Piriyaprasarth Pagamas, Morris Meg E
School of Physiotherapy, The University of Melbourne, Victoria, 3010, Australia.
Knee. 2007 Jan;14(1):2-8. doi: 10.1016/j.knee.2006.10.006. Epub 2006 Nov 29.
This systematic review critically evaluates literature on the reliability and validity of measurement tools for quantifying knee joint angles and knee movement. A search was conducted of seven medical databases and one biomedical engineering database, yielding 43 articles that reported reliability or validity. Tools for quantifying knee joint angles included standard handheld goniometers, fluid-based goniometers, gravity-based goniometers, photographs and two dimensional (2-D) motion analysis. Knee movement was measured with electrogoniometers, 2-D and three dimensional (3-D) motion analysis. Intraclass correlation coefficients for testing knee angles ranged from 0.51-1.00 for intratester reliability and 0.43-0.99 for intertester reliability. For quantifying knee position, sequential MRI and 2-D had the least error of measurement, followed by hand held goniometers and photographs. For dynamic measurements, electrogoniometers and 3-D motion analysis were most reliable and had low error of measurement. Strong concurrent validity was found between hand held goniometers and radiographs, as well as between hand held goniometers and 3-D motion analysis.
本系统评价批判性地评估了有关量化膝关节角度和膝关节运动测量工具的可靠性和有效性的文献。对七个医学数据库和一个生物医学工程数据库进行了检索，得到43篇报告可靠性或有效性的文章。量化膝关节角度的工具包括标准手持式测角仪、液基测角仪、重力式测角仪、照片和二维（2-D）运动分析。膝关节运动采用电子测角仪、二维和三维（3-D）运动分析进行测量。测试膝关节角度的组内相关系数，测试者内可靠性范围为0.51-1.00，测试者间可靠性范围为0.43-0.99。对于量化膝关节位置，连续MRI和二维测量误差最小，其次是手持式测角仪和照片。对于动态测量，电子测角仪和三维运动分析最可靠，测量误差低。手持式测角仪与X线片之间以及手持式测角仪与三维运动分析之间发现了较强的同时效度。
