Assessment of shoulder active range of motion in prone versus supine: a reliability and concurrent validity study

Background Data: Cervical active range of motion (cervical AROM) is often assessed in clinical practice to quantify musculoskeletal impairments of the neck and evaluate efficacy of interventions. Such assessment requires instruments with proven reliability and validity. Purpose: To investigate and compare the intra-rater reliabilities and concurrent validity of the universal goniometer and tape measure in measuring cervical AROM. Methods: Cervical AROM in 100 consecutively sampled apparently healthy individuals was measured with both universal goniometer and tape measure and repeated after five days. Data were summarized using descriptive statistics, standard error of measurement, Pearson product moment correlation and intraclass correlation coefficient (ICC) at 0.05 level of significance. Results: Intra-rater reliability of the tape measure (r = 0.28–0.62; ICC = 0.44–0.75) and universal goniometer (r = 0.21–0.67; ICC = 0.34–0.79) were within the acceptable range except for right lateral flexion for goniometer and left lateral flexion for tape measure. Standard errors of measurement were 0.14–0.20 and 0.76–1.27 for tape measure and goniometer, respectively. Concurrent validity coefficients of the two instruments for all cervical AROM (r = 0.23–0.40) except left lateral flexion and right rotation were within the acceptable range. There was no gender difference in cervical AROM using the goniometer but male participants had significantly more range in flexion and right lateral flexion using the tape measure. Conclusions: Tape measure and goniometer have similar intra-rater reliability and significant but weak concurrent validity in assessing cervical AROM except left lateral flexion and right rotation.

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MVII Scores for Two-Year College Students in Four Vocational Curriculums: A Concurrent Validity Study

Measurement and Evaluation in Guidance ◽

10.1080/00256307.1977.12022103 ◽

1977 ◽

Vol 10 (1) ◽

pp. 31-36 ◽

Cited By ~ 1

Author(s):

James L. Bliss ◽

Stuart E. Smith

Keyword(s):

College Students ◽

Concurrent Validity ◽

Validity Study ◽

Two Year College ◽

Two Year College Students

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Clinical Outcomes After Aggressive Active Early Motion and Modified Kleinert Regimens: Comparison of 2 Consecutive Cohorts

Hand ◽

10.1177/15589447211017222 ◽

2021 ◽

pp. 155894472110172

Author(s):

Kaisa Jokinen ◽

Arja Häkkinen ◽

Toni Luokkala ◽

Teemu Karjalainen

Keyword(s):

Quality Of Life ◽

Range Of Motion ◽

Grip Strength ◽

Clinical Outcomes ◽

Flexor Tendon ◽

Hand Grip Strength ◽

Active Motion ◽

Hand Grip ◽

Active Range Of Motion

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.

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Spine Examination during COVID-19 Pandemic via Video Consultation

Zeitschrift für Orthopädie und Unfallchirurgie ◽

10.1055/a-1283-7160 ◽

2021 ◽

Author(s):

Tom Jansen ◽

Martin Gathen ◽

Amadeo Touet ◽

Hans Goost ◽

Dieter Christian Wirtz ◽

...

Keyword(s):

Pain Intensity ◽

Range Of Motion ◽

Test Results ◽

Risk Of Infection ◽

Face To Face ◽

Reliable Tool ◽

Provocation Tests ◽

Active Range Of Motion ◽

Video Consultation ◽

Good Agreement

Abstract Introduction During the current COVID-19 pandemic video consultations are increasingly common in order to minimize the risk of infection for staff and patients. The aim of this study was to evaluate the feasibility of a spine examination via video. Methods A total of 43 patients were recruited. Each participant underwent a video-based (VB) and a conventional face-to-face (FTF) spine examination. Pain intensity, active range of motion, inspection, a neurophysiologic basic exam and provocations tests were evaluated using video-based and face-to-face methods. Results The intra-rater reliability (IRR) was measured between both examinations. Good to very good IRR values were obtained in inspection (Kappa between 0,752 und 0,944), active range of motion and basic neurophysiological examination (Kappa between 0,659 und 0,969). Only moderate matches were found in specific provocation tests (Kappa between 0,407 und 0,938). A video-based spine examination is a reliable tool for measuring pain intensity, active range of motion and a basic neurophysiologic exam. Conclusion A basic spine examination during a video consultation is possible. A good agreement of the test results between video-based and face-to-face examination could be found.

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Effects of the Suboccipital Muscle Inhibition Technique on the Range of Motion of the Ankle Joint and Balance According to Its Application Duration: A Randomized Controlled Trial

Healthcare ◽

10.3390/healthcare9060646 ◽

2021 ◽

Vol 9 (6) ◽

pp. 646

Author(s):

Han-Sol Kang ◽

Hyung-Wook Kwon ◽

Di-gud Kim ◽

Kwang-Rak Park ◽

Suk-Chan Hahm ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Range Of Motion ◽

Ankle Joint ◽

Controlled Trial ◽

Balance Test ◽

Randomized Controlled ◽

Active Range Of Motion ◽

Before And After ◽

Muscle Inhibition ◽

Inhibition Technique

This study aimed to investigate the effects of suboccipital muscle inhibition technique (SMIT) on active range of motion (AROM) of the ankle joint, lunge angle (LA), and balance in healthy adults, according to the duration of its application. A total of 80 participants were randomly allocated to the 4-min suboccipital muscle inhibition (SMI) group (SMI_4M, n = 20), 8-min SMI group (n = 20), 4-min sham-SMI (SSMI) group (n = 20), and 8-min SSMI group (n = 20). Accordingly, the SMIT and sham SMIT were applied for 4 min or 8 min in the respective groups. AROM of dorsiflexion and LA were assessed, and a single leg balance test (SLBT) was performed before and after the intervention. AROM (4 min, p < 0.001; 8 min, p < 0.001), LA (4 min, p < 0.001; 8 min, p < 0.001), and SLBT (4 min, p < 0.001; 8 min, p < 0.001) significantly improved after SMI application. Compared with the SSMI group, the SMI group showed a significant increase in AROM (p < 0.001), LA (p < 0.001), and SLBT (p < 0.001). Except for SLBT (p = 0.016), there were no significant interactions between intervention and application duration. The results suggest that the SMIT, at durations of both 4 and 8 min, could be effective tools for improving AROM, LA, and balance.

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