Assessment of the Intraobserver and Interobserver Reliability of a Communicating Vessels Volumeter to Measure Wrist-Hand Volume.

Background. Traditional volumetry based on Archimedes' principle is the gold standard for the measurement of limb volume, but the routine use of this technique is discouraged because of several disadvantages. Objective. The purpose of this study was to evaluate intraobserver and inter- observer reli...

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Published in:Physical Therapy Vol. 92; no. 10; pp. 1329 - 1338
Main Authors: Mendonca de Carvalho, Rogério, del Carmen Janerio Perez, Maria, Miranda Jr., Fausto
Format: pictorial research tables/charts Journal Article
Published: Oxford University Press / USA Oct2012
Online Access:View this record in EBSCOhost
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      dt: Oct2012
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      pub: Oxford University Press / USA
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        atl: Assessment of the Intraobserver and Interobserver Reliability of a Communicating Vessels Volumeter to Measure Wrist-Hand Volume.
      aug:
        au:
          Mendonca de Carvalho, Rogério
          del Carmen Janerio Perez, Maria
          Miranda Jr., Fausto
        affil: Department of Vascular Surgery, Paulista School of Medicine, Federal University of São Paulo (UNIFESP), São Paulo, Brazil.
      sug:
        subj:
          Instrument Validation
          Body Weights and Measures Methods
          Wrist
          Hand
          Equipment Reliability
          Plethysmography
          Validation Studies
          Interrater Reliability
          Intrarater Reliability
          Intraclass Correlation Coefficient
          Equipment Design
          Adult
          Middle Age
          Female
          Male
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background. Traditional volumetry based on Archimedes' principle is the gold standard for the measurement of limb volume, but the routine use of this technique is discouraged because of several disadvantages. Objective. The purpose of this study was to evaluate intraobserver and inter- observer reliability of direct measurements of wrist-hand volume using a new communicating vessels volumeter based on Pascal's law. Design. A reliability study was conducted. Methods. To evaluate the reliability of the communicating vessels volumeter in generating measurements, 30 hands of 15 participants (9 women, 6 men) were measured 3 times each by 3 observers, totaling 270 volumetric results. Results. Measurement time was short (X=3 minutes 42 seconds). The intraclass correlation coefficient (ICC) was .9977 for observer 1 and .9976 for observers 2 and 3. The interobserver ICC was .9998. The standard error of measurement was about 3 mL for all observers; the interobserver result was 1 mL. The interrater coefficient of variance (CV) was 1.15% for the series of 9 measurements collected for each segment; the intrarater CV was 1.20%. Limitations. No swollen hands were measured, and measurements were not compared with the gold standard technique. Thus, accuracy of the new volumeter was not determined in this study. Conclusion. A new device has been developed for plethysmography of the extremities, and the results of its use to measure the volume of the wrist-hand segment were reliable in both intraobserver and interobserver analyses.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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