Flowers K R, Stephens-Chisar J, LaStayo P, Galante B L
Current Clinical Concepts, Randor, Pennslyvania, USA.
J Hand Ther. 2001 Jan-Mar;14(1):30-5. doi: 10.1016/s0894-1130(01)80022-3.
Because of the clinical impression that traditional forearm goniometry has several potential sources of error and is therefore inherently unreliable, a new method using a newly designed goniometer was compared with traditional forearm passive range-of-motion goniometry. The new method utilized an offset face with a plumbline design and a patient-held tubular handle. Thirty orthopedic patients (31 wrists) were measured by three experienced hand therapists in a test-retest protocol to determine the reliability of both the traditional and new methods. Both the intraclass correlation coefficients and standard error of the measure showed improved scores with the new goniometric technique, compared with the traditional one. The differences between methods may not be clinically significant.
由于临床上认为传统的前臂测角法存在多种潜在误差来源,因此本质上不可靠,于是将一种使用新设计测角仪的新方法与传统的前臂被动活动度测角法进行了比较。新方法采用了带有铅垂线设计的偏置面和患者手持的管状手柄。30名骨科患者(31只手腕)由三名经验丰富的手部治疗师按照重测方案进行测量,以确定传统方法和新方法的可靠性。与传统测角技术相比,组内相关系数和测量标准误差均显示新测角技术的得分有所提高。两种方法之间的差异可能在临床上不显著。