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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >The reliability and measurement error of protractor-based goniometry of the fingers: A systematic review
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The reliability and measurement error of protractor-based goniometry of the fingers: A systematic review

机译：手指的Promractor的焦管测量的可靠性和测量误差：系统评价

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Abstract Study Design Systematic review Purpose of the Study The purpose was to review the available literature for evidence on the reliability and measurement error of protractor-based goniometry assessment of the finger joints. Methods Databases were searched for articles with key words “hand,” “goniometry,” “reliability,” and derivatives of these terms. Assessment of the methodological quality was carried out using the Consensus-Based Standards for the Selection of Health Measurement Instruments checklist. Two independent reviewers performed a best evidence synthesis based on criteria proposed by Terwee et?al (2007). Results Fifteen articles were included. One article was of fair methodological quality, and 14 articles were of poor methodological quality. An acceptable level for reliability (intraclass correlation coefficient > 0.70 or Pearson's correlation > 0.80) was reported in 1 study of fair methodological quality and in 8 articles of low methodological quality. Because the minimal important change was not calculated in the articles, there was an unknown level of evidence for the measurement error. Discussion Further research with adequate sample sizes should focus on reference outcomes for different patient groups. For valid therapy evaluation, it is important to know if the change in range of motion reflects a real change of the patient or if this is due to the measurement error of the goniometer. Until now, there is insufficient evidence to establish this cut-off point (the smallest detectable change). Conclusion Following the Consensus-Based Standards for the Selection of Health Measurement Instruments criteria, there was limited level of evidence for an acceptable reliability in the dorsal measurement method and unknown level of evidence for the measurement error. Level of Evidence 2a
机译：摘要研究设计系统审查目的目的是审查可用文献，了解了对手指关节的主要焦管测量评估的可靠性和测量误差的证据。方法搜索数据库，用于带有关键词“手”“焦管测量”，“可靠性”和这些术语的衍生物的文章。使用基于共识的标准来选择健康测量仪器清单来进行方法质量评估。两个独立的审稿人根据Terwee et？al（2007）提出的标准进行了最佳证据综合。结果包括十五篇文章。一篇文章是公平的方法论质量，14篇文章具有较差的方法质量。在公平的方法论质量和8种低方法质量的8篇文章中，报告了可接受性的可靠性（颅内相关系数> 0.70或Pearson相关> 0.80）。由于在文章中未计算最小的重要变化，因此测量误差存在未知的证据水平。讨论具有足够样品尺寸的进一步研究应关注不同患者组的参考结果。对于有效的治疗评估，重要的是要知道运动范围的变化是否反映了患者的真正变化，或者如果这是由于测射计的测量误差。到目前为止，没有足够的证据来建立这种截止点（最小的可检测变化）。结论遵循基于共识的健康测量仪器标准的标准，有限的证据级别是背部测量方法的可接受可靠性以及测量误差的未知证据水平。证据级别2a

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