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Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion

Background  Range of motion (ROM) is a critical component of a physician’s evaluation for many consultations. The purpose of this study was to evaluate if teleconference goniometry could be as accurate as clinical goniometry. Methods  Forty-eight volunteers participated in the study. There was a sam...

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Autores principales: Dent, Paul A, Wilke, Benjamin, Terkonda, Sarvram, Luther, Ian, Shi, Glenn G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064267/
https://www.ncbi.nlm.nih.gov/pubmed/32190478
http://dx.doi.org/10.7759/cureus.6925
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author Dent, Paul A
Wilke, Benjamin
Terkonda, Sarvram
Luther, Ian
Shi, Glenn G
author_facet Dent, Paul A
Wilke, Benjamin
Terkonda, Sarvram
Luther, Ian
Shi, Glenn G
author_sort Dent, Paul A
collection PubMed
description Background  Range of motion (ROM) is a critical component of a physician’s evaluation for many consultations. The purpose of this study was to evaluate if teleconference goniometry could be as accurate as clinical goniometry. Methods  Forty-eight volunteers participated in the study. There was a sample size of 52 elbows. Each measurement was recorded consecutively in person, through teleconference, and still-shot photography by two researchers trained in goniometry. Measurements of maximum elbow flexion and extension were taken and recorded. Results  Teleconference goniometry had a high agreement with clinical goniometry (Pearson coefficient: flexion: 0.93, Extension: 0.87). Limits of agreement found from the Bland-Altman test were 7⁰ and -3⁰ for flexion and 10.4⁰ and -7.4⁰ for extension. A t-test revealed a P-value of less than 0.001 between teleconference and clinical measurements, proving the data are significant. Conclusions ROM measurements through a teleconferencing medium are comparable to clinical ROM measurements. This would allow for interactive elbow ROM assessment with the orthopedist without having to incorporate travel time and expenses.
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spelling pubmed-70642672020-03-18 Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion Dent, Paul A Wilke, Benjamin Terkonda, Sarvram Luther, Ian Shi, Glenn G Cureus Physical Medicine & Rehabilitation Background  Range of motion (ROM) is a critical component of a physician’s evaluation for many consultations. The purpose of this study was to evaluate if teleconference goniometry could be as accurate as clinical goniometry. Methods  Forty-eight volunteers participated in the study. There was a sample size of 52 elbows. Each measurement was recorded consecutively in person, through teleconference, and still-shot photography by two researchers trained in goniometry. Measurements of maximum elbow flexion and extension were taken and recorded. Results  Teleconference goniometry had a high agreement with clinical goniometry (Pearson coefficient: flexion: 0.93, Extension: 0.87). Limits of agreement found from the Bland-Altman test were 7⁰ and -3⁰ for flexion and 10.4⁰ and -7.4⁰ for extension. A t-test revealed a P-value of less than 0.001 between teleconference and clinical measurements, proving the data are significant. Conclusions ROM measurements through a teleconferencing medium are comparable to clinical ROM measurements. This would allow for interactive elbow ROM assessment with the orthopedist without having to incorporate travel time and expenses. Cureus 2020-02-09 /pmc/articles/PMC7064267/ /pubmed/32190478 http://dx.doi.org/10.7759/cureus.6925 Text en Copyright © 2020, Dent et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Physical Medicine & Rehabilitation
Dent, Paul A
Wilke, Benjamin
Terkonda, Sarvram
Luther, Ian
Shi, Glenn G
Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion
title Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion
title_full Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion
title_fullStr Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion
title_full_unstemmed Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion
title_short Validation of Teleconference-based Goniometry for Measuring Elbow Joint Range of Motion
title_sort validation of teleconference-based goniometry for measuring elbow joint range of motion
topic Physical Medicine & Rehabilitation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064267/
https://www.ncbi.nlm.nih.gov/pubmed/32190478
http://dx.doi.org/10.7759/cureus.6925
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