Validity and reliability of the GYKO inertial sensor system for the assessment of the elbow range of motion.


Journal

The Journal of sports medicine and physical fitness
ISSN: 1827-1928
Titre abrégé: J Sports Med Phys Fitness
Pays: Italy
ID NLM: 0376337

Informations de publication

Date de publication:
Sep 2019
Historique:
entrez: 16 10 2019
pubmed: 16 10 2019
medline: 25 12 2019
Statut: ppublish

Résumé

The evaluation of joints range of motion (ROM) represents a fundamental step in the diagnosis of joint disorders. Assessors usually measure the ROM angle through a universal goniometer (UG). GYKO inertial system (Microgate, Bolzano, Italy) represent a noninvasive, easy-to-use, Inertial Measurement Unit (IMU) method for the measurement of the elbow ROM. The aim of this study was to validate the GYKO digital device comparing it with the gold standard UG in the measurement of elbow flexion-extension ROM in healthy subjects. Thirty healthy subjects (15 females, 15 males; mean age: 34 years, range 25-58 years) were enrolled. The elbow ROM of the dominant arm was measured with two methods, UG and GYKO. Active flexion-extension movement of the elbow was measured by two operators with UG (A1_UG; A2_UG) and with GYKO (A1_GYKO; A2_GYKO; B_GYKO). Intra-rater reliability, inter-rater reliability, and concurrent validity were analyzed by intraclass correlation coefficient (ICC) values. Bland-Altman plot was used to compare UG and GYKO. Both methods were very reliable (P<0.001). Intra-rater reliability showed strong correlation respectively for the UG (ICC=0.798) and for GYKO (ICC=0.859) while inter-rater reliability showed moderate correlation with UG (ICC=0.726) and strong correlation with GYKO (ICC=0.942). The concurrent validity, obtained by three comparisons (A1, A2 and B) showed moderate correlation (ICC: 0.576-0.776). The results of this study support the use of GYKO as useful as the UG for the assessment of the active flexion-extension ROM of the elbow.

Sections du résumé

BACKGROUND BACKGROUND
The evaluation of joints range of motion (ROM) represents a fundamental step in the diagnosis of joint disorders. Assessors usually measure the ROM angle through a universal goniometer (UG). GYKO inertial system (Microgate, Bolzano, Italy) represent a noninvasive, easy-to-use, Inertial Measurement Unit (IMU) method for the measurement of the elbow ROM. The aim of this study was to validate the GYKO digital device comparing it with the gold standard UG in the measurement of elbow flexion-extension ROM in healthy subjects.
METHODS METHODS
Thirty healthy subjects (15 females, 15 males; mean age: 34 years, range 25-58 years) were enrolled. The elbow ROM of the dominant arm was measured with two methods, UG and GYKO. Active flexion-extension movement of the elbow was measured by two operators with UG (A1_UG; A2_UG) and with GYKO (A1_GYKO; A2_GYKO; B_GYKO). Intra-rater reliability, inter-rater reliability, and concurrent validity were analyzed by intraclass correlation coefficient (ICC) values. Bland-Altman plot was used to compare UG and GYKO.
RESULTS RESULTS
Both methods were very reliable (P<0.001). Intra-rater reliability showed strong correlation respectively for the UG (ICC=0.798) and for GYKO (ICC=0.859) while inter-rater reliability showed moderate correlation with UG (ICC=0.726) and strong correlation with GYKO (ICC=0.942). The concurrent validity, obtained by three comparisons (A1, A2 and B) showed moderate correlation (ICC: 0.576-0.776).
CONCLUSIONS CONCLUSIONS
The results of this study support the use of GYKO as useful as the UG for the assessment of the active flexion-extension ROM of the elbow.

Identifiants

pubmed: 31610638
pii: S0022-4707.19.09331-9
doi: 10.23736/S0022-4707.19.09331-9
doi:

Types de publication

Comparative Study Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1466-1471

Auteurs

Adriano Santospagnuolo (A)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy.

Andrea A Bruno (AA)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy.

Andrea Pagnoni (A)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy.

Federico Martello (F)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy.

Flavia Santoboni (F)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy.
Sports Medicine Institute, Italian National Olympic Committee (CONI), Rome, Italy.

Fabrizio Perroni (F)

School of Sport and Exercise Sciences, eCampus University, Novedrate, Como, Italy.

Maria Chiara Vulpiani (MC)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy.
Sports Medicine Institute, Italian National Olympic Committee (CONI), Rome, Italy.

Mario Vetrano (M)

Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, Sapienza University, Rome, Italy - mariovetrano@gmail.com.

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