Document Detail

Inter-rater reliability for measurement of passive physiological movements in lower extremity joints is generally low: a systematic review.
MedLine Citation:
PMID:  21091412     Owner:  NLM     Status:  MEDLINE    
QUESTION: What is the inter-rater reliability for measurements of passive physiological or accessory movements in lower extremity joints?
DESIGN: Systematic review of studies of inter-rater reliability.
PARTICIPANTS: Individuals with and without lower extremity disorders.
OUTCOME MEASURES: Range of motion and end-feel using methods feasible in daily practice.
RESULTS: 17 studies were included of which 5 demonstrated acceptable inter-rater reliability. Reliability of measurements of physiological range of motion ranged from Kappa -0.02 for measuring knee extension using a goniometer to ICC 0.97 for measuring knee flexion using vision. Measuring range of knee flexion consistently yielded acceptable reliability using either vision or instruments. Measurements of end-feel were unreliable for all hip and knee movements. Two studies satisfied all criteria for internal validity while reporting acceptable reliability for measuring physiological range of knee flexion and extension. Overall,however, methodological quality of included studies was poor.
CONCLUSION: Inter-rater reliability of measurement of passive movements in lower extremity joints is generally low. We provide specific recommendations for the conduct and reporting of future research. Awaiting new evidence, clinicians should be cautious when relying on results from measurements of passive movements in joints for making decisions about patients with lower extremity disorders.
Emiel van Trijffel; Rachel J van de Pol; Rob Ab Oostendorp; Cees Lucas
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of physiotherapy     Volume:  56     ISSN:  1836-9553     ISO Abbreviation:  J Physiother     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-24     Completed Date:  2011-02-18     Revised Date:  2012-08-22    
Medline Journal Info:
Nlm Unique ID:  101528691     Medline TA:  J Physiother     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  223-35     Citation Subset:  IM    
University of Amsterdam, Academic Medical Centre, The Hague, The Netherlands.
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MeSH Terms
Hip Joint / physiology*
Knee Joint / physiology*
Observer Variation*
Outcome Assessment (Health Care) / standards
Range of Motion, Articular / physiology*
Reproducibility of Results

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