Normative values and affecting factors for the elbow range of motion

Zwerus, Elisa L.; Willigenburg, Nienke W.; Scholtes, Vanessa A.; Somford, Matthijs P.; Eygendaal, Denise; Bekerom, Michel P.J. van den

doi:10.1177/1758573217728711

Cited by 20 publications

(28 citation statements)

References 41 publications

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“…With respect to the reliability of the UG measurements, our study results are only partially in line with previous literature. Literature on interobserver and intraobserver reliability shows ICC values within a wide range, from 0.45-0.99, yet most ICCs were over 0.70 [11–16, 19]. In our study, the interobserver reliability of UG was moderate to good, ranging from 0.40 to 0.71 and the intraobserver reliability was moderate to excellent, ranging from 0.47 to 0.84.…”

Section: Discussionsupporting

confidence: 44%

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Validity and Reliability of Elbow Range of Motion Measurements Using Digital Photographs, Movies, and a Goniometry Smartphone Application

Keijsers

Zwerus

Lith

et al. 2018

Journal of Sports Medicine

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Introduction Range of motion (ROM) is closely monitored before and after surgery for stiff elbow and during rehabilitation. Measurements in the home environment may be helpful to increase involvement and adherence of the patient. Therefore, our objective is to investigate the validity and inter- and intraobserver reliability of 3 alternative methods to assess the ROM by the patient in a home-based situation, in comparison to the universal goniometer (UG). We hypothesize that all 3 alternative methods will be valid alternatives and show a level of reliability equivalent to UG. Methods Goniometric measurements of elbow flexion, extension, pronation and supination using photography, movie, and a smartphone application were obtained. The validity of these measurement methods was compared to UG. The interobserver and intraobserver reliability were calculated for all measurement methods. Results Photography and movie based goniometry of the elbow showed good validity in flexion and extension. The interobserver and intraobserver reliability were found to be good to excellent for photo and movie but moderate to poor for UG and the smartphone application. Conclusions Photo or movie based goniometry seems to be a useful option for initial and follow-up measurement of the elbow ROM, both in the outpatient clinic and in a home environment. Based on our study, the smartphone application we used is not recommended.

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Section: Discussionsupporting

confidence: 44%

“…Measurements were recorded with accuracy of 1 degree. A predefined protocol was used by both observers, based on recommendations in previous literature by using bony landmarks [14, 19, 21, 23–29].…”

Section: Methodsmentioning

confidence: 99%

Validity and Reliability of Elbow Range of Motion Measurements Using Digital Photographs, Movies, and a Goniometry Smartphone Application

Keijsers

Zwerus

Lith

et al. 2018

Journal of Sports Medicine

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“…A recent study by Zwerus et al 21 found that elbow ROM is similarly affected by age, race, and BMI. Although this does not directly investigate the shoulder joint, it expands on the idea that upper extremity ROM is significantly affected by many different factors.…”

Section: Discussionmentioning

confidence: 96%

Shoulder motion decreases as body mass increases in patients with asymptomatic shoulders

Allen¹,

Lin²,

Barfield³

et al. 2020

JSES International

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Background Higher complication rates are reported after shoulder arthroplasty in obese patients. Understanding the effect of body mass index (BMI) on range of motion (ROM) in asymptomatic shoulders may be useful in evaluating clinical outcomes for patients of varying BMIs presenting with shoulder pathology. The purpose of this study is to investigate patient characteristics, in particular BMI, that may affect ROM outcomes after shoulder arthroplasty. Methods Individuals aged 18 years or older (mean 57.21 ± 16.27 years) were recruited with asymptomatic shoulder presentation and without history of shoulder injury. A total of 224 shoulders were grouped into 4 BMI categories, and ROM was measured with a goniometer. Analysis was performed between patient demographics and ROM. Results Analyzed continuously, BMI negatively correlated with ROM for internal rotation (IR; r = −0.511, P < .01), forward elevation (FE; r = −0.418, P < .01), and external rotation (ER; r = −0.328, P < .01). ROM analyzed by BMI category revealed a dose effect of BMI vs ROM. Obese patients demonstrated a significant decrease in IR whereas morbidly obese patients had significant decreases for all ranges: IR ( r = −0.469, P < .01), FE ( r = −0.452, P < .01), and ER ( r = –0.33, P < .01). Normal- and overweight patients revealed no significant correlations with ROM. Conclusion As BMI is negatively correlated with ROM of the asymptomatic shoulder, patients with higher BMIs may be predisposed to diminished outcomes postoperatively. These baseline correlations will allow surgeons to make postoperative expectations and anticipate poorer outcomes of shoulder ROM in obese patients.

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“…The QAREL checklist showed a high quality (score > 60%) in six out of 12 studies; 7,21,[29][30][31]36 all other studies were of low quality. Most of the studies rated as low quality did not blind (or did not mention to blind) the raters to the findings of other raters 3,6,[32][33][34] or their own prior findings.…”

Section: Quality Assessmentmentioning

confidence: 93%

“…Twelve articles were finally included for data extraction. 3,6,7,21,[29][30][31][32][33][34][35][36] Figure 1 shows the PRISMA flow chart.…”

Section: Study Selectionmentioning

confidence: 99%

The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature

et al. 2018

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Normative values and affecting factors for the elbow range of motion

Cited by 20 publications

References 41 publications

Validity and Reliability of Elbow Range of Motion Measurements Using Digital Photographs, Movies, and a Goniometry Smartphone Application

Validity and Reliability of Elbow Range of Motion Measurements Using Digital Photographs, Movies, and a Goniometry Smartphone Application

Shoulder motion decreases as body mass increases in patients with asymptomatic shoulders

The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature

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