Comparação entre dois testes clínicos para avaliar a flexibilidade dos músculos posteriores da coxa

Abstract

Objective: To compare the results from fingertip-to-floor and straight leg raise tests by means of photogrammetry, investigate the concordance of hip angle findings between the two tests and evaluate the intra and inter-examiner reliability of the photogrammetric analysis procedure. Method: The tests were applied to 35 healthy male subjects (mean age 23 ± 3.4 years, height 170 ± 4 cm and weight 68 ± 11 kg). The subjects were divided into two groups on the basis of the test classifications. Surface markers were placed on bone references in order to calculate the hip, thoracolumbar, leg, knee and tibiotarsal angles. The reliability of the photogrammetric analysis procedure on the angles measured by two examiners was tested. Results: For the hip angle, there were significant differences between the flexibility groups in both tests, and subjects with reduced flexibility had lower angles. There was a significant difference (22.8%) between the classifications designated by the two tests. However, the hip angle showed high levels of concordance between the tests (ICC: 0.89 and mean difference of -0.85°). The photogrammetric procedures presented high reliability rates, both for intra and inter-examiner (ICC ranging from 0.94 to 0.99). Conclusion: The tests presented differences in the classification of the subjects' flexibility. However, considering the hip angle, there was high concordance between the test results. The photogrammetric analysis procedures were reproducible, both for intra and for interexaminer measurements, thus making this a useful analysis tool for the tests in question.

Intra-rater and Inter-instrument Reliability on Range of Movement of Active Knee Extension

“…Therefore, these findings can possibly be attributed to the identification of anatomical reference points, as the error of a few millimeters in their identification could compromise the obtained angular values 14 . These difficulties were minimized with photogrammetry, because during registration passive markers were fixed for further image analysis, which benefited the alignment of the segments 26 . It should be noted that, despite these minor changes, intrarater reliability in this study was classified as very strong for both instruments, regardless of group or assessment, a fact that reinforces the findings of Brosseauet al 27 , who had found more reliable results for knee ROM (ICC = 0.97) when performed by the same examiner.…”

Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction

“…In fact, true patients may have pain, reduced ROM, and other limitations that might intervene in the measurements. Harrison 23 , however, found that the method can also be used in patients with pain.…”

Efeito agudo da crioterapia e diatermia na flexibilidade e força muscular de isquiotibiais

“…A flexibilidade muscular é definida como a habilidade de um músculo alongar-se, permitindo que a articulação se movimente através de toda a amplitude de movimento (ADM), irrestrita e sem dor. A perda da flexibilidade e consequente redução da ADM ocorre, entre diversas condições, pela diminuição da capacidade de um músculo deformar-se, relacionada à perda de força muscular e à presença de encurtamentos [1][2][3][4][5] . A redução da flexibilidade, principalmente em isquiotibiais, pode gerar desequilíbrio postural, déficit da ADM do joelho, do quadril e da coluna lombar e dificuldade em realizar movimentos amplos 3,5 .…”

“…A perda da flexibilidade e consequente redução da ADM ocorre, entre diversas condições, pela diminuição da capacidade de um músculo deformar-se, relacionada à perda de força muscular e à presença de encurtamentos [1][2][3][4][5] . A redução da flexibilidade, principalmente em isquiotibiais, pode gerar desequilíbrio postural, déficit da ADM do joelho, do quadril e da coluna lombar e dificuldade em realizar movimentos amplos 3,5 . Essas alterações contribuem para lesões e disfunções musculoesqueléticas 2,6 .…”