Shepherd J, Hansjee S, Divall P, Raval P, Singh H P
Trauma & Orthopaedic Surgery Department, Leicester Royal Infirmary, Leicester, UK.
University of Leicester, Leicester, UK.
Shoulder Elbow. 2024 Jul;16(4):363-381. doi: 10.1177/17585732231195554. Epub 2023 Aug 31.
Shoulder range of motion (ROM) is traditionally measured using universal goniometry. However, novel devices to measure shoulder ROM digitally are becoming increasingly available. We aimed to synthesise the current evidence to answer: 1) what technologies are currently in use? 2) Are they reliable? 3) How do they compare to goniometry?
Systematic review of the literature was conducted according to PRISMA guidelines. MEDLINE, Embase, CINAHL, Emcare and Cochrane databases were searched to identify studies comparing a digital device measuring shoulder ROM to goniometry in participants > = 18years. Quality of studies was assessed using COSMIN risk of bias tool. End points included device validity compared to goniometry and intra-rater reliability.
15 articles were included, representing 372 participants and 608 shoulders, and reporting data for five device categories; infrared/RGB-D, 3D-motion-analysis, combined 3D/infra-red, 2D-video-analysis and virtual-reality. Nine studies reported mean bias and 95% limits of agreement (LOA) compared to goniometry. Pooled mean bias was -0.25 degrees (-1.25, 0.75 95% LOA, random effects model) overall. This did not differ by device type (p = 0.83), sensor or non-sensor-based devices (p = 0.62) or plane of movement (p = 0.91).
These devices compare well to goniometry and represent a possible means of increasing efficiency and facilitating telemedicine.
传统上使用通用测角计测量肩部活动范围（ROM）。然而，越来越多可用于数字测量肩部ROM的新型设备问世。我们旨在综合现有证据以回答以下问题：1）目前正在使用哪些技术？2）它们是否可靠？3）与测角计相比如何？
根据PRISMA指南对文献进行系统综述。检索MEDLINE、Embase、CINAHL、Emcare和Cochrane数据库，以识别在≥18岁参与者中比较数字测量肩部ROM的设备与测角计的研究。使用COSMIN偏倚风险工具评估研究质量。终点包括与测角计相比的设备有效性和评估者内信度。
纳入15篇文章，涉及372名参与者和608个肩部，并报告了五类设备的数据；红外/RGB-D、三维运动分析、三维/红外组合、二维视频分析和虚拟现实。9项研究报告了与测角计相比的平均偏差和95%一致性界限（LOA）。总体合并平均偏差为-0.25度（-1.25，0.75 95% LOA，随机效应模型）。这在设备类型（p = 0.83）、基于传感器或非传感器的设备（p = 0.62）或运动平面（p = 0.91）方面没有差异。
这些设备与测角计相比效果良好，是提高效率和促进远程医疗的一种可能手段。
