Hip extension with knee extension and the hamstring shift test have the lowest inter-rater reliability 7, 8. Assessments involving ankle dorsiflexion 5, 6, 10, 12, dorsiflexion with knee flexion 11 and hip external rotation 10 present the highest reliability with good to excellent ranges across inter-rater, test-retest and intra-rater reliability. Reliability depends on the joint or movement being measured
There were no studies located evaluating the psychometric properties of the active ROM assessment for people with cerebral palsy. Interrater reliability – ranges from poor to excellent (intra-class correlation coefficient (ICC) 0.198-0.929) 5, 6, 7, 8, 9 Test retest reliability - ranges from fair to excellent (ICC 0.55-0.97) 5, 6, 9, 10, 11 Intra-rater reliability – ranges from poor to excellent (ICC 0.198-0.954) 8, 10, 11, 12, 13 Reduced range of motion can lead to secondary problems such as strain and discomfort, contractures, and hip displacement and dislocation 4.It allows us to move freely and efficiently and is an important part of completing everyday activities Having adequate muscle and joint movement is important for all people, including people with cerebral palsy.Other tools used to measure range of motion can include computerised goniometry, smartphone applications, X-rays and photographs 4. The resulting angle is most commonly measured with a handheld device called a goniometer. Active range of motion (AROM) may also be measured by asking a client or person with cerebral palsy to move their own limbs. The therapist will usually measure passive range of motion (PROM), where the therapist moves the limb, without assistance from the client, to identify the maximum possible movement around a joint.
The only cost involved in conducting a ROM assessment is purchase of the goniometers or other equipment to measure joint angles. Occupational therapists and physiotherapists typically conduct ROM assessments as part of a routine assessment.
#Limited range of motion professional
The assessment should be conducted by a qualified health professional with experience carrying out ROM assessments. Find a Centre | NDIS Provider & Services.Join Our Collaborative International Network.
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