Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Intra- and Inter-Rater Reliability of Measuring Passive Range of Shoulder Motion With Smartphone and Goniometer in Patients With Stroke

뇌졸중 환자의 수동적 어깨 관절 가동범위 측정에 관한 스마트폰과 측각기의 측정자내, 측정자간 신뢰도 연구

  • Park, Il-Woo (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Lim, One-Bin (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Park, Kyue-Nam (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Yi, Chung-Hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University)
  • 박일우 (연세대학교 대학원 물리치료학과) ;
  • 임원빈 (연세대학교 대학원 물리치료학과) ;
  • 박규남 (연세대학교 보건과학대학 물리치료학과) ;
  • 이충휘 (연세대학교 보건과학대학 물리치료학과)
  • Received : 2013.08.04
  • Accepted : 2013.11.25
  • Published : 2014.02.19
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Abstract

The purpose of this study were to determine the intra-rater and inter-rater reliability of shoulder passive range of motion measurement using the "Clinometer + bubble level", a smartphone application and to compare with the intra-rater and inter-rater reliability of measurement using a goniometer. Twenty six patients with stroke were recruited for this study. Two raters measured the passive range of motion of four types of shoulder movements (forward flexion; FF, abduction; ABD, external rotation at $90^{\circ}$ abduction; ER90 and internal rotation at $90^{\circ}$ abduction; IR90) using a goniometer and a smartphone to determine within-day inter-rater reliability. A retest session was performed thirty minutes later to determine within-day intra-rater reliability. The reliability was assessed using intraclass correlation coefficients (ICC) and the standard error of measurement (SEM). The ICC (2,1) for the inter-rater reliabilities of the goniometer and smartphone were good in FF and ABD [ICC (2,1)=.75~.87] and excellent in ER90 [ICC (2,1)=.90~.95]. The intra-rater reliabilities for the goniometer and smartphone were good or more than good, with an ICC (3,1) value >.75, the exception was IR90 measured by rater 2 on the smartphone. These results suggest that smartphone could be used as an alternative method tool for measurement of passive shoulder range of motion in patients with stroke.

Keywords

References

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