Visual Estimation of Finger Angles: Do we Need Goniometers?

Rose, Vincent; Nduka, Charles; Pereira, John; Belcher, H. J. C. R.

doi:10.1054/jhsb.2002.0782

Cited by 32 publications

(26 citation statements)

References 6 publications

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“…Previous studies have examined the accuracy of VE of deformity, and even though orthopaedic surgeons may be more accurate than the general community this method remains relatively inaccurate . Moran et al .…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have examined the accuracy of VE of deformity, [14][15][16] and even though orthopaedic surgeons may be more accurate than the general community this method remains relatively inaccurate. 14 Moran et al 15 reported that the number of years of orthopaedic experience was unrelated to the validity and reliability of VE of angles, and found angles less than 31 degrees were consistently overestimated.…”

Section: Discussionmentioning

confidence: 99%

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Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods

et al. 2013

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods

et al. 2013

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“…The inaccuracy of visual estimates of finger angles has been previously documented as 25% when compared to computer-based joint assessment [33]. Nonetheless the Contompasis Score displayed poorer intra-and inter-rater reliability compared to the Beighton score.…”

Section: Discussionmentioning

confidence: 97%

Inter- and intra-rater reliabilities of the Beighton Score compared to the Contompasis Score to assess Generalised Joint Hypermobility

Vallis¹,

Wray

Smith

2015

MYOPAIN

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Objectives: Generalised Joint Hypermobility (GJH) is a common connective tissue disorder associated with a range of musculoskeletal complaints. An effective screening tool to assess GJH may influence our understanding and choice of management. Diagnosis is clinical, using tools such as the Beighton Hypermobility Score and the Contompasis Scoring System. The comparable reliability of these tools has not been previously reported. The aim of the present study was to compare the intraand inter-rater reliability of the Beighton Score to the Contompasis Score to assess GJH. Methods:This was an observational study assessing 36 pain-free participants; 27 females and nine males; aged 18 to 32 years. Participants were assessed in random order, by two researchers over two sessions to determine intra-and inter-rater analyses. Intraclass Correlation Coefficient (ICC) and weighted Kappa statistics were used to calculate the level of agreement. Conclusions:The present study provides an indication of the measurement capabilities of the Beighton and Contompasis Scores. The Beighton score appears to be superior compared to the Contompasis score particularly based on inter-rater reliability.

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“…Due to skin mobility and suppleness, however, it seems difficult to achieve steadiness of the joint angle with palmar supports alone. The use of hand cast [24], transarticular pinning of the cadaver finger joints in various degrees of flexion [31], and wooden finger joints [35] is arguably too artificial. Only one study used change of finger motion due to a treatment to test inter-goniometer reliability [6].…”

Section: Methodsmentioning

confidence: 99%

Reliability of the standard goniometry and diagrammatic recording of finger joint angles: a comparative study with healthy subjects and non-professional raters

Macionis

2013

BMC Musculoskelet Disord

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BackgroundDiagrammatic recording of finger joint angles by using two criss-crossed paper strips can be a quick substitute to the standard goniometry. As a preliminary step toward clinical validation of the diagrammatic technique, the current study employed healthy subjects and non-professional raters to explore whether reliability estimates of the diagrammatic goniometry are comparable with those of the standard procedure.MethodsThe study included two procedurally different parts, which were replicated by assigning 24 medical students to act interchangeably as 12 subjects and 12 raters. A larger component of the study was designed to compare goniometers side-by-side in measurement of finger joint angles varying from subject to subject. In the rest of the study, the instruments were compared by parallel evaluations of joint angles similar for all subjects in a situation of simulated change of joint range of motion over time. The subjects used special guides to position the joints of their left ring finger at varying angles of flexion and extension. The obtained diagrams of joint angles were converted to numerical values by computerized measurements. The statistical approaches included calculation of appropriate intraclass correlation coefficients, standard errors of measurements, proportions of measurement differences of 5 or less degrees, and significant differences between paired observations.ResultsReliability estimates were similar for both goniometers. Intra-rater and inter-rater intraclass correlation coefficients ranged from 0.69 to 0.93. The corresponding standard errors of measurements ranged from 2.4 to 4.9 degrees. Repeated measurements of a considerable number of raters fell within clinically non-meaningful 5 degrees of each other in proportions comparable with a criterion value of 0.95. Data collected with both instruments could be similarly interpreted in a simulated situation of change of joint range of motion over time.ConclusionsThe paper goniometer and the standard goniometer can be used interchangeably by non-professional raters for evaluation of normal finger joints. The obtained results warrant further research to assess clinical performance of the paper strip technique.

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Visual Estimation of Finger Angles: Do we Need Goniometers?

Cited by 32 publications

References 6 publications

Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods

Measurement of rotational deformity: using a smartphone application is more accurate than conventional methods

Inter- and intra-rater reliabilities of the Beighton Score compared to the Contompasis Score to assess Generalised Joint Hypermobility

Reliability of the standard goniometry and diagrammatic recording of finger joint angles: a comparative study with healthy subjects and non-professional raters

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