The reliability and measurement error of protractor-based goniometry of the fingers: A systematic review

Kooij, Y.E. van; Fink, A. K.; Sanden, Maria Wg Nijhuis-van der; Speksnijder, Caroline M.

doi:10.1016/j.jht.2017.02.012

Cited by 21 publications

(13 citation statements)

References 55 publications

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“…We found mean improvement for various measures of range of motion over time. This improvement will probably not be clinically relevant as it is of the same magnitude as the measurement error of the goniometer [ 34 ]. However, the gain in patient-reported outcomes was not at the cost of the range of motion.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of ulna shortening osteotomy: a cohort analysis of 106 patients

Shaer

Blomme²,

Sluijter³

et al. 2022

J Orthop Traumatol

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Background Ulna shortening osteotomy (USO) for ulnar impaction syndrome (UIS) aims to improve pain and function by unloading the ulnar carpus. Previous studies often lack validated patient-reported outcomes or have small sample sizes. The primary objective of this study was to investigate patient-reported pain and hand function at 12 months after USO for UIS. Secondary objectives were to investigate the active range of motion, grip strength, complications, and whether outcomes differed based on etiology. Materials and methods We report on 106 patients with UIS who received USO between 2012 and 2019. In 44 of these patients, USO was performed secondary to distal radius fracture. Pain and function were measured with the Patient Rated Wrist/Hand Evaluation (PRWHE) before surgery and at 3 and 12 months after surgery. Active range of motion and grip strength were measured before surgery and at 3 and 12 months after surgery. Complications were scored using the International Consortium for Health Outcome Measurement Complications in Hand and Wrist conditions (ICHAW) tool. Results The PRWHE total score improved from a mean of 64 (SD = 18) before surgery to 40 (22) at 3 months and 32 (23) at 12 months after surgery (P < 0.001; effect size Cohen’s d = −1.4). There was no difference in the improvement in PRWHE total score (P = 0.99) based on etiology. Also, no clinically relevant changes in the active range of motion were measured. Independent of etiology, mean grip strength improved from 24 (11) before surgery to 30 (12) at 12 months (P = 0.001). Sixty-four percent of patients experienced at least one complication, ranging from minor to severe. Of the 80 complications in total, 50 patients (47%) had complaints of hardware irritation, of which 34 (32%) had their hardware removed. Six patients (6%) needed refixation because of nonunion. Conclusion We found beneficial outcomes in patients with UIS that underwent USO, although there was a large variance in the outcome and a relatively high number of complications (which includes plate removals). Results of this study may be used in preoperative counseling and shared decision-making when considering USO. Level of evidence Therapeutic III.

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Section: Discussionmentioning

confidence: 99%

Outcomes of ulna shortening osteotomy: a cohort analysis of 106 patients

Shaer

Blomme²,

Sluijter³

et al. 2022

J Orthop Traumatol

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“…Different definitions for recurrence greatly influence the reported recurrence rates. In addition, ROM lacks clarity in earlier research and there are different methods for measuring it [50, 53]. In the context of a consensus definition of DC recurrence, it is recommended to measure each joint separately [39].…”

Section: Discussion Of Methodological Limitations and Strengthsmentioning

confidence: 99%

“…Following the COSMIN criteria [52], one systematic review found a limited level of evidence for an acceptable reliability in the dorsal measurement method of goniometry assessment of the finger joints, and an unknown level of evidence for the measurement error [53].…”

Section: Methodsmentioning

confidence: 99%

Hand therapy or not following collagenase treatment for Dupuytren’s contracture? Protocol for a randomised controlled trial

Aglen

Matre

Lind

et al. 2019

BMC Musculoskelet Disord

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Background Dupuytren’s contracture (DC) is a fibrotic hand condition in which one or more fingers develop progressive flexion deformities. Quality of life is diminished due to disabling limitations in performing everyday activities. For DC patients treated with collagenase, referral for subsequent hand therapy is inconsistent. It is unknown whether subsequent hand therapy is beneficial compared to no therapy. The purpose of this study is to determine whether hand therapy improves DC patients’ performance of and satisfaction with performing everyday activities one year after collagenase treatment. Methods We will conduct a randomised controlled trial with two treatment groups (hand therapy vs. control) of DC patients who have received collagenase treatment. DC patients with contracted metacarpophalangeal joint(s) (MCPJ) (hand therapy, n = 40; control, n = 40) and those with proximal interphalangeal joint(s) (PIPJ) involvement (hand therapy, n = 40; control, n = 40) comprise two subgroups, and we will study if the treatment effect will be different between both groups ( n = 160). Patients with a previous injury or treatment for DC in the treatment finger are excluded. Hand therapy includes oedema and scar management, splinting, movement exercises, and practice of everyday activities. The main outcome variable is patients’ performance of and satisfaction with performing everyday activities, as assessed with the Canadian Occupational Performance Measure. Secondary outcomes are DC-specific activity problems, as assessed with the Unité Rhumatologique des Affections de la Main scale, and active/passive flexion/extension of treated joints and grip force using standard measuring tools, and self-reported pain level. Demographic and clinical variables, degree of scarring, cold hypersensitivity, number of occupational sick-leave days are collected. Self-reported global impression of change will be used to assess patient satisfaction with change in hand function. Assessments are done pre-injection and 6 weeks, 4 months, and 1 year later. Standard univariate and multivariate statistical analyses will be used to evaluate group differences. Discussion This study aims to assess whether hand therapy is beneficial for activity-related, biomechanical, and clinical outcomes in DC patients after collagenase treatment. The results will provide an objective basis for determining whether hand therapy should be conducted after collagenase treatment. Trial registration This study has been registered at ClinicalTrials.gov as NCT03580213 (April 5, 2018).

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“…13 However, the use and reporting of ICCs between studies is inconsistent and often lacks sufficient detail. 2,16,17 Additionally, the SEM can be calculated as SEM= SD pooled x . 14 Hence, both the ICC and SEM are influenced by any changes that could influence the components of variance within the data.…”

Section: B Introductionmentioning

confidence: 99%

Adjacent Joint Restriction Differentially Influences Intra- and Inter-rater Reliability and Agreement of Goniometric Measurements

Pinto

Stankovic

Frost

et al. 2022

International Journal of Sports Physical Therapy

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Background Reliability and agreement of goniometric measurements can be altered by variations in measurement technique such as restricting adjacent joints to influence bi-articular muscles. It is unknown if the influence of adjacent joint restriction is consistent across different range of motion (ROM) tests, as this has yet to be assessed within a single study. Additionally, between-study comparisons are challenged by differences between methodology, participants and raters, obscuring the development of a conceptual understanding of the extent to which adjacent joint restriction can influence goniometric ROM measurements. Purpose To quantify intra- and inter-rater reliability and levels of agreement of goniometric measurements across five ROM tests, with and without adjacent joint restriction. Study Design Descriptive reliability study Methods Three trained and experienced raters made two measurements of bilateral ankle dorsiflexion, first metatarsophalangeal dorsiflexion, hip extension, hip flexion, and shoulder flexion, with and without adjacent joint restriction. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), along with participant, measurement/rater and random error variance were estimated. Results Eleven females (age 21.4 ±2.3 years) and 19 males (age 22.1 ±2.8 years) participated. Adjacent joint restriction did not influence the reliability and agreement in a consistent way across the five ROM tests. Changes in the inter-rater reliability and agreement were more pronounced compared to the intra-rater reliability and agreement. Assessing variance components (participant, measurement/rater and random error variance) that are used to calculate the ICC and SEM, improved interpretation of ICC and SEM scores. Conclusion The effects of adjacent joint restriction on reliability and agreement of goniometric measurements depend on the ROM test and should be considered when comparing measurements between multiple raters. Reporting variance components that are used to calculate the ICC and SEM can improve interpretation and may improve between-study comparisons, towards developing a conceptual framework to guide goniometric measurement technique. Level of Evidence 3b

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The reliability and measurement error of protractor-based goniometry of the fingers: A systematic review

Cited by 21 publications

References 55 publications

Outcomes of ulna shortening osteotomy: a cohort analysis of 106 patients

Outcomes of ulna shortening osteotomy: a cohort analysis of 106 patients

Hand therapy or not following collagenase treatment for Dupuytren’s contracture? Protocol for a randomised controlled trial

Adjacent Joint Restriction Differentially Influences Intra- and Inter-rater Reliability and Agreement of Goniometric Measurements

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