Patellofemoral Alignment: Reliability

Autor: Arthur J. Nitz, Tomsich Da, Threlkeld Aj, Robert Shapiro
Rok vydání: 1996
Předmět:
Zdroj: Journal of Orthopaedic & Sports Physical Therapy. 23:200-208
ISSN: 1938-1344
0190-6011
DOI: 10.2519/jospt.1996.23.3.200
Popis: Clinical assessment of the patellofemoral alignment is frequently performed, yet the repeatability of these measurements has not been previously investigated. This study examined the reliability of measuring patellofemoral alignment. The Q angle, A angle, and patellar orientation (mediolateral tilt, mediolateral position, superoinferior tilt, and rotation) of 27 healthy subjects were measured over three trials using standardized positioning and operationally defined goniometric, pluri-cal caliper, and visual estimation measurement techniques. Intratester and intertester intraclass correlation coefficients of measurements obtained with the pluri-cal caliper and goniometer ranged from .52 to .86 and .003 to .61, respectively. Intratester and intertester standard errors of the instrumented measurements ranged from 1.6 to 3.5 degrees and 3.2 to 6.8 degrees (.28 and .55 cm for mediolateral position), respectively. Intratester kappa's of visually estimating patellar orientation ranged from .40 to .57. Intertester kappa's were between .03 and .30. The results suggest that both clinical estimation and instrumented measurement of patellofemoral alignment may be unreliable.
Databáze: OpenAIRE