Pdf accuracy and reliability of knee goniometry methods. Intra and intertester reliability and criterion validity of the. Reliability and validity of electrogoniometric range of motion measurements in patients with hand and wrist limitations siamak bashardoust tajali 1, 4, joy c. Goniometric measurements can be invalid due to improper land marking or poor stabilization performance during goniometric measurement. Adequate sagittal plane motion of the first metatarsalphalangeal joint 1st mtpj is important during normal gait and goniometric measurement is commonly used as a diagnostic and outcome assessment tool.
There is, however, no published study so far that uses an inclinometer for measurements in children. Chapters 3 through 6 described techniques for measuring joint range of motion rom and muscle length of the upper extremity. Intra and inter examiner reliability and measurement error of. We 1 assessed the validity of goniometric measurements as compared with radiographic measurements in the evaluation of rom of the elbow and 2 determined the reliability of both. In addition, research studies have found the ug to have a good overall intra and intertester reliability. The measurements were repeated with shadow goniometer on the second day. Upon completion of this course, you will be able to.
Reliability and validity of isometric knee flexion and. Reliability of goniometric measurements and visual. The dominant knee was tested with the cd, bte and hh on the same day in a counterbalanced order. The purposes of this study were to assess the intertester reliability of goniometric measurements at the knee and the validity of the clinical measurements by. The reliability of goniometric measurements of active and passive wrist motions you will receive an email whenever this article is corrected, updated, or cited in the literature. Second, although the different estimates of reliability used across studies make it difficult to compare findings, data from one series of in vestigations 5,19,21 suggest that the goniometric measurement of forefoot position relative to the rearfoot is a routine procedure. Goniometry assessments joint and muscular range of motion testing presentation created and developed by. Once interobserver reliability was established the research assistant performed all tablet application measurements.
Validity is the degree to which a useful meaningful interpretation can be inferred from a measurement. The purposes of this study were to assess 1 the intertester reliability of goniometric measurements at the knee and 2 the validity of the clinical measurements by comparing them to measurements taken from roentgenograms. Reliability of goniometric measurements and visual estimates. Measurement of knee joint range of motion rom is important to assess after total knee arthroplasty. Smart phone app versus universal goniometer used by experienced and novice clinicians article pdf available in manual therapy 196. Video of proper measurement techniques end feel and joint range instruction.
Measuring knee range of motion is important in examination and as a. Reliability and validity of goniometric measurements at the knee. Reliability and validity of goniometric measurements at the knee prem p. Goniometer assessmentsstructure a flexibility program 5. Interrater and intrarater reliability of finger goniometric measurements you will receive an email whenever this article is corrected, updated, or cited in the literature. Validity is a measurement concept which asks whether a measurement system actually measures what it is supposed to. Reliability and validity of goniometric measurements at. How to get rid of muscle knots in your neck, traps, shoulders, and back duration. Pdf reliability and validity of goniometric measurements at the knee. Review of goniometry emphasizing reliability and validity. We aimed to determine the intra and interrater reliability together with the concurrent validity of a universal plastic goniometer ug and a smartphone. Teaches the measurement procedures and techniques of performing goniometric assessments. Acceptable reliability has been reported for knee rom measurements, 23,24 and for ankle dorsiflexion, inversion, and eversion when performed by a physical therapist specifically trained in.
Intra and inter examiner reliability and measurement error. Reliability and validity of measurements of range of. Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting. Reliability of hamstring flexibility measurements in.
The technique may be used as a diagnostic or therapeutic measure to determine the functional status of a patient with a musculoskeletal or neurological disability. The reliability of goniometric measurements of active and passive wrist motions margaret m. Studies6, 7, 8 have shown that goniometric measurements are more reliable than visual estimates. Reproducibility of goniometric measurement of the knee in. Describe the scientific rationale for goniometric assessment. Learn vocabulary, terms, and more with flashcards, games, and other study tools. There is, however, no published study so far that uses an inclinometer for measurements in children with cerebral palsy cp. Pdf reliability and validity of shadow goniometer for. The kga requires a oneoff calibration against any flat surface. Goniometric measurements are not reliable if successive measurements of. Reliability of goniometric and trigonometric techniques. The equinovarus foot deformity is common in hemiparetic patients.
A variety of rom measurement instruments and techniques are available to clinicians. The objective was to evaluate the intrainter rater reliability of this measure, and to evaluate a new method of goniometric measurement of ankle dorsiflexion in hemiparetic. Withinsession interrater realiability of goniometric measu. The shadow goniometer was found to be a good reliable with intraclass correlation of 0. Pdf a reliability study of the universal goniometer. This position allows assessment of the joint range of motion without interference from tightness in the rectus femoris muscle. Reliability of a smartphonebased goniometer for knee joint. Thirty healthy subjects between the ages of 20 and 60 years were studied. Intra and intertester reliability and criterion validity of. Accuracy and reliability of knee goniometry methods. Criterionrelated validity of knee jointpositionsense. Reliability of goniometric measurements and visual estimates of ankle joint active range of motion obtained in a clinical setting. Sixteen goniometric measurements were collected per patient by 2 physical therapists.
Reliability and validity of measurements of range of motion and muscle length testing of the upper extremity. Two physical therapists then independently used a standard plastic goniometer to measure the knee joint angle in the sagittal plane using the greater trochanter. Purpose to compare the reliability of goniometric measurements of knee flexion obtained in three different body positions of patients with total knee arthroplasty tka. Learn how to use a goniometer to take shoulder joint rom measurements and determine exercise programming based on your findings. The universal goniometer and the smartphone goniometric application were reliable in repeated measures of knee flexion angles average concordance. This study examined the intra and intermeasurer reliability of novice and experienced clinicians and the concurrent validity of assessing knee range of motion using a smartphone application the. Principles of goniometric measurement when performing goniometric measurement from kine 3575 at york university.
Reliability of goniometric measurements has been examined only under stan dardized conditions and usually with healthy subjects. Subjects were evaluated in knee flexion and knee extension. Pdf reliability and concurrent validity of knee angle. Goniometric measurements can be invalid due to improper. A range of smartphone goniometer apps are available for other joints however the knee was chosen for this study as knee rom is commonly measured in clinical practice, and has been most commonly used to examine reliability and validity of goniometric tools. Even though technological progress has provided us with more and more sophisticated equipment for making goniometric measurements, the most commonly used clinical tools are still the universal goniometer and, to a lesser extent, the inclinometer. Apr 17, 2014 how to get rid of muscle knots in your neck, traps, shoulders, and back duration. The best gold standard used to establish criterion related validity of goniometry measurements of joint position with rom is what. The reliability of goniometric measurements of active and passive wrist motions. Subjects the knees 151 of 92 tka patients were the subjects of this study. The aim of this study was to assess the reliability of a smartphonebased application developed for photographicbased goniometry, drgoniometer drg, by comparing its measurement of the knee. Pdf background measuring knee range of motion is important in examination and as a postoperative. What is the accuracy of shoulder range of motion measurements on physical exam.
Mar 27, 2014 interrater and intrarater reliability of finger goniometric measurements you will receive an email whenever this article is corrected, updated, or cited in the literature. Principles of goniometric measurement when performing. Reliability and validity of measurement of infrasternal. Pdf reliability and validity of goniometric measurements. Factors influencing the reliability of the universal goniometer in. Rossi, phd, pt, cscs,z and david lee, phd abstract. Withinsession interrater realiability of goniometric. Jul 21, 2011 a universal goniometer is commonly used to measure the elbows rom and carrying angle. Reproducibility of goniometric measurement of the knee in the. We aim to identify inter and intrarater reliability valid. The influence of experience on the reliability of goniometric.
Measurements of knee flexion and knee extension strength were tested isometrically at 90 of knee flexion. The reliability of a smartphone goniometer application. Over the years, several published studies have addressed the reliability and validity of goniometric measurements. You can manage this and all other alerts in my account. Knee flexion should be measured with the subject supine. Norton the purposes of this study were to assess 1 the intertester reliability of gonio metric measurements at the knee and 2 the validity of the clinical measurements. For goniometry to provide meaningful information, measurements must be valid. Accuracy and reliability of knee goniometry methods ncbi. Jul 23, 2015 adequate sagittal plane motion of the first metatarsalphalangeal joint 1st mtpj is important during normal gait and goniometric measurement is commonly used as a diagnostic and outcome assessment tool. At each position for the first measurement of each knee the distance between the centre of the greater trochanter and the centre of the lateral malleolus was taken, so this could be reproduced for the second measurement of the same knee to ensure the same angle was being assessed for intraobserver reliability.
Reliability and validity of measurements of range of motion. Although widely used, the reproducibility of goniometric measurement of ankle dorsiflexion is little studied and variable 1. Accuracy of knee range of motion assessment after total. Reliability and validity of shadow goniometer for measuring range of motion in knee joint article pdf available june 2015 with 644 reads how we measure reads.
Teaches the measurement procedures and techniques of performing goniometric assessments teaches procedures of how to explain assessment results to a client outline. Reliability of goniometric and trigonometric techniques for. Smart phone app versus universal goniometer used by experienced and novice clinicians article pdf. Reliability and validity of electro goniometric range of motion measurements in patients with hand and wrist limitations siamak bashardoust tajali 1, 4, joy c. Reliability of goniometric measurements in children with. The validity of these conclusions is based on the accuracy of these measurements. Jul 10, 2011 even though technological progress has provided us with more and more sophisticated equipment for making goniometric measurements, the most commonly used clinical tools are still the universal goniometer and, to a lesser extent, the inclinometer.
Recently smartphone goniometry applications have become available to clinicians. Validity and reliability measurement of joint motion. Reliability and concurrent validity of knee angle measurement. This validation study was carried out under two different controlled conditions. Goniometry assessments joint and muscular range of. Reliability of goniometric measurement of ankle dorsiflexion. Reliability of a smartphonebased goniometer for knee. Pdf reliability and concurrent validity of knee angle measurement. As a result, we were able to show that interrater goniometric reliability can be established between a lessexperienced and moreexperienced therapist within the same session. Accuracy of knee range of motion assessment after total knee arthroplasty carlos lavernia, md, michele dapuzzo, md,y mark d. Our objective was to determine level of agreement and. Participants were instructed to perform three maximal voluntary. Accuracy of knee range of motion assessment after total knee.
Accuracy and reliability of knee goniometry methods journal of. This study examined the intra and intermeasurer reliability of novice and experienced clinicians and the concurrent validity of assessing knee range of motion using a smartphone application the knee goniometer app ockendon kga and a standard universal goniometer ug. We aimed to determine the intra and interrater reliability together with the concurrent validity of a universal plastic goniometer ug and a smartphone applicationlication dr g for the. The subjects were positioned on their right side on a roentgenographic table with their left lower. Research regarding the reliability and validity of joint rom techniques, including the goniometer and the inclinometer. Pdf clinical measurement of range of motion is a fundamental evaluation procedure with ubiquitous application in physical therapy. Validity and reliability of goniometric measurement. Goniometry definition of goniometry by medical dictionary. Reliability and validity of measurement of infrasternal angle by radiographic methods 35 vol. Intra and intertester reliability and criterion validity.
Reliability of goniometric measurements of flexion in total. However, the literature denotes that visual inspection for rom. Interrater and intrarater reliability of finger goniometric. Reliability of hamstring flexibility measurements in children. Reliability of goniometric measurements of flexion in. Reliability of passive wrist flexion and extension. The reliability of goniometric measurements of passive elbow and knee positions was assessed using patients as subjects.
If the examiner wishes to assess length of the rectus femoris, have the patient lie prone see 2nd illustration. The purposes of this study were to assess the intertester reliability of goniometric measurements at the knee and the validity of the clinical measurements by comparing them to measurements taken from roentgenograms. The aim of the current study s to validate wa measurement of jps using a clinical researcher passivepositioning technique versus an ikdpositioning technique. Criterionrelated validity justifies the validity of the measuring instrument by comparing measurements made with the instrument to a wellestablished gold standard of measurementthe criterion. Reliability and validity of electrogoniometric range of. The use of goniometers to measure joint angles is a key part of musculoskeletal practice. There are a variety of tools and techniques by which joint motion can be measured, but for most. The aim of this study was to assess the reliability of a smartphonebased application developed for photographicbased goniometry, drgoniometer drg, by comparing its measurement of the knee joint angle with that made by a universal goniometer ug. A universal goniometer is commonly used to measure the elbows rom and carrying angle. A convenience sample of 10 healthy participants took part.