently rated the measurement properties of clinical tests of impairments, defined by the International Classification of Functioning, Disability and Health as problems in body structure or body function, using the Consensus-Based Standards for the Selection of Health Status Measurement Instruments (COSMIN). "Best evidence synthesis" was made using COSMIN outcomes and the quality of findings was assessed using a purpose criteria system. Results. Fifteen of 2,588 publications were eligible for inclusion. Impairments evaluated were range of motion (ROM; 9 studies), muscle strength (6 studies), tenderness (3 studies), leg length discrepancy (2 studies), balance (2 studies), and muscle length (2 studies) in people with hip osteoarthritis (OA), hip fractures, and mixed hip/groin pathologies. Measurement properties evaluated included reliability, measurement error, construct validity, and criterion validity.

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Inter-rater reliability for measurement of passive physiological movements in lower extremity joints is generally low: a systematic review

Cited by 66 publications

References 48 publications

Reliability of Goniometric and Trigonometric Techniques for Measuring Hip-Extension Range of Motion Using the Modified Thomas Test

Reliability of Goniometric and Trigonometric Techniques for Measuring Hip-Extension Range of Motion Using the Modified Thomas Test

Contractures with special reference in elderly: definition and risk factors – a systematic review with practical implications

Clinimetric properties of observer‐assessed impairment tests used to evaluate hip and groin impairments: A systematic review

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