Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients.

BMC Musculoskeletal Disorders - Tập 11 Số 1 - 2010
Silvio Nussbaumer1, Michael Leunig2, Julia F. Glatthorn1, Simone Stauffacher1, Hans Gerber3, Nicola A. Maffiuletti1
1Neuromuscular Research Laboratory, Schulthess Clinic, Zurich, Switzerland
2Hip Service, Schulthess Clinic, Zurich, Switzerland
3Institute for Biomechanics, ETH Zurich, Switzerland

Tóm tắt

AbstractBackgroundThe aims of this study were to evaluate the construct validity (known group), concurrent validity (criterion based) and test-retest (intra-rater) reliability of manual goniometers to measure passive hip range of motion (ROM) in femoroacetabular impingement patients and healthy controls.MethodsPassive hip flexion, abduction, adduction, internal and external rotation ROMs were simultaneously measured with a conventional goniometer and an electromagnetic tracking system (ETS) on two different testing sessions. A total of 15 patients and 15 sex- and age-matched healthy controls participated in the study.ResultsThe goniometer provided greater hip ROM values compared to the ETS (range 2.0-18.9 degrees;P< 0.001); good concurrent validity was only achieved for hip abduction and internal rotation, with intraclass correlation coefficients (ICC) of 0.94 and 0.88, respectively. Both devices detected lower hip abduction ROM in patients compared to controls (P< 0.01). Test-retest reliability was good with ICCs higher 0.90, except for hip adduction (0.82-0.84). Reliability estimates did not differ between the goniometer and the ETS.ConclusionsThe present study suggests that goniometer-based assessments considerably overestimate hip joint ROM by measuring intersegmental angles (e.g., thigh flexion on trunk for hip flexion) rather than true hip ROM. It is likely that uncontrolled pelvic rotation and tilt due to difficulties in placing the goniometer properly and in performing the anatomically correct ROM contribute to the overrating of the arc of these motions. Nevertheless, conventional manual goniometers can be used with confidence for longitudinal assessments in the clinic.

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BMC Musculoskeletal Disorders

Tập 11 Số 1

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