Ellis B, Bruton A, Goddard J R
School of Occupational Therapy and Physiotherapy, University of Southampton, UK.
Clin Rehabil. 1997 Nov;11(4):314-20. doi: 10.1177/026921559701100408.
To compare the inter- and intra-rater reliability of goniometry and wire tracing in the assessment of finger joint angles: metacarpo-phalangeal (MCPJ), proximal (PIPJ) and distal interphalangeal joints (DIPJ).
Twenty occupational therapists and 20 physiotherapists with a range of clinical experience were recruited from nine different centres. Using a masked goniometer and wire tracing they carried out repeated assessments of the MCPJ, PIPJ and DIPJ of a normal subject fixed in two different positions.
The two assessment methods did not produce comparable angle measurements. Goniometry showed greater inter- and intra-rater reliability than wire tracing. Regardless of the assessment tool, the repeatability coefficient indicated that DIPJ measurement was less reliable than the other joints. Clinical and specialist experience did not affect reliability.
Although both goniometry and wire tracing show limitations as reliable assessment tools, it is recommended that where possible goniometry should be used.
比较量角器测量法和钢丝描记法在评估手指关节角度（掌指关节、近端指间关节和远端指间关节）时的评分者间信度和评分者内信度。
从九个不同中心招募了20名职业治疗师和20名具有不同临床经验的物理治疗师。他们使用带刻度的量角器和钢丝描记法，对固定在两种不同位置的一名正常受试者的掌指关节、近端指间关节和远端指间关节进行了重复评估。
两种评估方法得出的角度测量结果不可比。量角器测量法在评分者间和评分者内的信度均高于钢丝描记法。无论使用哪种评估工具，重复性系数表明远端指间关节的测量比其他关节的测量可靠性更低。临床经验和专业经验并未影响信度。
尽管量角器测量法和钢丝描记法作为可靠的评估工具都存在局限性，但建议在可能的情况下使用量角器测量法。
