评估膝关节容量的容积测量法和视野计的可靠性。
Reliability of Volumetry and Perimetry to Assess Knee Volume.
机构信息
Dept of Physiotherapy, Santa Catarina State University, Florianópolis, Brazil.
出版信息
J Sport Rehabil. 2016 Aug 24;25(3). doi: 10.1123/jsr.2015-0094. Print 2016 Aug 1.
CONTEXT
The treatment of edema after a knee injury is usually 1 of the main objectives during rehabilitation. To assess the success of treatment, 2 methods are commonly used in clinical practice: volumetry and perimetry.
OBJECTIVE
To investigate the intra- and interassessor reliability of volumetry and perimetry to assess knee volume.
DESIGN
Cross-sectional.
SETTING
Laboratory.
PARTICIPANTS
45 healthy participants (26 women) with mean age of 22.4 ± 2.8 y.
MAIN OUTCOME MEASURES
Knee volume was assessed by 3 assessors (A, B, and C) with 3 methods (lower-limb volumetry [LLV], knee volumetry [KV], and knee perimetry [KP]). Assessor A was the most-experienced assessor, and assessor C, the least experienced. LLV and KV were performed with participants in the orthostatic position, while KP was performed with participants in supine.
RESULTS
For the interassessor analysis, the ICC2,1 was high (.82) for KV and very high for LLV (.99) and KP (.99). For the intra-assessor analysis, ICC2,1 ranged from moderate to high for KV (.69-.83) and was very high for LLV (.99) and KP (.97-.99).
CONCLUSION
KV, LLV, and KP are reliable methods, both intra- and interassessor, to measure knee volume.
背景
膝关节损伤后，水肿的治疗通常是康复过程中的主要目标之一。为了评估治疗的成功与否，临床实践中通常使用两种方法：容量测量法和周径测量法。
目的
研究容量测量法和周径测量法评估膝关节容量的内部和内部评估者可靠性。
设计
横断面研究。
地点
实验室。
参与者
45 名健康参与者（26 名女性），平均年龄 22.4±2.8 岁。
主要观察指标
通过 3 位评估者（A、B 和 C）使用 3 种方法（下肢容量测量法（LLV）、膝关节容量测量法（KV）和膝关节周径测量法（KP））评估膝关节容量。评估者 A 经验最丰富，评估者 C 经验最少。LLV 和 KV 在患者处于直立位时进行，而 KP 在患者仰卧位时进行。
结果
对于组内分析，KV 的 ICC2,1 较高（.82），LLV 非常高（.99），KP 非常高（.99）。对于组内评估者分析，KV 的 ICC2,1 范围从中等至高（.69-.83），LLV 非常高（.99），KP 非常高（.97-.99）。
结论
KV、LLV 和 KP 是可靠的方法，无论是内部还是外部评估者，都可以测量膝关节容量。
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