MacDermid J C, Chesworth B M, Patterson S, Roth J H
Clinical Research Laboratory, St. Joseph's Health Centre, London, Ontario, Canada.
J Hand Ther. 1999 Jul-Sep;12(3):187-92. doi: 10.1016/s0894-1130(99)80045-3.
Measurement of lateral rotation range of motion (ROM) is frequently performed during shoulder evaluation. The purpose of this study was to determine the intratester and intertester reliability of goniometric measurement of passive lateral rotation ROM of the shoulder. Two experienced PTs performed the testing in a randomized block design. They were blinded to all clinical information and to their goniometric readings. Passive lateral rotation ROM of the shoulder was assessed in 34 patients with a variety of shoulder pathologies. Patients were placed in the supine position with the arm abducted approximately 20 degrees to 30 degrees. A standard goniometer, placed along the joint axis by the therapist, was red by an independent assistant. Intraclass correlation coefficients (ICCs) and their associated 95% confidence intervals were calculated. Intratherapist ICCs (0.88 and 0.93) and intertherapist ICCs (0.85 and 0.80) were high. These findings suggest that reliable measures of passive lateral rotation ROM of the shoulder can be obtained from patients with shoulder pathology using standard goniometry and by placing the patient in a supine position.
在肩部评估过程中，经常会测量外旋活动范围（ROM）。本研究的目的是确定肩部被动外旋ROM角度测量法在测试者内和测试者间的可靠性。两名经验丰富的物理治疗师（PT）采用随机区组设计进行测试。他们对所有临床信息及角度测量读数均不知情。对34例患有各种肩部疾病的患者进行了肩部被动外旋ROM评估。患者仰卧，手臂外展约20度至30度。治疗师将标准角度计沿关节轴放置，由一名独立助手读取数据。计算组内相关系数（ICC）及其相关的95%置信区间。测试者内ICC（分别为0.88和0.93）和测试者间ICC（分别为0.85和0.80）都很高。这些结果表明，对于患有肩部疾病的患者，通过标准角度测量法并将患者置于仰卧位，可以获得可靠的肩部被动外旋ROM测量值。
