Mensuração da amplitude de movimento ativa do joelho intra e interavaliador com goniômetro e flexímetro
DOI:
https://doi.org/10.33233/fb.v8i6.1813Abstract
Objetivo: Avaliar intra e interobservador a confiabilidade e a reprodutibilidade do goniômetro e flexímetro na amplitude de movimento ativa do joelho. Desenho de estudo: Estudo transversal randomizado cego. Métodos: Participaram deste estudo 50 indivíduos de ambos os sexos (28 homens e 22 mulheres), com média de idade de 26,68 anos, peso de 68,69 kg e altura de 1,70 m. As mensurações da extensão e flexão do joelho foram realizadas com o goniômetro e o flexímetro por dois avaliadores. Resultados: Em relação í flexão de joelho, pôde-se analisar que não houve concordância intra-avaliador (ICCs de 0,54 e 0,64) e houve uma concordância moderada interavaliador para os dois instrumentos (ICCs de 0,73 e 0,76). Também foi demonstrado que o goniômetro tende a apresentar resultados inferiores ao flexímetro í medida que a flexão do joelho aumenta. Em relação í extensão, pôde-se observar uma concordância muito forte tanto intra, como interavaliador (ICCs de 0,92 e 0,92). Conclusão: A flexão do joelho não apresentou concordância intra-avaliador e houve uma concordância moderada interavaliador. Para a extensão do joelho, houve uma concordância muito forte tanto intra quanto interavaliador.
Palavras-chave: mensuração, amplitude de movimento, joelho, reabilitação.Â
References
Clapper MP, Wolf SL. Comparison of the reliability of the orthoranger and the standard goniometer for assessing active lower extremity range of motion. Phys Ther 1988;68(2):214-18.
Rothstein JM, Miller PJ, Roettger RF. Goniometric reliability in a clinical setting: Elbow and knee measurements. Phys Ther 1983;63(10):1611-15.
Wolfenberger VA, Bui Q, Batenchuk B. A comparison of methods of evaluating cervical range of motion. J Manip Physiol Ther 2002;25(3):154-60.
Chan SP, Hong Y, Robinson PD. Flexibility and passive resistance of the hamstrings of young adults using two different static stretching protocols. Scand J Med Sci Sports 2001;11(2):81-86.
Baltaci G, Tunay V, Besler A, Gerçeker S. Comparison of three different sit and reach tests for measurement of hamstring flexibility in female university students. Br J Sports Med 2003;37(1):59-61.
Aalto TJ, Airaksinen O, Harkonen TM, Arokoski JP. Effect of passive stretch on reproducibility of hip range of motion measurements. Arch Phys Med Rehabil 2005;86:549-57.
Lea RD, Rouge B, Gerhardt L, Gerhardt JJ. Current concepts review range of motion measurements. J Bone Joint Surg 1995;77A(5):784-98.
American Medical Association: Guides to the evaluation of permanent impairment. 4th ed. Chicago: American Medical Association; 1993.
Brosseau L, Balmer S, Tousignant M, O’Sullivan JP, Goudreault C, Goudreault M, Gringras S. Intra and Intertester reliability and criterion validity of the parallelogram and universal goniometers for measuring maximum active knee flexion and extension of patients with knee restrictions. Arch Phys Med Rehabil 2001;82:396-402.
Gajdosik RL, Bohannon RW. Clinical measurement of range of motion: Review of goniometry emphasizing reliability and validity. Phys Ther 1987;67:1867-72.
O’Riain MD, Sibille J, Balmer S. A new goniometer for physiotherapy. Physiother Can 1993;35:279-81.
Petherick M, Rheault W, Kimble S, Lechner C, Senear V. Concurrent validity and intertester reliability of universal and fluid-based goniometers for active elbow range of motion. Phys Ther 1988;68:966-69.
Kuiken TA, Amir H, Scheidt A. Computerized biofeedback knee goniometer: Acceptance and effect on exercise behavior in post-total knee arthroplasty rehabilitation. Arch Phys Med Rehabil 2004;85:1026-30.
Robinson ME, O’Connor PD, Shirley FR, Mac Millan M. Intrasubject reliability of spinal range of motion and velocity determined by video motion analysis. Phys Ther 1993;73:626-31.
Vander Linden DW, Carlson SJ, Hubbard RL. Reproducibility and accuracy of angle measurements obtained under static conditions with the motion analysis video system. Phys Ther 1992;72:300-05.
Cosgray NA, Lawrance SE, Mestrich JD, Martin SE, Whalen RL. Effect of heat modalities on hamstring length: A comparison of pneumatherm, moist heat pack, and a control. J Ortho Sports Phys Ther 2004;34(7):377-84.
Watkins MA, Riddle DL, Lamb RL, Personius WJ. Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting. Phys Ther 1991;71(2):90-97.
Giori NJ, Giori KL, Woolson ST, Goodman
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