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Titre : | Intrarater Agreement of Elbow Extension Range of Motion in the Upper Limb Neurodynamic Test 1 Using a Smartphone Application (2016) |
Auteurs : | Joana Cruz ; Nuno Morais |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/11, 2016) |
Article en page(s) : | pp. 18801886 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation |
Mots-clés: | Observer variation ; Biais de l'observateur ; Pain threshold ; Seuil nociceptif ; Peripheral nerves ; Nerfs périphériques |
Résumé : |
Objective To estimate the intrarater agreement of the Compass application of a smartphone in the assessment of elbow extension range of motion (EE-ROM) at pain onset and maximum tolerable point during the Upper Limb Neurodynamic Test 1 (ULNT1). Design Within-day intrarater agreement study. Setting Private and university clinical settings. Participants Volunteers (N=41; 21 men; age, 31.34+13.27y; height, 1.67+0.07m; body mass, 70.53+12.37kg) recruited from the community, with no symptoms or musculoskeletal abnormalities in their upper body quadrant and no regional or systemic nerve dysfunction. Interventions Not applicable. Main Outcome Measures Ninety-five percent limits of agreement (LOA), standard error of the measurement, and minimal detectable change at the 95% confidence level (MDC95) of EE-ROM at pain onset and maximum tolerable point during the ULNT1. Results Standard error of the measurement and MDC95 were relatively high on both sides when considering the onset of pain (standard error of the measurement, 6.6°6.8°; MDC95, 18.4°18.8°). Better results were found for the maximum tolerable point (standard error of the measurement, 4.2°4.8°; MDC95, 11.7°13.2°). The 95% LOA showed a similar trend. Conclusions Smartphone measurements showed relatively wide agreement parameters of elbow extension during the ULNT1. These results are, nevertheless, comparable with previous studies using goniometric assessment when considering maximal pain tolerance. Further research is needed before the possible widespread use of the smartphone in neurodynamic assessment. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316301502 |