Objective assessment, repeatability, and agreement of shoulder ROM with a 3D gyroscope
Background Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was...
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| Published in | BMC musculoskeletal disorders Vol. 14; no. 1; p. 72 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BioMed Central
26.02.2013
BioMed Central Ltd |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1471-2474 1471-2474 |
| DOI | 10.1186/1471-2474-14-72 |
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| Abstract | Background
Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer.
Methods
The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test.
Results
Evaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27° with 95% limit of agreement ranging from −7.97° to 8.51°. For abduction, the mean differences were 1.19° with a 95% limit of agreement ranging from −9.07° to 11.46°.
Conclusion
In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10°. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. |
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| AbstractList | Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer. The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test. In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10[degrees]. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer. The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test. Evaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27° with 95% limit of agreement ranging from -7.97° to 8.51°. For abduction, the mean differences were 1.19° with a 95% limit of agreement ranging from -9.07° to 11.46°. In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10°. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. Background Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer. Methods The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test. Results Evaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27° with 95% limit of agreement ranging from −7.97° to 8.51°. For abduction, the mean differences were 1.19° with a 95% limit of agreement ranging from −9.07° to 11.46°. Conclusion In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10°. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. Doc number: 72 Abstract Background: Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer. Methods: The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test. Results: Evaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27° with 95% limit of agreement ranging from -7.97° to 8.51°. For abduction, the mean differences were 1.19° with a 95% limit of agreement ranging from -9.07° to 11.46°. Conclusion: In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10°. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer.BACKGROUNDAssessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer.The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test.METHODSThe DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test.Evaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27° with 95% limit of agreement ranging from -7.97° to 8.51°. For abduction, the mean differences were 1.19° with a 95% limit of agreement ranging from -9.07° to 11.46°.RESULTSEvaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27° with 95% limit of agreement ranging from -7.97° to 8.51°. For abduction, the mean differences were 1.19° with a 95% limit of agreement ranging from -9.07° to 11.46°.In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10°. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP.CONCLUSIONIn summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10°. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. Background Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for objective measurements of shoulder mobility are available. The recently introduced DynaPort MiniMod TriGyro ShoulderTest-System (DP) was validated earlier in laboratory trials. We aimed to assess the precision (repeatability) and agreement of this instrument in human subjects, as compared to the conventional goniometer. Methods The DP is a small, light-weight, three-dimensional gyroscope that can be fixed on the distal upper arm, recording shoulder abduction, flexion, and rotation. Twenty-one subjects (42 shoulders) were included for analysis. Two subsequent assessments of the same subject with a 30-minute delay in testing of each shoulder were performed with the DP in two directions (flexion and abduction), and simultaneously correlated with the measurements of a conventional goniometer. All assessments were performed by one observer. Repeatability for each method was determined and compared as the statistical variance between two repeated measurements. Agreement was illustrated by Bland-Altman-Plots with 95% limits of agreement. Statistical analysis was performed with a linear mixed regression model. Variance for repeated measurements by the same method was also estimated and compared with the likelihood-ratio test. Results Evaluation of abduction showed significantly better repeatability for the DP compared to the conventional goniometer (error variance: DP = 0.89, goniometer = 8.58, p = 0.025). No significant differences were found for flexion (DP = 1.52, goniometer = 5.94, p = 0.09). Agreement assessment was performed for flexion for mean differences of 0.27[degrees] with 95% limit of agreement ranging from -7.97[degrees] to 8.51[degrees]. For abduction, the mean differences were 1.19[degrees] with a 95% limit of agreement ranging from -9.07[degrees] to 11.46[degrees]. Conclusion In summary, DP demonstrated a high precision even higher than the conventional goniometer. Agreement between both methods is acceptable, with possible deviations of up to greater than 10[degrees]. Therefore, static measurements with DP are more precise than conventional goniometer measurements. These results are promising for routine clinical use of the DP. Keywords: Repeatability, Precision, Shoulder motion, Objective assessment, Dynaport, Gyroscope |
| ArticleNumber | 72 |
| Audience | Academic |
| Author | El-Zayat, Bilal Farouk Fuchs-Winkelmann, Susanne Timmesfeld, Nina Efe, Turgay Schofer, Markus Dietmar Heidrich, Annett Anetsmann, Robert |
| AuthorAffiliation | 1 Department of Orthopaedics and Rheumatology, University Hospital Marburg, Baldingerstrasse, Marburg, 35033, Germany 2 Institute for Medical Biometry and Epidemiology, Philipps University Marburg, Bunsenstraße 3, Marburg, 35037, Germany |
| AuthorAffiliation_xml | – name: 2 Institute for Medical Biometry and Epidemiology, Philipps University Marburg, Bunsenstraße 3, Marburg, 35037, Germany – name: 1 Department of Orthopaedics and Rheumatology, University Hospital Marburg, Baldingerstrasse, Marburg, 35033, Germany |
| Author_xml | – sequence: 1 givenname: Bilal Farouk surname: El-Zayat fullname: El-Zayat, Bilal Farouk email: elzayat@med.uni-marburg.de organization: Department of Orthopaedics and Rheumatology, University Hospital Marburg – sequence: 2 givenname: Turgay surname: Efe fullname: Efe, Turgay organization: Department of Orthopaedics and Rheumatology, University Hospital Marburg – sequence: 3 givenname: Annett surname: Heidrich fullname: Heidrich, Annett organization: Department of Orthopaedics and Rheumatology, University Hospital Marburg – sequence: 4 givenname: Robert surname: Anetsmann fullname: Anetsmann, Robert organization: Department of Orthopaedics and Rheumatology, University Hospital Marburg – sequence: 5 givenname: Nina surname: Timmesfeld fullname: Timmesfeld, Nina organization: Institute for Medical Biometry and Epidemiology, Philipps University Marburg – sequence: 6 givenname: Susanne surname: Fuchs-Winkelmann fullname: Fuchs-Winkelmann, Susanne organization: Department of Orthopaedics and Rheumatology, University Hospital Marburg – sequence: 7 givenname: Markus Dietmar surname: Schofer fullname: Schofer, Markus Dietmar organization: Department of Orthopaedics and Rheumatology, University Hospital Marburg |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23442604$$D View this record in MEDLINE/PubMed |
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| Copyright | El-Zayat et al.; licensee BioMed Central Ltd. 2013 COPYRIGHT 2013 BioMed Central Ltd. 2013 El-Zayat et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2013 El-Zayat et al.; licensee BioMed Central Ltd. 2013 El-Zayat et al.; licensee BioMed Central Ltd. |
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| References_xml | – volume: 19 start-page: 341 issue: 6 year: 1994 end-page: 344 ident: CR15 article-title: Test-retest reliability of eccentric peak torque values for shoulder medial and lateral rotation using the Biodex isokinetic dynamometer publication-title: J Orthop Sports Phys Ther doi: 10.2519/jospt.1994.19.6.341 – volume: 14 start-page: 37 issue: 1 year: 1991 end-page: 41 ident: CR16 article-title: Reliability of testing the knee extensors and flexors in healthy adult women using a Cybex II isokinetic dynamometer publication-title: J Orthop Sports Phys Ther doi: 10.2519/jospt.1991.14.1.37 – volume: 14 start-page: 287 issue: 4 year: 1999 end-page: 290 ident: CR10 article-title: The measurement of three dimensional scapulohumeral kinematics–a study of reliability publication-title: Clin Biomech (Bristol, Avon) doi: 10.1016/S0268-0033(98)00106-5 – volume: 86 start-page: 1356 issue: 7 year: 2005 end-page: 1361 ident: CR3 article-title: Interobserver reproducibility of the visual estimation of range of motion of the shoulder publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2004.12.031 – volume: 13 start-page: 329 issue: 6 year: 1991 end-page: 335 ident: CR17 article-title: Intramachine and intermachine reliability of the Biodex and Cybex® II for knee flexion and extension peak torque and angular work publication-title: J Orthop Sports Phys Ther doi: 10.2519/jospt.1991.13.6.329 – volume: 323 start-page: 106 year: 1996 end-page: 112 ident: CR14 article-title: Shoulder instability in athletes. 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– volume: 31 start-page: 662 issue: 3 year: 2000 ident: 1690_CR2 publication-title: Stroke doi: 10.1161/01.STR.31.3.662 – volume: 14 start-page: 37 issue: 1 year: 1991 ident: 1690_CR16 publication-title: J Orthop Sports Phys Ther doi: 10.2519/jospt.1991.14.1.37 – volume: 33 start-page: 541 issue: 6 year: 2002 ident: 1690_CR1 publication-title: Appl Ergon doi: 10.1016/S0003-6870(02)00072-8 – volume: 41 start-page: 810 issue: 4 year: 2009 ident: 1690_CR5 publication-title: Med Sci Sports Exerc doi: 10.1249/MSS.0b013e31818ff636 – volume: 86 start-page: 1356 issue: 7 year: 2005 ident: 1690_CR3 publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2004.12.031 – volume: 5 start-page: 18 year: 2004 ident: 1690_CR4 publication-title: BMC Musculoskelet Disord doi: 10.1186/1471-2474-5-18 – volume: 47 start-page: 289 issue: 4 year: 2001 ident: 1690_CR11 publication-title: Aust J Physiother doi: 10.1016/S0004-9514(14)60274-9 – volume: 26 start-page: 327 issue: 5 year: 2010 ident: 1690_CR12 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Biostat. 2008;4(1):Article 16 – reference: 15196309 - BMC Musculoskelet Disord. 2004 Jun 14;5:18 – reference: 18796831 - J Orthop Sports Phys Ther. 1991;14(1):37-41 – reference: 16003664 - Arch Phys Med Rehabil. 2005 Jul;86(7):1356-61 – reference: 2343977 - Am J Sports Med. 1990 Mar-Apr;18(2):124-8 – reference: 10619117 - Clin Biomech (Bristol, Avon). 1999 May;14(4):287-90 – reference: 20587014 - BMC Musculoskelet Disord. 2010;11:135 |
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Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments... Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments for... Background Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly sophisticated instruments... Doc number: 72 Abstract Background: Assessment of shoulder mobility is essential for diagnosis and clinical follow-up of shoulder diseases. Only a few highly... |
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| SubjectTerms | Adult Agreements Arthrometry, Articular - instrumentation Arthrometry, Articular - methods Arthrometry, Articular - standards Calibration Calibration - standards Comparative analysis Diagnosis Epidemiology Female Humans Internal Medicine Joints Male Medicine Medicine & Public Health Middle Aged Mobility Musculoskeletal diseases Orthopedics physical therapy and occupational health Range of motion Range of Motion, Articular - physiology Rehabilitation Reproducibility of Results Research Article Rheumatology Shoulder Shoulder - physiology Shoulder injuries Software Sports Medicine Statistical analysis Young Adult |
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| Title | Objective assessment, repeatability, and agreement of shoulder ROM with a 3D gyroscope |
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