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Wrist Goniometric Measurements

To the Editor:

LaStayo and Wheeler¹ are to be commended for their investigation on goniometric measurements at the wrist. Clearly, their work provides evidence for using a specific approach—dorsal and volar placements of the goniometer—for measuring wrist flexion and extension. Such work is the cornerstone of evidence-based practice. After reading their article, however, I have several questions concerning the analysis. Specifically, the questions focus on the types of intraclass correlation coefficient (ICC) chosen by the authors and their interpretation of the work of Shrout and Fleiss.² My choices would have been to use the type (1,1) ICC for the intertherapist design and the type (2,1) for the intratherapist design (test-retest design), as the variation can be due to either the therapist or the patient, or more likely the combination of the two....

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Related Article

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]