Riddle D L, Rothstein J M, Lamb R L
Phys Ther. 1987 May;67(5):668-73. doi: 10.1093/ptj/67.5.668.
The purpose of this study was to examine the intratester and intertester reliabilities for clinical goniometric measurements of shoulder passive range of motion (PROM) using two different sizes of universal goniometers. Patients were measured without controlling therapist goniometric placement technique or patient position during measurements. Repeated PROM measurements of shoulder flexion, extension, abduction, shoulder horizontal abduction, horizontal adduction, lateral (external) rotation, and medial (internal) rotation were taken of two groups of 50 subjects each. The intratester intraclass correlation coefficients (ICCs) for all motions ranged from .87 to .99. The ICCs for the intertester reliability of PROM measurements of horizontal abduction, horizontal adduction, extension, and medial rotation ranged from .26 to .55. The intertester ICCs for PROM measurements of flexion, abduction, and lateral rotation ranged from .84 to .90. Goniometric PROM measurements for the shoulder appear to be highly reliable when taken by the same physical therapist, regardless of the size of the goniometer used. The degree of intertester reliability for these measurements appears to be range-of-motion specific.
本研究的目的是使用两种不同尺寸的通用量角器，检验肩部被动活动范围（PROM）临床角度测量的测试者内和测试者间信度。测量过程中，未对治疗师的量角器放置技术或患者体位进行控制。对两组各50名受试者的肩部前屈、后伸、外展、水平外展、水平内收、外旋和内旋进行了PROM重复测量。所有动作的测试者内组内相关系数（ICC）范围为0.87至0.99。水平外展、水平内收、后伸和内旋的PROM测量的测试者间信度ICC范围为0.26至0.55。前屈、外展和外旋的PROM测量的测试者间ICC范围为0.84至0.90。无论使用何种尺寸的量角器，由同一名物理治疗师进行肩部的量角器PROM测量时，其可靠性似乎都很高。这些测量的测试者间信度程度似乎因活动范围而异。
