Academic
Publications
Reliability of Goniometric Measurements and Visual Estimates of Knee Range of Motion Obtained in a Clinical Setting

Reliability of Goniometric Measurements and Visual Estimates of Knee Range of Motion Obtained in a Clinical Setting,Michael A Watklns,Dan L Riddle,Rob

Reliability of Goniometric Measurements and Visual Estimates of Knee Range of Motion Obtained in a Clinical Setting   (Citations: 59)
BibTex | RIS | RefWorks Download
ined. The intertester reliability for visual estimates of the PROM of the knee was also examined. Repeated measurements were obtained on 43 patients in a clini- cal setting. The intraclass correlation coeficients (ICCs) for intratester reliability of measurements obtained with a goniometer were .99 forflexion and .98 for exten- sion. Intertester reliability for measurements obtained with a goniometer was .90 formion and .86 for extension. The ICCs forparallel-fom reliability for mea- surements obtained with a goniometer and by visual estimation ranged from .82 to .94. The intertester reliability for measurements obtained by visual estimation was .83 for flexion and .82 for extension. Results suggest clinicians should use a goniometer to take repeated PROM measurements of a patient's knee to minimize the error associated with these measurements. (Watkins MA, Riddle DL, Lamb RL, Personius WJ Reliability of goniometric measurements and visual estimates of knee range of motion in a clinical setting. Pips Ther. 1991; 71:90-9 7.1
Cumulative Annual
View Publication
The following links allow you to view full publications. These links are maintained by other sources not affiliated with Microsoft Academic Search.
    • ...In general, intra-observer reliability of goniometry has been shown to be acceptable [14-19] and this is usually (though not always [18]) provided the observer is practised in the procedure...
    • ...However, the validity and inter-rater reliability of knee goniometry has not been consistently shown to be impressive nor acceptable [14-24]...
    • ...Inter-rater goniometric reliability likewise suffers from clinical and statistical uncertainty (Table 1). Inter-rater reliability consistently underperforms intra-rater reliability [14,15,18-20], with inter-rater differences (up to 18 degrees [24]) often exceeding what would be considered a clinically relevant difference...
    • ...Greater inter-rater reliability for flexion more so than extension angles is typically shown [14,15,18,19,21]...
    • ...al [19] ICC 0.90 (flexion); ICC, 0.86 (extension) Standard goniometer; positioned varied...
    • ...Sample size, primary outcomes and analyses The sample size was based on previous studies (n = 10 to 43) evaluating validity or reliability of knee goniometry [16-22,25], thus a minimum sample of 30 heterogeneous participants (varying in age, gender, level of thigh adiposity, and presence of knee arthritis) was considered acceptable...
    • ...The intra-rater reliability for either method was excellent, again consistent with most of the previous research [14-20]...
    • ...Likewise, inter-rater reliability for either method was excellent, both yielding similar or superior interrater reliability outcomes reported by several others [15,16,18-20]...

    Justine M Nayloret al. Validity and reliability of using photography for measuring knee range...

    • ...Knee ROM was measured using a goniometer [23]...

    Turgay Efeet al. Closing-wedge high tibial osteotomy: survival and risk factor analysis...

    • ...Since visual estimates are less reliable than goniometric measures (Watkins et al, 1991), it is preferable to assess the body segmental angles using objective techniques...

    Theophanis Siatras. Computer-assisted image analysis for measuring body segmental angles d...

    • ...The goniometer can be used accurate and reliable in ROM evaluations [23, 24]...

    Lies Rombautet al. Joint position sense and vibratory perception sense in patients with E...

    • ...iner within the same session and on the same day [1-16]...
    • ...Watkins et al [10] studied passive flexion and extension of 50 knees...
    • ...Although the ICC (Intraclass Correlation Coefficient used by Watkins et al [10] is less reliable than the CCC (Concordance Correlation Coefficient) [21] used in our study, we found similar good concordance for knee flexion and high concordance for popliteal angle...
    • ...Therefore, our results are similar to those reported by previous studies [10,27] which found good accuracy for visual estimation of knee PROMs, with a tendency to slightly underestimate real values...
    • ...Youdas et al [7] evaluated active range of motion (AROM) of 45 ankles (dorsiflexion and plantar flexion)...
    • ...This could have been done for example by an additional examiner doing another set of goniometric measurements, but we really think that this problem was thoroughly discussed and verified in the literature [1-16] and we've deliberately chosen goniometric measurements as a reference to study more precisely visual estimation and the role of experience...

    Rami Rachkidiet al. Is visual estimation of passive range of motion in the pediatric lower...

Sort by: