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Variation in results of volume measurements of stumps of lower-limb amputees : a comparison of 4 methods

DE BOER WILZING VG; BOLT A; GEERTZEN JH; EMMELOT CH; BAARS EC; DIJKSTRA PU
ARCH PHYS MED REHABIL , 2011, vol. 92, n° 6, p. 941-946
Doc n°: 153268
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2011.01.007
Descripteurs : EB3 - AMPUTATION DU MEMBRE INFERIEUR
Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To analyze the reliability of 4 methods (water immersion,
computer-aided design [CAD] photometric method, CAD hand scanner, and
circumferential measurements) for stump volume measurement in transtibial
amputees. DESIGN: Repeated measurements. SETTING: General community, ambulatory
care. PARTICIPANTS: Transtibial amputees (N=26; mean age +/- SD, 58.7+/-11.0y).
INTERVENTIONS: Stump volume of patients with an amputation was measured on 2
occasions, each consisting of 2 sessions. In each session, stump volume was
measured by 2 observers using each of the 4 methods. Sequence of observers and
measurement methods was determined randomly. MAIN OUTCOME MEASURE: Repeatability
coefficients, as a measure for reliability, for each method were calculated, as
well as variance components to estimate the influence of measurement conditions
on stump volumes measured. RESULTS: Repeatability coefficients varied from 129mL
CAD hand scanner to 158mL CAD photometric method. Error variance contributed 12%
to the total variance. Methods contributed 36%, method-amputee and
occasion-amputee interactions contributed both 25% to the error variance.
CONCLUSIONS: Repeatability coefficient was lowest for the CAD hand scanner, which
indicates the best reliability. Substantial differences existed in stump volumes
measured between the 4 methods.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.
Moignon

Langue : ANGLAIS

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