Santos C, Pauchard N, Guilloteau A
Kiné Main Dijon, 15, rue Maria Helena Vieira da Silva, 21000 Dijon, France.
SOS main Dijon, clinique de Fontaine, 1, rue des Créots, 21121 Fontaine-les-Dijon, France.
Hand Surg Rehabil. 2017 Oct;36(5):338-345. doi: 10.1016/j.hansur.2017.06.005. Epub 2017 Jul 25.
This study aimed to improve clinical examination techniques by determining the reliability of different methods to evaluate forearm movements. Two methods using the iPhone™ 5 and its gyroscope application (alone [I5] or attached to a selfie stick [ISS]) were compared with two conventional measurement devices (a plastic goniometer with a hand-held pencil [HHP] and a bubble goniometer [BG]) to evaluate the active range of movement (AROM) of the wrist during pronation and supination. Two independent groups of subjects took part in this prospective single-center diagnostic study: 20 healthy subjects and 20 patients. The four evaluation methods had high intra-observer consistency after three measurements (intra-class correlation coefficient [ICC] [3, 1] of 0.916 for the HHP; 0.944 for ISS; 0.925 for BG; 0.933 for I5) and excellent inter-observer reliability (ICC [2, k] of 0.926 for HHP; 0.934 for ISS; 0.899 for BG; 0.894 for I5), with an agreement of plus or minus 2°. When these devices are used with rigorous methodology, they are reliable for the goniometric evaluation of AROM of wrist pronation and supination.
本研究旨在通过确定评估前臂运动的不同方法的可靠性来改进临床检查技术。将使用iPhone™ 5及其陀螺仪应用程序的两种方法（单独使用[I5]或连接到自拍杆[ISS]）与两种传统测量设备（带手持铅笔的塑料测角仪[HHP]和气泡测角仪[BG]）进行比较，以评估手腕在旋前和旋后过程中的主动活动范围（AROM）。两组独立的受试者参与了这项前瞻性单中心诊断研究：20名健康受试者和20名患者。四种评估方法在三次测量后具有较高的观察者内一致性（HHP的组内相关系数[ICC][3, 1]为0.916；ISS为0.944；BG为0.925；I5为0.933）和出色的观察者间可靠性（HHP的ICC[2, k]为0.926；ISS为0.934；BG为0.899；I5为0.894），一致性为正负2°。当这些设备采用严格的方法使用时，它们对于手腕旋前和旋后AROM的角度测量评估是可靠的。
