Papandreou Maria G, Antonogiannakis Emmanuel, Karabalis Christos, Karliaftis Konstantinos
Physical Therapy Department, TEI of Athens, Greece.
Knee Surg Sports Traumatol Arthrosc. 2005 Oct;13(7):592-7. doi: 10.1007/s00167-004-0597-2. Epub 2005 Jan 11.
The Rolimeter device can provide measurements of anterior/posterior tibial displacement using maximal manual force. The Rolimeter reliability is still under research when used as an independent knee tester. The purpose of this study is to determine the inter-rater reliability of the Rolimeter measurements between anterior cruciate ligament (ACL) injured and normal contra lateral knees. Twelve male patients with ACL deficiency participated in this study. Three physical therapists (PT) performed the Rolimeter measurements in supine position with an approximate 25 degrees flexion of the knees. Each therapist performed three trials on each knee and the difference in results in millimeters between injured knee and normal contra lateral knee was determined. Spearman's rho correlations showed weak relationships between the PT 1, 3 and 2, 3 (PT 1 vs. PT 3 r=0.55, PT 2 vs. PT 3 r=0.57) and the high relation between 1, 2 (PT 1 vs. PT 2 r=0.96) of Rolimeter measurements. Intraclass correlation coefficient showed no significant reliability coefficients among the three PT Rolimeter measurements between ACL injured and normal contra lateral knees (R=0.24, p=0.05). These results reflect the variations among the means of the three physical therapists' Rolimeter measurements between ACL injured and normal contra lateral knees.
Rolimeter装置可以通过最大手动力量来测量胫前/后移位。当用作独立的膝关节测试仪器时,Rolimeter的可靠性仍在研究中。本研究的目的是确定前交叉韧带(ACL)损伤的膝关节与对侧正常膝关节之间Rolimeter测量值的评分者间可靠性。12名ACL功能不全的男性患者参与了本研究。三名物理治疗师(PT)在患者仰卧位、膝关节屈曲约25度的情况下进行Rolimeter测量。每位治疗师对每个膝关节进行三次测量,并确定受伤膝关节与对侧正常膝关节之间以毫米为单位的测量结果差异。Spearman等级相关显示,PT 1与PT 3、PT 2与PT 3之间的关系较弱(PT 1与PT 3,r = 0.55;PT 2与PT 3,r = 0.57),而PT 1与PT 2之间的关系较强(PT 1与PT 2,r = 0.96)。组内相关系数显示,在ACL损伤的膝关节与对侧正常膝关节之间,三名PT的Rolimeter测量值之间没有显著的可靠性系数(R = 0.24,p = 0.05)。这些结果反映了三名物理治疗师在ACL损伤的膝关节与对侧正常膝关节之间进行Rolimeter测量的均值差异。