Reliability of intra- and inter-rater palpation discrepancy and estimation of its effects on joint angle measurements.
This study presents data on the intra- and inter-rater reliability of palpation on normal and overweight subjects and shows the influence of palpation discrepancy on angular variability for a collected data set, using computer simulation. Thirty healthy males were recruited. Two physiotherapists ide...
| Published in: | Manual Therapy Vol. 14; no. 3; pp. 299 - 306 |
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| Main Authors: | , , , , , , |
| Format: | pictorial research tables/charts Journal Article |
| Published: |
Elsevier B.V.
Jun2009
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105542417&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105542417 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1356689X DOZ jtl: Manual Therapy issn: 1356689X maglogo: N pubinfo: dt: Jun2009 vid: 14 iid: 3 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 105542417 2010299713 10.1016/j.math.2008.04.002 NLM18555729 105542417 ppf: 299 ppct: 7 formats: tig: atl: Reliability of intra- and inter-rater palpation discrepancy and estimation of its effects on joint angle measurements. aug: au: Moriguchi CS Carnaz L Silva LCC Salasar LE Carregaro RL Sato TO Coury HJC affil: Department of Physiotherapy, Federal University of Sao Carlos, Rodovia Washington Luis, SP, Brazil. sug: subj: Arthrometry Methods Joints Anatomy and Histology Joints Pathology Obesity Pathology Palpation Methods Adult Comparative Studies Diagnosis, Computer Assisted Female Interrater Reliability Intrarater Reliability Male P-Value Pearson's Correlation Coefficient Physical Therapy Assessment Physical Therapy Methods Reference Values Regression Reproducibility of Results Human Adult: 19-44 years Female Male ab: This study presents data on the intra- and inter-rater reliability of palpation on normal and overweight subjects and shows the influence of palpation discrepancy on angular variability for a collected data set, using computer simulation. Thirty healthy males were recruited. Two physiotherapists identified 12 anatomical landmarks that enabled measurement of eight joint angles. Palpation discrepancy was determined by photographic recordings under ultraviolet light. Angular discrepancies were determined from photos of the subject's orthostatic posture. A computer simulation was developed to predict expected angular variation according to observed palpation discrepancy. The results showed that the inter-rater reliability was lower than the intra-rater reliability for both palpation and angle measurements. Palpation of the greater trochanter (GT), anterior superior iliac spine (ASIS), seventh cervical vertebra (C7) and femoral epicondyle (FE) showed larger discrepancies. The overweight group presented a significant difference in palpation discrepancy for ASIS (P<0.03). Angular variations were associated with palpation discrepancies for trunk flexion (TF), hip flexion (HF) and pelvic inclination (PI). Therefore, measurements should be performed by a single rater, rather than by different raters, if reliable angular measurements are intended. Specific anatomical landmarks require careful identification. Simulation was useful for providing estimates of variations due to palpation discrepancy. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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