Test-retest reliability of wrist joint position sense in healthy adults in a clinical setting

Physiotherapy ◽  
2019 ◽  
Vol 105 ◽  
pp. e6
Author(s):  
C. Pilbeam ◽  
V. Hood-Moore
Keyword(s):  
Clinical Setting ◽  
Wrist Joint ◽  
Position Sense ◽  
Joint Position Sense ◽  
Healthy Adults ◽  
Joint Position ◽  
Retest Reliability ◽  
Test Retest Reliability

Test–retest reliability of wrist joint position sense in healthy adults in a clinical setting

Hand Therapy ◽  
2018 ◽  
Vol 23 (3) ◽  
pp. 100-109 ◽  
Author(s):  
Chloë Pilbeam ◽  
Victoria Hood-Moore
Keyword(s):  
Measurement Error ◽  
Standard Error ◽  
Wrist Joint ◽  
Intraclass Correlation ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Retest Reliability ◽  
Test Retest Reliability

Introduction Proprioceptive assessments of the wrist inform clinical decision making. In wrist rehabilitation, joint position sense has emerged as one way of assessing conscious proprioception with varying methods and minimal psychometric analysis reported. The purpose of this study was to standardise the wrist joint position sense test method for clinical use and to determine its test–retest reliability in a healthy population. Methods Four wrist positions (20° and 45° flexion, 20° and 45° extension) were measured twice in a random order, by a single rater, using a universal goniometer on the same day. The absolute error in degrees between each position and reposition was calculated. For relative reliability analysis, the intraclass correlation coefficient (3,1) was calculated. For absolute reliability the standard error of the measurement was calculated and Bland–Altman plots visually inspected. Results Fifty-five healthy volunteers (mean age 31.1 SD±10.25 years) were assessed. The mean absolute error, summarised for all positions for test and retest, was 3.98°. The intraclass correlation coefficients were poor to fair (0.07–0.47), and standard error of the measurement was 2° (rounded) for all positions. The limits of agreement were fairly narrow, and the Bland–Altman plots showed random distribution of errors for each position, therefore the measurement error was clinically acceptable. Conclusions The active wrist joint position sense test using goniometry demonstrated poor to fair test–retest reliability and acceptable measurement error in healthy volunteers. The wrist joint position sense angle of 20° flexion was the most reliable.

The effect of muscle fatigue on wrist joint position sense in healthy adults

2020 ◽  
Vol 33 (3) ◽  
pp. 329-338 ◽  
Author(s):  
Christos Karagiannopoulos ◽  
Jessica Watson ◽  
Sarah Kahan ◽  
Danielle Lawler
Keyword(s):  
Muscle Fatigue ◽  
Wrist Joint ◽  
Position Sense ◽  
Joint Position Sense ◽  
Healthy Adults ◽  
Joint Position

scholarly journals Test–Retest Reliability of Isokinetic Wrist Strength and Proprioception Measurements

2019 ◽  
Vol 28 (7) ◽  
Author(s):  
Barıs Seven ◽  
Gamze Cobanoglu ◽  
Deran Oskay ◽  
Nevin Atalay-Guzel
Keyword(s):  
Angular Velocity ◽  
Position Sense ◽  
Joint Position Sense ◽  
Strength Test ◽  
Joint Position ◽  
Isokinetic Dynamometer ◽  
Active Joint ◽  
Retest Reliability ◽  
Flexion Extension ◽  
Test Retest Reliability

Context:The evaluation of the wrist strength and proprioception gives clinicians and researchers information about effectiveness of their rehabilitation protocol or helps diagnosis of various neuromuscular and somatosensorial disorders. Isokinetic dynamometers are considered the gold standard for these evaluations. However, the studies about test–retest reliability of isokinetic dynamometer are inadequate.Objective:The purpose of this study was to determine the test–retest reliability of isokinetic wrist strength and proprioception measurements using the Cybex isokinetic dynamometer.Design:Test–retest reliability study.Setting:University laboratory.Participants:Thirty participants were enrolled (age 23.2 [2.8] y, height 171.1 [7] cm, weight 66.6 [11.6] kg) in this study.Intervention:Cybex isokinetic dynamometer was used for strength and proprioception measurements.Main Outcome Measures:Concentric flexion–extension strength test was performed at 90°/s angular velocity, and eccentric flexion–extension strength test was performed at 60°/s angular velocity. The proprioception of the wrist was assessed via active joint position sense. The 30° extension of the wrist, which is accepted as the functional position of the wrist, was selected as the targeted angle. The intraclass correlation coefficient (ICC2,1) method was used for test–retest analysis (P < .05).Results:The active joint position sense measurements of dominant (ICC2,1: .821) and nondominant (ICC2,1: .763) sides were found to have good test–retest reliability. Furthermore, with the exception of dominant eccentric extension strength (moderate reliability) (ICC2,1: .733), eccentric and concentric flexion (dominant: ICC2,1 = .890–.844; nondominant: ICC2,1 = .800–.898, respectively), and extension (dominant: ICC2,1 = .791 [concentric], nondominant: ICC2,1 = .791–.818, respectively) strength measurements of both sides were found to have good reliability.Conclusions:This study shows that the Cybex isokinetic dynamometer is a reliable method for measuring wrist strength and proprioception. Isokinetic dynamometers can be used clinically for diagnosis or rehabilitation in studies which contain wrist proprioception or strength measurements.

scholarly journals Interexaminer, Intraexaminer, and Test-Retest Reliability of Clinical Knee Joint-Position-Sense Measurements Using an Image-Capture Technique

2015 ◽  
Vol 24 (2) ◽  
Author(s):  
Nicola Relph ◽  
Lee Herrington
Keyword(s):  
Knee Joint ◽  
Critical Role ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Joint Movement ◽  
Image Capture ◽  
Retest Reliability ◽  
Test Retest Reliability

Context: Knee joint-position sense (JPS) plays a critical role in controlled and stable joint movement. Poor ability to sense position of the knee can therefore increase risk of injury. There is no agreed consensus on JPS measurement techniques and a lack of reliability statistics on methods. Objective: To identify the most reliable knee JPS measurement technique using image capture. Design: Interexaminer, intraexaminer, and test-retest reliability of knee JPS measurements. Setting: Biomechanics laboratory. Participants: 10 asymptomatic participants. Interventions: None. Main Outcome Measures: Relative and absolute error scores of knee JPS in 3 conditions (sitting, prone, active) through 3 ranges of movement (10-30°, 30-60°, 60-90°), into 2 directions (flexion and extension) using both legs (dominant and nondominant) collected during 15 trials and repeated 7 d after the first data collection. Results: Statistical analysis by intraclass correlations revealed excellent interexaminer reliability between researchers (.98) and intraexaminer reliability within 1 researcher (.96). Test-retest reliability was highest in the sitting condition from a starting angle of 0°, target angle through 60-90° of flexion, using the dominant leg and absolute-error-score variables (ICC = .92). However, it was noted smallest detectable differences were a high percentage of mean values for all measures. Conclusions: The most reliable JPS measurement for asymptomatic participants has been identified. Practitioners should use this protocol when collecting JPS data during prescreening sessions. However, generalizability of findings to a class/group of clients exhibiting knee pathologies should be done with caution.

The Efficacy of Modern Motion Tracking and Computer Graphics Technologies in a Clinical Setting

1998 ◽  
Vol 7 (1) ◽  
pp. 20-32 ◽  
Author(s):  
Semyon Slobounov ◽  
William Kraemer ◽  
Wayne Sebastianelli ◽  
Robert Simon ◽  
Shannon Poole
Keyword(s):  
Clinical Setting ◽  
Motion Tracking ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Visual Estimation ◽  
Joint Injury ◽  
Movement Data ◽  
Computer Visualization ◽  
Actual Movement

The primary purpose of this paper was to demonstrate how modem motion tracking technologies, i.e., the Hock of Birds, and computer visualization graphics may be used in a clinical setting. The idea that joint injury reduces proprioception was investigated, and data for injured subjects were compared to data for noninjured subjects (subjects in all experiments were college students). Two experiments showed that there were no significant losses in joint position sense in knee-injured subjects, and both injured and noninjured groups visually overestimated knee movements. However, injured subjects showed no significant differences when visual reproduction data were compared with actual movement data. In addition, these data indicated that injured subjects may have greater potential for apprehension than noninjured subjects, at least in terms of visual estimation of movement ranges. This is an idea that needs further testing.

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