Reliability of goniometric measurements and visual estimates of hip ROM in patients with osteoarthrosis

Holm, Inger; Bolstad, B.; Lütken, Teresa; Ervik, Anne; Røkkum, Magne; Steen, Harald

doi:10.1002/pri.204

Cited by 141 publications

(119 citation statements)

References 25 publications

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“…Six different physical impairments were investigated. Nine studies investigated ROM (27)(28)(29)(30)(31)(32)(33)(34)(35), 6 studies measured muscle strength (12,29,31,36 -38), and 3 studies measured tenderness (11,29,36). Two studies each measured LLD (29,39), balance testing (33,37), and muscle length/flexibility (12,36).…”

Section: Resultsmentioning

confidence: 99%

“…Intrarater reliability of hip ROM was reported in 3 studies (28,30,31). Two studies were rated as good quality in people with hip OA (30,31).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies were rated as good quality in people with hip OA (30,31). A positive rating for testretest reliability (intraclass correlation coefficient [ICC] Ն0.70) was found for all hip movements (internal rotation, external rotation, flexion, extension, and abduction) using an inclinometer (31) or a goniometer (except hip adduction; ICC 0.50) (30).…”

Section: Resultsmentioning

confidence: 99%

“…Complementary reviews evaluating patient-reported outcome questionnaires for measuring hip and/or groin dysfunction were recently published (14,15). In the current review, we identified 15 eligible studies from which 7 measurement properties were rated as good quality (11,30,31,33,35,37,39), 2 were rated as fair quality (34,38), and the remaining 6 were rated as poor quality (12,(27)(28)(29)32,36). The measurement properties assessed in these studies included internal consistency, intrarater reliability, interrater reliability, measurement error, construct validity, and criterion validity.…”

Section: Discussionmentioning

confidence: 99%

“…(to test hip flexion, extension, internal rotation, and external rotation) or a standard goniometer (to assess hip abduction) can be recommended if using the same tester (30,31,35). Clinicians and researchers should aim for changes in ROM between 7 degrees (for hip external rotation) and 11 degrees (for hip extension) to ensure that real change greater than that associated with measurement error has occurred in this population (31).…”

Section: Dobson Et Almentioning

confidence: 99%

See 4 more Smart Citations

Clinimetric properties of observer‐assessed impairment tests used to evaluate hip and groin impairments: A systematic review

Dobson¹,

Choi²,

Hall³

et al. 2012

Arthritis Care & Research

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Objective. To recommend the most suitable observer-assessed impairment tests in people with hip and/or groin pathologies by conducting a systematic review of the clinimetric properties of these tests. Methods. Electronic searches were performed in the Cochrane, PubMed, CINAHL, Embase, SPORTDiscus, and PsycINFO databases up to August 2011. Two reviewers independently rated the measurement properties of clinical tests of impairments, defined by the International Classification of Functioning, Disability and Health as problems in body structure or body function, using the Consensus-Based Standards for the Selection of Health Status Measurement Instruments (COSMIN). "Best evidence synthesis" was made using COSMIN outcomes and the quality of findings was assessed using a purpose criteria system. Results. Fifteen of 2,588 publications were eligible for inclusion. Impairments evaluated were range of motion (ROM; 9 studies), muscle strength (6 studies), tenderness (3 studies), leg length discrepancy (2 studies), balance (2 studies), and muscle length (2 studies) in people with hip osteoarthritis (OA), hip fractures, and mixed hip/groin pathologies. Measurement properties evaluated included reliability, measurement error, construct validity, and criterion validity.

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Section: Resultsmentioning

confidence: 99%

“…Intrarater reliability of hip ROM was reported in 3 studies (28,30,31). Two studies were rated as good quality in people with hip OA (30,31).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Dobson Et Almentioning

confidence: 99%

See 3 more Smart Citations

Clinimetric properties of observer‐assessed impairment tests used to evaluate hip and groin impairments: A systematic review

Dobson¹,

Choi²,

Hall³

et al. 2012

Arthritis Care & Research

View full text Add to dashboard Cite

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Reliability of Hip Examination Tests for Femoroacetabular Impingement

Ratzlaff

Simatovic

Wong

et al. 2013

Arthritis Care & Research

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Objective. To assess the interrater reliability of hip examination tests used to assess femoroacetabular impingement (FAI) among clinicians from different disciplines. Methods. Twelve subjects were examined by 9 clinicians using 12 hip tests drawn from a review of the literature and consultation with experts in hip pain and FAI. Examiners assessed both hips of each subject and were blinded to subject history. The order in which subjects were seen, the order of tests, and order of examination of the 2 hips within each subject were all randomized. Interrater reliability (IRR) for the 10 categorical tests was summarized using overall raw agreement (ORA), positive agreement (agreement on abnormal findings), and negative agreement (agreement on normal findings). An ORA of >0.75 was considered to indicate adequate reliability. For the 2 range of motion (ROM) outcomes, IRR was summarized using the median of the absolute difference (MAD) in measurements obtained by any 2 examiners on any patient. MAD reflects the "typical" difference (in degrees) between 2 raters. Results. Adequate reliability (ORA >0.75) was achieved for 6 of the 10 hip examination tests with categorical outcomes. Positive agreement ranged from 0.35 to 0.84, while negative agreement ranged from 0.62 to 0.99. For the ROM outcomes, examiners were, on average, within 5°of each other for flexion and 7°for internal rotation. Conclusion. The results provide evidence that the most common hip examination tests would likely be sufficiently reliable to allow agreement between examiners when discriminating between painful FAI and normal hips in a clinical setting.

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Hip Range of Motion and Strength Predict 12‐Month Physical Function Outcomes in Older Adults With Chronic Low Back Pain: The Delaware Spine Studies

Coyle

Knox

Pohlig

et al. 2021

ACR Open Rheumatology

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The objective of this study was to investigate whether poor hip range of motion (ROM) and strength predict 12-month physical function decline among older adults with chronic low back pain (LBP) and whether hip osteoarthritis modifies those relationships.Methods. At baseline, passive ROM and strength measurements were taken for hip flexion, extension, abduction, adduction, internal rotation, and external rotation; ultrasound images and self-reported symptoms were used to evaluate hip osteoarthritis presence (eg, osteophytes and hip pain). At baseline and 12 months, performance-based (repeated chair rise, self-selected gait speed, 6-minute walk test [6MWT]) and self-reported (Quebec LBP Disability Questionnaire, Late-Life Function & Disability Instrument [LLFDI] basic and advanced lower extremity scales) physical function outcomes were assessed. Regression models were constructed for each outcome predicted by baseline hip ROM and strength measures, with adjustment for potential covariates. To avoid collinearity, hip ROM and strength measures with the strongest unadjusted correlations were included in final models. The hip osteoarthritis presence by hip ROM/strength interaction was also explored.Results. Hip abduction strength predicted repeated chair rise (β = −0.297, P < 0.001), gait speed (β = 0.160, P = 0.003), 6MWT (β = 0.159, P ≤ 0.001), Quebec LBP Disability Questionnaire (β = −0.152, P = 0.003), and LLFDI basic lower extremity scale (β = 0.171, P = 0.005) outcomes. Regarding hip ROM, extension predicted repeated chair rise (β = −0.110, P = 0.043) and LLFDI advanced lower extremity scale (β = 0.090, P = 0.007) outcomes, external rotation predicted gait speed (β = 0.122, P = 0.004) outcomes, and abduction predicted LLFDI basic lower extremity scale (β = 0.114, P = 0.026) outcomes. The hip osteoarthritis interaction was not significant for any model.Conclusion. Reduced hip strength and ROM predict physical function decline; hip osteoarthritis presence may not modify these relationships.The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.

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Reliability of goniometric measurements and visual estimates of hip ROM in patients with osteoarthrosis

Abstract: The reproducibility of hip ROM measurements was highest for flexion. There was also high reliability when all the six arcs of motion were summed up. Concordance between visual estimates and goniometric measurements indicates good agreement.

Cited by 141 publications

References 25 publications

Clinimetric properties of observer‐assessed impairment tests used to evaluate hip and groin impairments: A systematic review

Clinimetric properties of observer‐assessed impairment tests used to evaluate hip and groin impairments: A systematic review

Reliability of Hip Examination Tests for Femoroacetabular Impingement

Hip Range of Motion and Strength Predict 12‐Month Physical Function Outcomes in Older Adults With Chronic Low Back Pain: The Delaware Spine Studies

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