Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 July 2007

Reliability of goniometric measurements in children with spastic cerebral palsy

Akmer Mutlu, Ayse Livanelioglu, Mintaze Kerem Gunel

Med Sci Monit 2007; 13(7): CR323-329 :: ID: 487390


A prospective, cross-sectional, observational study was designed to determine the reliability of goniometric measurements in children with spastic diplegic cerebral palsy (CP).
The study included 38 children with spastic diplegic CP. Passive range of motion (PROM) of hip extension, abduction, and external rotation, hip flexion with knee extended, and ankle dorsi flexion was measured using universal goniometry. Each child was assessed by three physical therapists once in each session on two different sessions a week apart. Intra-test reliability was determined by paired comparison of measurements for each therapist across the two assessments. Inter-test reliability was determined by paired comparisons of the three therapists’ measurements on the same session. The interclass correlation coefficient (ICC) was calculated for intra- and inter-test reliability.
The mean absolute differences for all measures between sessions ranged from 0.10–4.86 degrees for the three physical therapists. There was no statistical significance in the mean differences between the physical therapists in all measurements (p>0.05) except for hip flexion with the knee extended (p<0.05). Inter-test reliability was high (p<0.01). The highest ICC value was 0.95 for hip extension and the lowest was 0.61 for hip abduction. Although the intra-testing reliability scores were high for all the physiotherapists, the most experienced physiotherapists’ results were higher compared with the others.
Conclusions: The results from this study encourage the use of goniometric measurements in assessing children with spastic diplegic CP.

Keywords: Research Design, Reproducibility of Results, Range of Motion, Articular, Prospective Studies, Physical Therapy Modalities, Physical Examination - methods, Observer Variation, Models, Statistical, Child, Cross-Sectional Studies, Child, Preschool, Arthrometry, Articular - methods, Cerebral Palsy - pathology

Add Comment 0 Comments

786 80


01 May 2023 : Editorial  

Editorial: Twenty Years On from Sequencing the Human Genome, Personalized/Precision Oncology Prepares to Meet the Challenges of Checkpoint Inhibitor Therapy

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.940911

Med Sci Monit 2023; 29:e940911

In Press

25 May 2023 : Database Analysis  

COVID-19 Crisis And The Study Of The Incidence Of Alcohol-related Deaths In Poland

Med Sci Monit In Press; DOI: 10.12659/MSM.940904  

25 May 2023 : Review article  

A Review of Preclinical and Clinical Studies in Support of the Role of Non-Steroidal Anti-Inflammatory Drug...

Med Sci Monit In Press; DOI: 10.12659/MSM.940635  

25 May 2023 : Clinical Research  

Periapical Lesions and Missed Canals in Endodontically Treated Teeth: A Cone-Beam Computed Tomographic Stud...

Med Sci Monit In Press; DOI: 10.12659/MSM.940533  

23 May 2023 : Database Analysis  

Association Between Alcohol Consumption and Cardiovascular Risk Based on Data from the Three Generations fo...

Med Sci Monit In Press; DOI: 10.12659/MSM.940327  

Most Viewed Current Articles

13 Nov 2021 : Clinical Research  

Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...

DOI :10.12659/MSM.932788

Med Sci Monit 2021; 27:e932788

30 Dec 2021 : Clinical Research  

Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...

DOI :10.12659/MSM.935379

Med Sci Monit 2021; 27:e935379

08 Mar 2022 : Review article  

A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...

DOI :10.12659/MSM.936292

Med Sci Monit 2022; 28:e936292

01 Jan 2022 : Editorial  

Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...

DOI :10.12659/MSM.935952

Med Sci Monit 2022; 28:e935952

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750