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A Digital Photographic Technique for Knee Range of Motion Measurement: Performance in a Total Knee Arthroplasty Clinical Population

机译:膝关节活动度测量的数字摄影技术:在全膝关节置换临床人群中的表现

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Background: Knee range of motion is an essential outcome measure following total knee arthroplasty and it is important to measure this outcome with a simple and accurate tool. Measurement from digital photographs could provide a superior clinical alternative to the common goniometer as devices for capturing digital photographs are becoming more accessible, measurement accuracy is assisted with the associated software and images can be saved and stored for later reference. This ability to store images with measurements could be particularly useful in research involving knee range of motion. This study evaluated the validity and reliability of a simple photographic measurement technique to measure knee flexion and extension of patients following knee arthroplasty.Methods: Knee flexion and extension of 38 subjects who had undergone total knee arthroplasty were assessed at the one year post-operative review with the digital technique and a universal goniometer as the criterion reference. Digital measurements were repeated one month later by the first assessor (intra-tester reliability) and another independent assessor (inter-tester reliability).Results: Validity: the digital technique was found to have a high level of agreement with the universal goniometer measurements (all MAD sion with almost perfect Intra-Class Correlations (Intra-tester; flexion 0.99, extension 0.96; inter-tester; flexion 0.97, extension 0.93).Conclusion: Measurement of knee range of motion from digital photographs can be used in routine clinical total knee arthroplasty follow-up instead of, or interchangeably with the universal goniometer.
机译:背景:膝关节活动范围是全膝关节置换术后必不可少的结局指标,因此使用简单而准确的工具来衡量结局指标非常重要。随着用于捕获数字照片的设备变得越来越容易使用,从数字照片进行的测量可以提供比普通测角仪更好的临床选择,借助相关的软件可以帮助提高测量精度,并且可以保存和存储图像以供以后参考。这种具有测量结果的图像存储功能在涉及膝盖运动范围的研究中可能特别有用。这项研究评估了一种简单的摄影测量技术来测量膝关节置换术后患者的膝关节屈伸的有效性和可靠性。方法:在术后一年的回顾性评估中对38名接受了全膝关节置换术的受试者的膝关节屈伸进行了评估。以数字技术和通用测角仪作为标准参考。一个月后,第一位评估者(测试者内部可靠性)和另一位独立评估者(测试者内部可靠性)重复进行数字测量。结果:有效性:数字技术与通用测角仪测量具有高度的一致性(所有MAD sion都具有几乎完美的类内相关性(内部测试器;屈曲度0.99,扩展度0.96;内部测试者;屈曲度0.97,扩展度0.93)结论:从数字照片中测量膝盖的运动范围可用于常规临床总膝关节置换术的替代或替代与通用的测角仪。

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