Accuracy of knee range of motion assessment after total knee arthroplasty

The Journal of Arthroplasty
Carlos LaverniaDavid Lee

Abstract

Measurement of knee joint range of motion (ROM) is important to assess after total knee arthroplasty. Our objective was to determine level of agreement and accuracy between observers with different knowledge on total ROM after total knee arthroplasty. Forty-one patients underwent x-ray of active and passive knee ROM (gold standard). Five different raters evaluated observed and measured ROM: orthopedic surgeon, clinical fellow, physician assistant, research fellow, and a physical therapist. A 1-way analysis of variance was used to determine differences in ROM between raters over both conditions. Limit of agreement for each rater for both active and passive total ROM under both conditions was calculated. Analysis of variance indicated a difference between raters for all conditions (range, P = .004 to P < or =.0001). The trend for all raters was to overestimate ROM at higher ranges. Assessment of ROM through direct observation without a goniometer provides inaccurate findings.

References

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Citations

Oct 5, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Bum-Sik LeeSeong-Il Bin
Apr 19, 2011·BMC Musculoskeletal Disorders·Justine M NaylorRajat Mittal
Feb 1, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shigetoshi OkamotoYukihide Iwamoto
Aug 21, 2013·The Journal of Arthroplasty·Jean-Yves Jenny
Feb 1, 2017·IEEE Transactions on Neural Systems and Rehabilitation Engineering : a Publication of the IEEE Engineering in Medicine and Biology Society·Vladimir JoukovDana Kulic
Sep 2, 2016·Clinics in Orthopedic Surgery·Kevin KooSeng Jin Yeo
Feb 16, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jean-Yves JennyYann Diesinger
Sep 13, 2012·Clinical Orthopaedics and Related Research·Harpreet S BawaVictor M Goldberg
Jul 11, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Michael J DanWilliam R Walsh
Sep 9, 2017·Journal of Experimental Orthopaedics·Russell R RussoPatrick C McCulloch
Jul 12, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Robert Karl ZahnHagen Hommel
Feb 26, 2019·Journal of Orthopaedic Surgery·Yoshio MatsuiFumiaki Inori
Aug 6, 2020·Journal of Clinical Medicine·Vivien ReynaudEmmanuel Coudeyre
Aug 29, 2018·Journal of Back and Musculoskeletal Rehabilitation·Crystal A RosserCormac G Ryan
Jan 12, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jean-Yves JennyHenri Favreau
Jun 7, 2019·The Journal of Bone and Joint Surgery. American Volume·Shao-Min ShiJames T Ninomiya

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