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Dr. Rothstein is Instructor, Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63110 (USA). He is also a consultant physical therapist at the Irene Walter Johnson Institute for Rehabilitation, Washington University Medical Center, St. Louis, MO 63110.
Mr. Miller is Staff Physical Therapist, Professional Physical Therapy, Inc, Creve Coeur, MO 63141 and Research Assistant, Program in Physical Therapy. At the time of this study, he was Staff Physical Therapist, Jewish Hospital of St. Louis, Washington University Medical Center.
Mr. Roettger is Instructor, Program in Physical Therapy, Washington University School of Medicine and Director of Physical Therapy, Jewish Hospital of St. Louis.
Reliability of goniometric measurements has been examined only under standardized conditions and usually with healthy subjects. The purpose of this study was to assess goniometric reliability in a clinical setting. The reliability of goniometric measurements of passive elbow and knee positions was assessed using patients as subjects. The effect of using the means of repeated measurements and the interdevice reliability of three common goniometers were also examined. Results showed that intratester reliability for flexion and extension of the knee and the elbow joints was high (r = .91 to .99). Intertester reliability was also high (r = .88 to .97) for these measurements except for measurements of knee extension (r = .63 to .70). Although previous investigators have suggested that using the means of multiple measurements improves reliability, our data indicate that this procedure never improves the correlation coefficient more than .12. The reliability was similar for all three devices. The results of this study indicate that for the knee and elbow joints, goniometric measurements performed in a clinical setting can be highly reliable. The method described in this study provides a simple protocol that can be used clinically to investigate goniometric reliability.
Key Words: Elbow joint • Goniometric measurement • Knee joint • Physical therapy
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