Confiabilidad test-retest de goniometría estándar y G-pro smartphone en el movimiento flexo-extensión del hombro / Test-retest reliability of standard goniometry and the G-pro smartphone in shoulder flexion-extension

Antecedentes y objetivos En la actualidad la falta de herramientas para el fisioterapeuta y la calidad que se le da al momento de evaluar no permite hacer un buen diagnóstico. La evaluación precisa del rango articular conforma una tarea esencial en la labor diaria de los fisioterapeutas, para poder valorar correctamente la progresión del tratamiento. En esta investigación nos planteamos analizar la fiabilidad y la seguridad de una aplicación G-Pro smart bajo el sistema Android, para evaluar sus características y observar su utilidad como goniómetro en la clínica para medir los ángulos articulares. Materiales y métodos Se empleó el goniómetro estándar por un tecnólogo médico en terapia física y rehabilitación y la aplicación G-pro smartphone para medir de manera pasiva y bilateral la flexión y rotación de hombro, y la flexión de codo de 30 sujetos que toleraran la bipedestación. Resultados Existe una confiabilidad de buena a excelente (r=0,998 a 0,896; p<0,01), utilizando la aplicación G-pro smartphone, mientras que con el goniómetro universal esta confiabilidad es de aceptable a cuestionable (r=0,757 a 0,609) en el movimiento activo de flexo-extensión del hombro. Conclusiones Los resultados obtenidos en este estudio nos muestran que estos dispositivos aplicativos a través de un smartphone suponen un recurso adicional para evaluar los rangos de movilidad articular. Gracias al avance tecnológico podemos mejorar, innovar y objetivar el resultado de valoración articular para que este sea preciso, y por lo tanto los tratamientos brindados sean adecuados y diferenciados para cada paciente. Esta herramienta es de bajo costo y está al alcance del personal de salud, fácil de utilizar, dado que cuenta con un inclinómetro que es confiable tanto visual como valorativo (AU)

Background and objective Currently, the lack of tools for physiotherapists, and the quality of these tools when physiotherapists assess patients does not allow a good diagnosis. Accurate joint range evaluation is an essential task in the daily work of physiotherapists in order to correctly assess treatment progress. In this study, we examined the reliability and safety of an Android system application called G-Pro to evaluate its characteristics and observe its usefulness as a goniometer to measure joint angles in a clinic. Material and methods The standard goniometer and G-pro smartphone with the application were used to passively and bilaterally measure shoulder flexion and rotation and elbow flexion in 30 participants able to tolerate standing. Results The G-pro smartphone application showed good to excellent reliability (r=0.998 to 0.896, P<.01), while the universal goniometer showed acceptable to questionable reliability (r=0.757 to 0.609) in active shoulder flexion-extension movement. Conclusions The results obtained in this study show that these devices represent an additional resource to assess joint mobility ranges. Due to technological progress, we can improve, innovate, and demonstrate the results of joint assessments to ensure their accuracy. This, in turn, ensures that the treatment provided is appropriate and specific to each patient. This tool is low cost and is accessible for health care professionals; moreover, it is easy to use since it has an incliniometer that is reliable both visually and evaluatively (AU)

[Test-retest reliability of standard goniometry and the G-pro smartphone in shoulder flexion-extension]. / Confiabilidad test-retest de goniometría estándar y G-pro smartphone en el movimiento flexo-extensión del hombro.

BACKGROUND AND OBJECTIVE: Currently, the lack of tools for physiotherapists, and the quality of these tools when physiotherapists assess patients does not allow a good diagnosis. Accurate joint range evaluation is an essential task in the daily work of physiotherapists in order to correctly assess treatment progress. In this study, we examined the reliability and safety of an Android system application called G-Pro to evaluate its characteristics and observe its usefulness as a goniometer to measure joint angles in a clinic. MATERIAL AND METHODS: The standard goniometer and G-pro smartphone with the application were used to passively and bilaterally measure shoulder flexion and rotation and elbow flexion in 30 participants able to tolerate standing. RESULTS: The G-pro smartphone application showed good to excellent reliability (r=0.998 to 0.896, P<.01), while the universal goniometer showed acceptable to questionable reliability (r=0.757 to 0.609) in active shoulder flexion-extension movement. CONCLUSIONS: The results obtained in this study show that these devices represent an additional resource to assess joint mobility ranges. Due to technological progress, we can improve, innovate, and demonstrate the results of joint assessments to ensure their accuracy. This, in turn, ensures that the treatment provided is appropriate and specific to each patient. This tool is low cost and is accessible for health care professionals; moreover, it is easy to use since it has an incliniometer that is reliable both visually and evaluatively.