Bakar Y, Özdemir Ö C, Sevim S, Duygu E, Tuğral A, Sürmeli M
School of Physical Therapy and Rehabilitation, Abant Izzet Baysal University, Bolu, Turkey.
J Med Life. 2017 Jul-Sep;10(3):176-181.
Circumference measurement of extremities that was reported to be a reliable method as long as being standardized is commonly used both in clinical and home settings by clinicians or caregivers due to its cheapness and easy use. The aims of this study were to determine the inter-observer and intra-observer reliability of manual circumference measurement among different observers and various measurement points. A total of 58 lower limbs were included in the study. Both lower limbs of each subject were assessed by 6 observers randomly using circumference measurement method from 9 reference points specified with a Leg-O-Meter. All observers performed the measurements and they were blind to each other's measurements. Measurement results from reference points were statistically significant between good to perfect (ICC 0.65-0.99, p<0.001). Interrater reliability of all observers' first and second measurements showed perfect reliability for both measurements (ICC: 0.92-0.99, p<0.001). This study demonstrated that the lower extremity manual circumference measurement is a reliable method for clinical practice. BMI = Body Mass Index, ICC = Intraclass Correlation Coefficient, Metatarsal heads (cA), Ankle-heel (cY), Ankle (cB), Distal beginning point of gastrocnemius (cB1), The widest point for gastrocnemius (cC), Head of fibula (cD), Midline of knee (cE), Midline of thigh (cF), Groin level (cG).
肢体周长测量只要标准化就被认为是一种可靠的方法，由于其成本低廉且使用方便，临床医生或护理人员在临床和家庭环境中都普遍使用。本研究的目的是确定不同观察者和不同测量点之间手动周长测量的观察者间和观察者内可靠性。该研究共纳入了58条下肢。每个受试者的双下肢由6名观察者随机使用Leg-O-Meter指定的9个参考点的周长测量方法进行评估。所有观察者都进行了测量，并且对彼此的测量结果不知情。参考点的测量结果在良好到完美之间具有统计学意义（组内相关系数ICC为0.65 - 0.99，p<0.001）。所有观察者第一次和第二次测量的评分者间可靠性在两次测量中均显示出完美的可靠性（ICC：0.92 - 0.99，p<0.001）。本研究表明，下肢手动周长测量是一种可靠的临床实践方法。BMI = 体重指数，ICC = 组内相关系数，跖骨头（cA），踝 - 跟（cY），踝（cB），腓肠肌远端起始点（cB1），腓肠肌最宽点（cC），腓骨头（cD），膝关节中线（cE），大腿中线（cF），腹股沟水平（cG）。
