Pediatric Physical Therapy

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Pediatric Physical Therapy:
Winter 2006 - Volume 18 - Issue 4 - pp 262-265
doi: 10.1097/01.pep.0000234960.88761.97
Research Report

Within-Session Inter-Rater Realiability of Goniometric Measures in Patients with Spastic Cerebral Palsy

McWhirk, Lauren Blair PT, DPT, PCS; Glanzman, Allan M. PT, DPT, PCS, APT

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Abstract

Purpose: The purpose of this study was to investigate whether appropriate inter-rater reliability of goniometric measurement could be achieved in children with cerebral palsy (CP) by a less-experienced and more-experienced therapist within the same session in a clinic setting.

Subjects: Twenty-five children with spastic CP underwent goniometric measurement of their right and/or left legs (46 legs).

Methods: Two pediatric physical therapists, with 10 and one year of experience measured five lower-extremity motions within the same session. Standard positioning, stabilization, and bony landmarks were reviewed before the study.

Results: Interclass correlation coefficients ranged from 0.582 (hip extension) to 0.929 (popliteal angle).

Conclusion: Our data are in agreement with the literature on the reliability of range of motion measurements in children with CP. As a result, we were able to show that inter-rater goniometric reliability can be established between a less-experienced and more-experienced therapist within the same session.

© 2006 Lippincott Williams & Wilkins, Inc.

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