Goniometric Reliability in a Clinical Setting

Riddle, Daniel L.; Rothstein, Jules M; Lamb, Robert L

doi:10.1093/ptj/67.5.668

Cited by 319 publications

(200 citation statements)

References 2 publications

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“…Third, the limitations of goniometric measurements using handheld goniometers are well documented [4,5,11,23,34,39]. Interexaminer reliability is lower than intraexaminer reliability in most studies in awake subjects [4,10,11,23,34]. Although in our study, the only examiner making the measures in the operating room was the senior author, we did not perform intraobserver reliability studies to measure arm flexion in the office or in the operating room.…”

Section: Discussionmentioning

confidence: 87%

“…In both situations, the arm was raised in forward elevation in the sagittal plane of the shoulder with the hand face down, as described by Neer [28]. Third, the limitations of goniometric measurements using handheld goniometers are well documented [4,5,11,23,34,39]. Interexaminer reliability is lower than intraexaminer reliability in most studies in awake subjects [4,10,11,23,34].…”

Section: Discussionmentioning

confidence: 99%

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Does a Positive Neer Impingement Sign Reflect Rotator Cuff Contact with the Acromion?

Jia

Pannirselvam

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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Background One possible cause of shoulder pain is rotator cuff contact with the superior glenoid (cuff-glenoid contact) with the arm in flexion, as occurs during a Neer impingement sign. It has been assumed that the pain with a Neer impingement sign on physical examination of the shoulder was secondary to the rotator cuff making contact with the anterior and lateral acromion. Questions/purposes We determined if the arm position where pain occurs with a Neer impingement sign would correlate with the position where the rotator cuff made contact with the superior glenoid, as determined by arthroscopic evaluation. Patients and Methods We prospectively studied 398 consecutive patients with a positive Neer impingement sign during office examination and used a handheld goniometer to measure (in degrees of flexion) the arm position in which impingement pain occurred. During subsequent arthroscopy, the arm was moved into a similar position, and we measured the arm's position in flexion at the point the rotator cuff made contact with the superior glenoid using a handheld goniometer. We compared the degrees of flexion at which pain occurred preoperatively and at which there was cuff-glenoid contact.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Does a Positive Neer Impingement Sign Reflect Rotator Cuff Contact with the Acromion?

Jia

Pannirselvam

et al. 2011

Clinical Orthopaedics &Amp; Related Research

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“…Generally, the intraobserver reproducibility will be higher than the interobserver reproducibility. 12,13,15 Future studies should investigate whether patient characteristics also have a considerable effect on the level of intraobserver agreement. Furthermore, it would be useful to investigate the responsiveness of visual estimation of the shoulder ROM.…”

Section: Discussionmentioning

confidence: 99%

“…The reproducibility of the various devices used to assess shoulder ROM has been evaluated in several studies. [10][11][12][13][14][15][16][17][18][19] Although in clinical practice ROM assessment is often based on visual inspection of the movement, insight into the reproducibility of the visual estimation of shoulder ROM is limited. 20,21 The level of reproducibility of ROM measurement may be influenced by many factors such as the instruments and procedures applied, the joint examined, or the type of movement tested.…”

Section: By American Congress Of Rehabilitation Medicine and The Amermentioning

confidence: 99%

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Terwee

Winter

Scholten

et al. 2005

Archives of Physical Medicine and Rehabilitation

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Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility.Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (Nϭ201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists.Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners Ϯ1.96 ϫ standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance.Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, Ϫ43.4 to 39.8 and Ϫ46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, Ͼ.70) except for horizontal adduction (ICCϭ.49).Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects.Key Words: Range of motion, articular; Rehabilitation; Reproducibility of results; Shoulder.© by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and RehabilitationC OMPLAINTS OF SHOULDER DYSFUNCTION are often associated with restricted range of motion (ROM). [1][2][3][4] The difference between the affected and the contralateral sides is related to the ability to perform the activities of daily life, such as dressing, washing, and lifting above shoulder level. [4][5][6] Measurement of the ROM plays a vital role in diagnosis, 7-9 assessment of the severity of disability, and the assessment of treatment outcome in clinical practice and research. 9 Several methods are available for quantifying ROM, such as goniometry, inclinometry, and even high-speed cinematography. High reproducibility is an important prerequisite if measurements are to be useful for discriminative and evaluative purposes. The reproducibility of the various devices used to assess shoulder ROM has been evaluated in several studies. [10][11][12][13][14][15][16][17][18][19] Although in clinical practice ROM assessment is often based on visual inspection of the movement, insight into the reproducibility of the visual estimation of shoulder ROM is limited. 20,21 The level of reproducibility of ROM measurement may be influenced by many factors such ...

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“…The validity and reliability of passive ROM measurements using a goniometer have been well established when performed by the same tester [20][21][22][23] . All ROM measurements were measured according to the "method of measuring and recording joint motion" of the Japanese Orthopaedic Association (JOA) and the Japanese Association of Rehabilitation Medicine (JARM) 24) .…”

Section: Rom Measurementsmentioning

confidence: 99%

Side-to-side differences in range of motion, muscle strength, and medial elbow laxity in young baseball players with medial elbow injuries

Morifuji

Nakao

Inaba

et al. 2017

JPFSM

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Medial elbow injuries lead to significant performance decrement in baseball.Repetitive throwing alters mechanical physiology. Some of such changes can increase the risk of medial elbow injuries. However, in young baseball players with medial elbow injuries, these changes have not been fully investigated. Thus, the purpose of this study was to investigate the mechanical physiological changes in young baseball players with medial elbow injuries. Sideto-side differences in (1) range of motion (ROM) of shoulder external rotation (ER)/internal rotation (IR), elbow flexion/extension, forearm supination/pronation, trunk rotation, and hip ER/IR; (2) strength of middle trapezius, lower trapezius (LT), and supraspinatus muscles, and shoulder ER/IR; and (3) medial elbow laxity were measured. Side-to-side differences were significant (p < 0.05). ROM of shoulder ER/IR, elbow flexion/extension, forearm pronation, and hip IR on the throwing side were significantly decreased compared to the non-throwing side. Trunk rotation in the direction of the throwing side was significantly decreased compared to the non-throwing side. LT and shoulder IR strength on the throwing side were significantly greater, while shoulder ER strength on the throwing side was significantly weaker than the non-throwing side. Medial elbow joint space of the throwing side was significantly wider than the nonthrowing side. In other measurements, no significant differences were observed between the throwing and non-throwing side. According to our findings, young baseball players with medial elbow injuries experience many side-to-side differences in mechanical physiology. The most interesting finding was that younger players with medial elbow injuries displayed decreased shoulder ER ROM, versus an increase reported in many previous studies.

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Goniometric Reliability in a Clinical Setting

Cited by 319 publications

References 2 publications

Does a Positive Neer Impingement Sign Reflect Rotator Cuff Contact with the Acromion?

Does a Positive Neer Impingement Sign Reflect Rotator Cuff Contact with the Acromion?

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Side-to-side differences in range of motion, muscle strength, and medial elbow laxity in young baseball players with medial elbow injuries

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