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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
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Europa Medicophysica 2001 March;37(1):3-10

language: English

Reliability of two goniometers in assessing rheumatoid finger mobility. Relationship between mobility and disability

Lefèvre-Colau M. M., Poiraudeau S., Fermanian J. *, Mayoux-Benhamou M. A., Bargy F. **, Revel M.

From the Department of Physical and Rehabilitation Medecine Hôpital Cochin, Assistance Publique-Hopitaux de Paris Université René Descartes, Paris, France *Department of Biostatistics, Hôpital Necker Assistance Publique-Hopitaux de Paris Université René Descartes, Paris, France
**Laboratory of Anatomy, Faculté Cochin-Port-Royal Université René Descartes, Paris, France


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Background. To ­study, in the rheu­ma­toid ­hand, the reli­abil­ity of meas­ures of met­a­car­poph­a­lan­geal (MCP) and prox­i­mal inter­pha­lan­geal (PIP) mobil­ity ­assessed by two fin­ger gon­i­om­e­ters and to eval­u­ate the rela­tion­ship ­between fin­ger mobil­ity and ­hand dis­abil­ity.
Methods. Transversal ­study. Patients ­with rheu­ma­toid ­arthritis (RA), ­defined accord­ing to the ACR cri­te­ria, under­went meas­ure­ment of the mobil­ity of the met­a­car­poph­a­lan­geal (MCP) and the prox­i­mal inter­pha­lan­geal (PIP) of the sec­ond fin­ger ­with two gon­i­om­e­ters. Reliability was ­assessed by the intra­class coef­fi­cient cor­re­la­tion (ICC) and by Bland and Altman anal­y­sis. Correlations ­between mobil­ity, dis­abil­ity and dis­ease activ­ity meas­ures ­were ­assessed by the Spearman cor­re­la­tion coef­fi­cient. Thirty ­patients (4 men) ­aged 57 ­years (­range, 32-86; SD, 14.9) ­were includ­ed.
Results. With the elec­tro­gon­i­om­e­ter (EG), inter­ob­serv­er reli­abil­ity ­ranged ­from 0.65 to 0.84. With the stan­dard uni­ver­sal gon­i­om­e­ter (SUG), inter­test­er reli­abil­ity was sim­i­lar to ­that of the EG, rang­ing ­from 0.61 to 0.79. Bland and Altman anal­y­sis con­sis­tent­ly ­showed homo­ge­ne­ous dis­tri­bu­tion of the dif­fer­enc­es ­with no system­at­ic ­trend. No cor­re­la­tion ­between fin­ger ­range of ­motion (ROM) and ­hand dis­abil­ity meas­ures was ­observed.
Conclusions. The EG and the SUG ­have accept­able inter­test­er reli­abil­ities ­when assess­ing rheu­ma­toid fin­ger mobil­ity. However, fin­ger ­joint ROM is poor­ly cor­re­lat­ed ­with ­hand dis­abil­ity meas­ures.Background. To ­study, in the rheu­ma­toid ­hand, the reli­abil­ity of meas­ures of met­a­car­poph­a­lan­geal (MCP) and prox­i­mal inter­pha­lan­geal (PIP) mobil­ity ­assessed by two fin­ger gon­i­om­e­ters and to eval­u­ate the rela­tion­ship ­between fin­ger mobil­ity and ­hand dis­abil­ity.
Methods. Transversal ­study. Patients ­with rheu­ma­toid ­arthritis (RA), ­defined accord­ing to the ACR cri­te­ria, under­went meas­ure­ment of the mobil­ity of the met­a­car­poph­a­lan­geal (MCP) and the prox­i­mal inter­pha­lan­geal (PIP) of the sec­ond fin­ger ­with two gon­i­om­e­ters. Reliability was ­assessed by the intra­class coef­fi­cient cor­re­la­tion (ICC) and by Bland and Altman anal­y­sis. Correlations ­between mobil­ity, dis­abil­ity and dis­ease activ­ity meas­ures ­were ­assessed by the Spearman cor­re­la­tion coef­fi­cient. Thirty ­patients (4 men) ­aged 57 ­years (­range, 32-86; SD, 14.9) ­were includ­ed.
Results. With the elec­tro­gon­i­om­e­ter (EG), inter­ob­serv­er reli­abil­ity ­ranged ­from 0.65 to 0.84. With the stan­dard uni­ver­sal gon­i­om­e­ter (SUG), inter­test­er reli­abil­ity was sim­i­lar to ­that of the EG, rang­ing ­from 0.61 to 0.79. Bland and Altman anal­y­sis con­sis­tent­ly ­showed homo­ge­ne­ous dis­tri­bu­tion of the dif­fer­enc­es ­with no system­at­ic ­trend. No cor­re­la­tion ­between fin­ger ­range of ­motion (ROM) and ­hand dis­abil­ity meas­ures was ­observed.
Conclusions. The EG and the SUG ­have accept­able inter­test­er reli­abil­ities ­when assess­ing rheu­ma­toid fin­ger mobil­ity. However, fin­ger ­joint ROM is poor­ly cor­re­lat­ed ­with ­hand dis­abil­ity meas­ures.

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