The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature

The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature

Background The universal goniometer is a simple measuring tool. With this review we aimed to investigate the reliability and validity of the universal goniometer in measurements of the adults' elbow. Methods Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were foll...

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Veröffentlicht in:Shoulder & Elbow 2018-10, Vol.10 (4), p.274-284
Hauptverfasser: van Rijn, Suzanne F, Zwerus, Elisa L, Koenraadt, Koen LM, Jacobs, Wilco CH, van den Bekerom, Michel PJ, Eygendaal, Denise
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Elbow
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container_end_page 284
container_issue 4
container_start_page 274
container_title Shoulder & Elbow
container_volume 10
creator van Rijn, Suzanne F
Zwerus, Elisa L
Koenraadt, Koen LM
Jacobs, Wilco CH
van den Bekerom, Michel PJ
Eygendaal, Denise
description Background The universal goniometer is a simple measuring tool. With this review we aimed to investigate the reliability and validity of the universal goniometer in measurements of the adults' elbow. Methods Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed and our study protocol was published online at PROSPERO. A literature search was conducted on relevant studies. Methodological quality was assessed using the Quality Appraisal of Diagnostic Reliability (QAREL) scoring system. Results Out of 697 studies yielded from our literature search, 12 were included. Six studies were rated as high quality. The intrarater reliability intraclass correlation coefficient ranged from 0.45 to 0.99, the interrater reliability ranged from intraclass correlation coefficient 0.53–0.97. One study providing instructions on goniometric alignment did not find a difference in expert versus non-expert examiners. Another study in which examiners were not instructed found a higher interrater reliability in expert examiners. One study investigating the validity of the goniometer in elbow measurements found a maximum standard error of the mean of 11.5° for total range of motion. Discussion Overall, the studies showed high intra- and interrater reliability of the universal goniometer. The reliability of the universal goniometer in non-expert examiners can be increased by clear instructions on goniometric alignment.
doi_str_mv 10.1177/1758573218774326
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With this review we aimed to investigate the reliability and validity of the universal goniometer in measurements of the adults' elbow. Methods Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed and our study protocol was published online at PROSPERO. A literature search was conducted on relevant studies. Methodological quality was assessed using the Quality Appraisal of Diagnostic Reliability (QAREL) scoring system. Results Out of 697 studies yielded from our literature search, 12 were included. Six studies were rated as high quality. The intrarater reliability intraclass correlation coefficient ranged from 0.45 to 0.99, the interrater reliability ranged from intraclass correlation coefficient 0.53–0.97. One study providing instructions on goniometric alignment did not find a difference in expert versus non-expert examiners. Another study in which examiners were not instructed found a higher interrater reliability in expert examiners. One study investigating the validity of the goniometer in elbow measurements found a maximum standard error of the mean of 11.5° for total range of motion. Discussion Overall, the studies showed high intra- and interrater reliability of the universal goniometer. 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title The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature
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