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PHYS THER
Vol. 74, No. 2, February 1994, pp. 174-175
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Invited Commentary

Kenneth R Flowers

KR Flowers, PT, CHT, Valley Forge Hand Rehabilitation Service, Phoenixville Hospital, 140 Nutt Rd, PO Box 809, Phoenixville, PA 19460-0809

This excerpt was created in the absence of an abstract.

The authors' work on reliability of passive-range-of-motion (PROM) goniometry of wrist flexion and extension is in the spirit of Peacock's observation that "the greatest advance in hand therapy in the last few decades and certainly one of the greatest contributions to care of patients has been the introduction of the science of measurement...it is the only way we can know accurately what is being accomplished."1 The need for accuracy in measurement is critical to clinical decision making, especially when it comes to PROM readings in relation to evaluating the appropriateness of stress delivery to the stiff joint.2 If changes in goniometric findings from visit to visit are to trigger an increase or a decrease in the stress dosage, we must have confidence in the accuracy of the reading. Therefore, reliability is neither a casual nor an esoteric issue.


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Related Articles

Reliability of Passive Wrist Flexion and Extension Goniometric Measurements: A Multicenter Study
Paul C LaStayo and Donna L Wheeler
Physical Therapy 1994 74: 162-174. [Abstract] [PDF]

Author Response
Paul C LaStayo and Donna L Wheeler
Physical Therapy 1994 74: 175-176. [Abstract] [PDF]





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Copyright © 1994 by the American Physical Therapy Association.