Reproducibility of range of motion and muscle strength measurements in patients with hip osteoarthritis – an inter-rater study

Poulsen, Erik; Christensen, Henrik Wulff; Penny, Jeannette Østergaard; Overgaard, Søren; Vach, Werner; Hartvigsen, Jan

doi:10.1186/1471-2474-13-242

Cited by 30 publications

(25 citation statements)

References 39 publications

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“…As others have done, speed was set to that self‐selected by the participants and while it is agreed that individuals with OA walk slower; it is also part of the disease process. Secondly, despite studies supporting the use of passive testing to determine ROM in OA populations, passive sagittal plane range of motion can be difficult to measure in individuals with hip pathology. Research is lacking in regards to directly comparing clinical measures of ROM to motion capture methods.…”

Section: Discussionmentioning

confidence: 99%

Passive hip movement measurements related to dynamic motion during gait in hip osteoarthritis

Baker

Moreside

Wong

et al. 2016

Journal Orthopaedic Research

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Reduced sagittal plane range of motion (ROM) has been reported in individuals with hip osteoarthritis (OA) both during walking and passive testing. The purpose of this study was to determine if a relationship exists between hip extension ROM recorded during gait and passive hip extension ROM in individuals with moderate and severe hip OA, in comparison to an asymptomatic group. Sagittal plane hip ROM was calculated using skin surface marker trajectories captured during treadmill walking at self-selected speed. Passive hip ROM was measured using standardized position and recording procedures with a goniometer. Sagittal plane extension, flexion, and overall ROM were measured dynamically and passively. A two-way mixed model analysis of variance determined significant differences between groups and between passive and dynamic ROM (α = 0.05). Pearson correlations determined relationships between passive and dynamic ROM. Significant group by ROM interactions were found for flexion and extension ROM (p < 0.05). For extension, the severe OA group had less dynamic and passive ROM compared to the other groups and greater passive than dynamic ROM (p < 0.05). For flexion, significant differences in passive ROM existed between all three groups (p < 0.05) whereas no differences were found for dynamic flexion (p < 0.05). Significant correlations between dynamic and passive hip extension were found in the moderate (r = 0.596) and severe OA (r = 0.586) groups, and no correlation was found in the asymptomatic group (r = 0.139). Passive ROM explains variance in dynamic ROM measurements obtained during gait in individuals with moderate and severe hip OA which have implications for the design of treatment strategies targeting walking pathomechanics. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1790-1797, 2016.

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Section: Discussionmentioning

confidence: 99%

Passive hip movement measurements related to dynamic motion during gait in hip osteoarthritis

Baker

Moreside

Wong

et al. 2016

Journal Orthopaedic Research

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“…Herrero et al [32] reported excellent (>0.80) intra-rater reliability and low (0.375 and 0.475) inter-rater reliability. Poulsen et al [33] found moderate inter-rater reliability for goniometric hip ROM measurement.…”

Section: Discussionmentioning

confidence: 98%

Determining the Reliability of a New Method for Measuring Joint Range of Motion Through a Randomized Controlled Trial

Ahn¹,

Ko²,

Yoon³

et al. 2019

Ann Rehabil Med

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Objective To compare the reliability and validity of the Korean range of motion standard protocol (KRSP) for measuring joint range of motion (ROM) with those of the conventional ROM measurement using a goniometer. Methods We conducted a randomized controlled trial involving 91 healthy elderly individuals. We compared two strategies of measuring joint ROM to evaluate the reliability and validity of each standardized protocol: first, the KRSP based on the Chungnam National University guidelines and second, handheld goniometric measurement. In the first strategy, 3 examiners (1 rehabilitation doctor, 1 physical therapist, and 1 physical therapy student) independently measured joint ROM in 46 randomly selected subjects; in the second strategy, another 3 examiners (1 rehabilitation doctor, 1 physical therapist, and 1 physical therapy student) measured joint ROM in 45 randomly selected subjects. The reliability of each protocol was calculated using intraclass correlation coefficient, ICC(2,1), and root mean square error (RMSE). Results Both protocols showed good to excellent intra-rater reliability. With goniometer use, the inter-rater reliability was low-ICC(2,1), 95% confidence interval ranged from 0.643 (0.486-0.783) to-0.078 (-0.296-0.494)and RMSE was high. With the KRSP, the inter-rater reliability ranged from 0.846 (0.686-0.931) to 0.986 (0.972-0.994) and RMSE was low. Conclusion ROM measurements using the KRSP showed excellent reliability. These results indicate that this protocol can be the reference standard for measuring ROM in clinical settings as an alternative to goniometers.

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“…Mobility is measured in degrees using a standard (30 cm) goniometer [40]. Inter-tester reliability (r = 0.98; ICC = 0.99) and validity (r = 0.97; ICC = 0.98) of goniometer measurements of knee joint motion have been shown [41].…”

Section: Methodsmentioning

confidence: 99%

The efficacy of tourniquet assisted total knee arthroplasty on patient-reported and performance-based physical function: a randomized controlled trial protocol

Lohmann-Jensen

Holsgaard-Larsen

Emmeluth

et al. 2014

BMC Musculoskelet Disord

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BackgroundSurgical treatment of osteoarthritis with total knee arthroplasty (TKA) usually takes place in a complete bloodless field using a tourniquet. However, doing the surgery without a tourniquet may reduce muscle damage, post-surgery pain and led to improved functional rehabilitation and mobilization.Methods/DesignA prospective, blinded, parallel-group, controlled superiority trial, with balanced randomization [1:1]. Patients aged 50 or older eligible for primary TKA for osteoarthritis will be consecutively recruited from Department of Orthopedic Surgery and Traumatology, Odense University Hospital, Denmark. A total of 80 patients will be randomly allocated to TKA with or without tourniquet application providing 40 patients for each of the two treatment arms. The tourniquet assisted TKA group will have an automatic, micro-processor-based pneumatic tourniquet inflated around the thigh during surgery. The non-tourniquet assisted TKA group will have surgery performed without application of a tourniquet. The primary aim is to compare tourniquet assisted to non-tourniquet assisted TKA on patient-reported physical function (KOOS-ADL). The secondary aim is to compare post-surgery pain, function in sports and recreation, quality of life, and performance-based physical function. The explorative outcomes include; use of pain medication, single-fiber muscle damage, and changes in mechanical muscle function. The primary endpoint will be at 3-months following surgical treatment, and the time-point for analysis of the primary outcome. However, follow-up will continue up to 1 year, and provide medium-term results. The treatment effect (difference in KOOS-ADL) will be analyzed using a random effects regression model, crude and adjusted results will be reported, if needed. Analyses will be based on the intention-to-treat (ITT). Subsequent per-protocol analysis may be necessary in the event of a substantial number of patients (> 15%) being lost during follow-up. The number needed to treat (NNT) for a positive effect of treatment (>10 points on KOOS-ADL) will be reported.DiscussionThis is the first randomized clinical trial comparing the efficacy of tourniquet assisted TKA on patient-reported physical function supported by a range of performance-based secondary outcome measures. As such it will provide high quality evidence that may help determine whether tourniquet should be used in future TKA procedures in patients with osteoarthritis of the knee.Trial registrationClinicalTrials NCT01891266.

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Reproducibility of range of motion and muscle strength measurements in patients with hip osteoarthritis – an inter-rater study

Cited by 30 publications

References 39 publications

Passive hip movement measurements related to dynamic motion during gait in hip osteoarthritis

Passive hip movement measurements related to dynamic motion during gait in hip osteoarthritis

Determining the Reliability of a New Method for Measuring Joint Range of Motion Through a Randomized Controlled Trial

The efficacy of tourniquet assisted total knee arthroplasty on patient-reported and performance-based physical function: a randomized controlled trial protocol

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