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使用书面协议,测量指的运动范围在测量指内和测量指间的可靠性
Takuya Nakai1, Satoru Amano2,3, Chikako Murao1
1Department of Occupational Therapy, Kitasato University Hospital, Kanagawa - Japan.
Archives of physiotherapy
|October 10, 2024
概括
这项研究发现,由单个治疗师进行的手指运动范围 (ROM) 测量可靠. 然而,不同治疗师之间的测量显示出更低的可靠性,这表明在临床实践中需要标准化的协议.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 指关节运动范围 (ROM) 是用于评估指关节功能的标准临床评估.
- 经度指ROM测量的可靠性,特别是关于分量器内和分量器之间变量的可靠性,需要进行彻底的调查以进行准确的功能评估.
- 现有的文献缺乏对健康成年人不同运动类型和关节的米指ROM测量可靠性的全面评估.
研究的目的:
- 为了评估度指的运动范围 (ROM) 测量的内部和内部测量器的可靠性.
- 通过使用标准化的书面协议,评估主动,被动和复合手指运动的可靠性.
- 确定标准化协议对健康成年人米指ROM评估一致性的影响.
主要方法:
- 一个单一的中心,横截面可靠性研究,涉及20名健康成年人.
- 三位经验丰富的职业治疗师对主动,被动和复合的手指运动进行了光度测量ROM评估.
- 为了确保测量的一致性,实施了标准化的书面协议,稳定了手腕定位和评估员培训. 在可靠性分析中使用了类内相关系数 (ICC).
主要成果:
- 该研究表明,对于米指ROM测量,米指内可靠性中等至良好,88.7%的结果显示ICC值≥0.50.
- 评价者之间的可靠性较低,69.0%的结果达到中等到良好的值.
- 根据手的优势,运动类型,特定的手指或关节,没有观察到可靠性的显著趋势.
结论:
- 一个书面的协议显著提高了米指ROM测量的内测值可靠性.
- 在光度指数ROM测量中,评分器间的可靠性往往低于评分器内部的可靠性.
- 评分者和参与者之间物理特征的变化可能导致在度指ROM评估中评分者之间的可靠性降低.
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