Article

OBJECTIVE: To estimate the intrarater agreement of the Compass application of a
smartphone in the assessment of elbow extension range of motion (EE-ROM) at pain
onset and maximum tolerable point during the Upper Limb Neurodynamic Test 1
(ULNT1). DESIGN: Within-day intrarater agreement study. SETTING: Private and
university clinical settings. PARTICIPANTS: Volunteers (N=41; 21 men; age,
31.34+/-13.27y; height, 1.67+/-0.07m; body mass, 70.53+/-12.37kg) recruited from
the community, with no symptoms or musculoskeletal abnormalities in their upper
body quadrant and no regional or systemic nerve dysfunction. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Ninety-five percent limits of agreement (LOA),
standard error of the measurement, and minimal detectable change at the 95%
confidence level (MDC95) of EE-ROM at pain onset and maximum tolerable point
during the ULNT1. RESULTS: Standard error of the measurement and MDC95 were
relatively high on both sides when considering the onset of pain (standard error
of the measurement, 6.6 degrees -6.8 degrees ; MDC95, 18.4 degrees -18.8 degrees
). Better results were found for the maximum tolerable point (standard error of
the measurement, 4.2 degrees -4.8 degrees ; MDC95, 11.7 degrees -13.2 degrees ).
The 95% LOA showed a similar trend. CONCLUSIONS: Smartphone measurements showed
relatively wide agreement parameters of elbow extension during the ULNT1. These
results are, nevertheless, comparable with previous studies using goniometric
assessment when considering maximal pain tolerance. Further research is needed
before the possible widespread use of the smartphone in neurodynamic assessment.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS