Baseline 12-1014 Plastic Finger Goniometer

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The EZ Read Jamar Goniometer is a manual medical goniometer designed to measure range of motion and dexterity in small joints. The simple design enables easy patient measurements. Use to measure range of motion, movement improvements, and dysfunction in patients. The EZ Read Jamar Goniometer is excellent for patients that have difficulties bending and flexing joints and are participating in a rehab and recovery program. Varying Size Options The results of all the analytical approaches support the suggestion that both goniometers can be used interchangeably. Significance of goniometer effect apparent from some of the 2x10 ANOVAs should be interpreted in conjunction with significant goniometer by rater interaction, indicating that the performance of the instrument tended to be depended on which the rater was using it. The small magnitudes of the differences between the reliability estimates of the techniques were not convincing enough to state disparity of the methods. In the three cases of failure to reject the null hypothesis for paper goniometer alone, the LLs of 95% one-sided L-L CIs levels above 0.7 can still be considered as an acceptable level of reliability for non-professional novice raters. Interchangeability of goniometers was also demonstrated by the binomial tests, which involved assessment of the inter-goniometer ≤ 5-degree agreement. It is notable, that the results of the proportion analysis echo the outcomes of parametric assessments indicating that the measurement consistency was rater and joint dependent. Parity of the goniometers was further shown by the results of the study parts B, indicating that data collected with both instruments can be similarly interpreted in an exploration of simulated change in joint range of motion over time. Decrease in the reliability estimates in the second stage of the study part A may be due to the weariness of the participants.

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The smartphone is an increasingly pervasive tool that could add value in a hand surgeon’s clinic. Because clinical treatment decisions and follow-up examinations for certain disease processes are based primarily on ROM measurements, the use of smartphone photography goniometry is an attractive method for incorporating telemedicine into a hand surgeon’s practice. Smartphone photography goniometry may also decrease economic costs and increase access to care for both patients and providers. 22, 23 Specifically in the case of the patient with Dupuytren disease, initial visits and subsequent long-term follow-up without the need for surgical intervention could all be conducted via the remote transfer of a smartphone photograph, thus eliminating patient travel costs, reducing clinic load, and increasing the availability of care. Long-term follow-up of patients could also be more consistent, as the barriers to follow-up are dramatically diminished. Gajdosik RL, Bohannon RW. Clinical measurement of range of motion: review of goniometry emphasizing reliability and validity. Physical therapy. 1987 Dec 1;67(12):1867-72. Record measurements correctly (both active and passive range of motion should be measured and recorded respectively). [1] Engstrand C, Krevers B, Kvist J: Interrater reliability in finger joint goniometer measurement in Dupuytren’s disease. Am J Occup Ther. 2012, 66: 98-103. 10.5014/ajot.2012.001925. Milanese S et al. Reliability and concurrent validity of knee angle measurement: Smart phone app versus universal goniometer used by experienced and novice clinicians. Manual Therapy, 2014; 5: 1–6.Bruton A, Conway JH, Holgate ST: Reliability: What is it and how is it measured?. Physiotherapy. 2000, 86: 94-99. 10.1016/S0031-9406(05)61211-4.