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J Pediatr Orthop B ; 13(1): 1-8, 2004 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-15091251

RESUMEN

The assessment of ambulant children with spastic cerebral palsy frequently includes an evaluation in the motion analysis laboratory, consisting of a standardized physical examination and instrumented gait analysis. We therefore designed a repeatability study to evaluate observer agreement of five joint range of motion parameters, in 20 patients with cerebral palsy aged 5-25 years. These five parameters are some of the most important measurements made during the static examination in the gait laboratory. Intra-observer agreement was high (concordance correlation coefficient range, 0.67 -0.96), and using Bland and Altman analysis it was clinically acceptable with 95% limits of agreement of all parameters close to within +/- 10degrees. The level of inter-observer agreement was less satisfactory, particularly in hip flexion deformity.


Asunto(s)
Artrometría Articular/métodos , Parálisis Cerebral/fisiopatología , Marcha/fisiología , Articulaciones/fisiopatología , Adolescente , Adulto , Artrometría Articular/instrumentación , Niño , Preescolar , Humanos , Músculo Esquelético/patología , Músculo Esquelético/fisiopatología , Variaciones Dependientes del Observador , Rango del Movimiento Articular/fisiología , Reproducibilidad de los Resultados
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