Goniometric and 3D Motion Analysis in Shoulder ROM Assessment: A Reliability and Agreement Study Comparing Patients With Restricted Shoulder Range of Motion to Healthy Subjects.

This study aimed to examine the reliability and agreement of goniometric measurements in assessing the range of motion (ROM) within the shoulder joint utilizing a 3D marker-based motion analysis system. The study comprised 30 healthy volunteers and 35 patients diagnosed with unilateral restricted sh...

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Publicado en:Journal of Chiropractic Medicine Vol. 24; no. 1-4; pp. 328 - 337
Autores principales: Karaşin, Sezen, Yıldırım, Yılmaz, Tombak, Kadriye, Sezer, İlhan, Köse, Özkan, Özsoy, Umut
Formato: research Journal Article
Publicado: Elsevier B.V. 2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2025
      vid: 24
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      pub: Elsevier B.V.
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        10.1016/j.jcm.2025.08.015
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        atl: Goniometric and 3D Motion Analysis in Shoulder ROM Assessment: A Reliability and Agreement Study Comparing Patients With Restricted Shoulder Range of Motion to Healthy Subjects.
      aug:
        au:
          Karaşin, Sezen
          Yıldırım, Yılmaz
          Tombak, Kadriye
          Sezer, İlhan
          Köse, Özkan
          Özsoy, Umut
        affil: Faculty of Medicine, Department of Anatomy, Akdeniz University, Antalya, Turkey
      sug:
        subj:
          Goniometry
          Shoulder Joint Physiology
          Range of Motion Evaluation
          Motion Analysis Systems Utilization
          Motion Analysis Systems Methods
          Human
          Male
          Female
          Flexion
          Abduction
          Rotation
          Intraclass Correlation Coefficient
          Male
          Female
      ab: This study aimed to examine the reliability and agreement of goniometric measurements in assessing the range of motion (ROM) within the shoulder joint utilizing a 3D marker-based motion analysis system. The study comprised 30 healthy volunteers and 35 patients diagnosed with unilateral restricted shoulder range of motion (ROM). Agreement analysis was conducted using Bland–Altman methods, while intra- and interobserver reliability for flexion, abduction, internal rotation, and external rotation measurements was assessed using the Intraclass Correlation Coefficient (ICC). When goniometric measurements were compared with the 3D method, ICC values in the patient group were found to be 0.85 for flexion, 0.81 for abduction, 0.80 for external rotation, and 0.74 for internal rotation. In healthy individuals, the values were found to be 0.80, 0.90, 0.56, and 0.69. Additionally, all measurements fell within acceptable limits of agreement, with no significant differences in measurement biases, except for internal rotation. This study highlights that the goniometer exhibited higher reliability when assessing movements with larger ROM, particularly within heterogeneous groups like those with injured shoulders. However, its reliability decreased when used in homogeneous groups, such as healthy individuals, especially when evaluating movements with narrower ROM, such as rotations. These findings emphasize the need for a nuanced interpretation of results in clinical and research settings when assessing shoulder joint mobility.
      pubtype: Academic Journal
      doctype:
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        Journal Article
      ougenre: Article
    language: English
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