Department of Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Department of Surgery, Amsterdam UMC, Location Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Eur J Trauma Emerg Surg. 2022 Apr;48(2):1317-1325. doi: 10.1007/s00068-021-01657-5. Epub 2021 Apr 22.
To determine the validity of wrist range of motion (ROM) measurements by the wearable-controlled ReValidate! wrist-rehabilitation game, which simultaneously acts as a digital goniometer. Furthermore, to establish the reliability of the game by contrasting ROM measurements to those found by medical experts using a universal goniometer.
As the universal goniometer is considered the reference standard, inter-rater reliability between surgeons was first determined. Internal validity of the game ROM measurements was determined in a test-retest setting with healthy volunteers. The reliability of the game was tested in 34 patients with a restricted range of motion, in whom the ROM was measured by experts as well as digitally. Intraclass-correlation coefficients (ICCs) were determined and outcomes were analyzed using Bland-Altman plots.
Inter-rater reliability between experts using a universal goniometer was poor, with ICCs of 0.002, 0.160 and 0.520. Internal validity testing of the game found ICCs of - 0.693, 0.376 and 0.863, thus ranging from poor to good. Reliability testing of the game compared to medical expert measurements, found that mean differences were small for the flexion-extension arc and the radial deviation-ulnar deviation arc.
The ReValidate! game is a reliable home-monitoring device digitally measuring ROM in the wrist. Interestingly, the test-retest reliability of the serious game was found to be considerably higher than the inter-rater reliability of the reference standard, being healthcare professionals using a universal goniometer.
(internal hospital registration only) MEC-AMC W17_003 #17.015.
通过可穿戴控制的 ReValidate！腕部康复游戏（同时充当数字量角器）确定腕关节活动范围（ROM）测量的有效性。此外，通过将 ROM 测量值与医学专家使用通用量角器获得的 ROM 测量值进行对比，来确定该游戏的可靠性。
由于通用量角器被认为是参考标准，因此首先确定外科医生之间的组内可靠性。在健康志愿者的测试-再测试设置中确定游戏 ROM 测量的内部有效性。在 34 名运动范围受限的患者中测试游戏的可靠性，由专家以及数字方式测量 ROM。确定组内相关系数（ICC）并使用 Bland-Altman 图进行分析。
使用通用量角器的专家之间的组内可靠性较差，ICC 分别为 0.002、0.160 和 0.520。游戏的内部有效性测试发现 ICC 分别为-0.693、0.376 和 0.863，因此范围从较差到良好。与医学专家测量值相比，游戏的可靠性测试发现，屈曲-伸展弧和桡偏-尺偏弧的平均差异较小。
ReValidate！游戏是一种可靠的家用监测设备，可数字测量腕关节的 ROM。有趣的是，与参考标准（即使用通用量角器的医疗保健专业人员）相比，严肃游戏的测试-再测试可靠性明显更高。
（仅内部医院注册）MEC-AMC W17_003 #17.015。
Zotero 插件
