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10.1002/msc.1525

http://scihub22266oqcxt.onion/10.1002/msc.1525
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33107154!ä!33107154

suck abstract from ncbi


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pmid33107154      Musculoskeletal+Care 2021 ; 19 (2): 208-216
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  • Virtual assessments of knee and wrist joint range motion have comparable reliability with face-to-face assessments #MMPMID33107154
  • Mehta SP; Kendall KM; Reasor CM
  • Musculoskeletal Care 2021[Jun]; 19 (2): 208-216 PMID33107154show ga
  • BACKGROUND: There has been increased usage of virtual telerehabilitation approach during the COVID-19 pandemic. It is crucial to establish reliability of conducting virtual assessments for musculoskeletal conditions. OBJECTIVES: This research determined the intra- and interrater reliability of measuring knee and wrist range of motion (ROM) assessed virtually and obtained face-to-face (F2F) using a goniometer (UG) for a student and an experienced examiner. METHOD: Knee and wrist joint ROM for 54 healthy participants was assessed virtually and F2F by a student examiner and an experienced physical therapist. Intra- (virtual vs. UG assessment) and inter-rater (virtual or UG assessment between examiners) reliabilities were examined for all ROM using Intraclass correlation coefficient (ICC). The ICC values were considered good (>0.75) or excellent (>0.90). Bland and Altman plots determined the limits of agreement (LOA) in assessing joint ROM. RESULTS/FINDINGS: Student examiner had good reliability in virtually estimating knee extension (ICC = 0.79), wrist flexion (ICC = 0.82) and wrist extension (ICC = 0.78), whereas the experienced examiner had excellent reliability in virtually estimating all knee and wrist ROM (ICC > 0.90). The LOA in assessing knee and wrist ROM for the student examiner were wider indicating higher disagreement between virtual and UG-obtained ROM in some cases. CONCLUSIONS: Virtual estimation of knee and wrist ROM is a reliable technique, however experience level impacts the precision of measurement. It is suggested that the same examiner conducts all the ROM assessments throughout the clinical course of a patient receiving virtual interventions for knee or wrist pathologies.
  • |Adult[MESH]
  • |Arthrometry, Articular/*instrumentation[MESH]
  • |COVID-19/epidemiology[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Healthy Volunteers[MESH]
  • |Humans[MESH]
  • |Knee Joint/*physiology[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |Range of Motion, Articular/*physiology[MESH]
  • |Reproducibility of Results[MESH]
  • |SARS-CoV-2[MESH]
  • |Telerehabilitation/*instrumentation[MESH]


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