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

• Published in: Physical therapy Vol. 92; no. 10; pp. 1329 - 1337
• Main Authors: de Carvalho, Rogério Mendonca, Perez, Maria Del Carmen Janerio, Miranda, Jr, Fausto
• Format: Journal Article
• Language: English
• Published: United States American Physical Therapy Association 01.10.2012; Oxford University Press
• Subjects: Adolescent; Adult; Anthropometry - instrumentation; Blood pressure; Blood pressure measurement; Body mass index; Female; Hand; Hand - anatomy & histology; Hands; Humans; Male; Mathematical models; Measurement; Measurement techniques; Methods; Middle Aged; Observer Variation; Physical therapists; Physiological aspects; Plethysmography - instrumentation; Polyvinyl chloride; Reproducibility of Results; Studies; Volumetric analysis; Wrist; Wrist - anatomy & histology; Young Adult; Brazil
• ISSN: 0031-9023; 1538-6724
• DOI: 10.2522/ptj.20110169

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. The purpose of this study was to evaluate intraobserver and interobserver reliability of direct measurements of wrist-hand volume using a new communicating vessels volumeter based on Pascal's law. A reliability study was conducted. 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. 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. 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.