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杜兴氏肌营养不良症患者关节角度测量的可靠性

Reliability of goniometric measurements in patients with Duchenne muscular dystrophy.

作者信息

Pandya S, Florence J M, King W M, Robison J D, Oxman M, Province M A

出版信息

Phys Ther. 1985 Sep;65(9):1339-42. doi: 10.1093/ptj/65.9.1339.

DOI:10.1093/ptj/65.9.1339
PMID:4034668
Abstract

Previous studies of reliability of goniometric measurements have produced varied findings suggesting the need to document further the reliability of measuring range of motion in different patient groups. The purpose of this study was to determine the intratester and intertester reliability of goniometric measurements of seven common upper and lower extremity joint limitations in children with Duchenne muscular dystrophy. Five physical therapists participated in the study. The procedure and order of measurements were standardized. Results showed that intratester reliability for all measurements was high (ICC = .81 to .94), but intertester reliability showed a wide variation (ICC = .25 to .91). The results of this study indicate the need to use the same examiner for long-term follow-up and for assessing results of specific treatment interventions.

摘要

先前关于关节角度测量可靠性的研究结果各异,这表明有必要进一步记录不同患者群体中运动范围测量的可靠性。本研究的目的是确定杜氏肌营养不良症患儿七种常见的上肢和下肢关节活动受限的关节角度测量的测试者内和测试者间的可靠性。五名物理治疗师参与了该研究。测量的程序和顺序是标准化的。结果表明,所有测量的测试者内可靠性都很高(组内相关系数ICC = 0.81至0.94),但测试者间可靠性差异很大(ICC = 0.25至0.91)。本研究结果表明,在长期随访和评估特定治疗干预效果时需要由同一名检查者进行测量。

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