1-LaStayo, P. C., & Wheeler, D. L. (1994). Reliability of passive wrist flexion and goniometric extension measurements: a multicenter study. Physical Therapy, 74(2), 162-174.
Reliability of passive wrist flexion and goniometric extension measurements: a multicenter study
This study wants to determine the relationship between two different types of goniometric measurements. These are the measurements that physicians perform to the human arms when they have a problem. This study relates the wrist passive flexion and extension measurements where the physicians use volar/dorsal alignment, ulnar alignment, and radial alignment. The study wanted to determine if the measurements had any similarities or they were dissimilar in any way. It also intended to examine the technique among the three that the biggest intra-tester and inter-tester reliabilities. The article’s content has some relevance since it indicates the physicians’ need to handle the aged people and tests their wrists’ health and if they can stretch effectively.
The article focuses on people in the age bracket of 65 and above in the United States of America. They have a disadvantage in that they suffer from fractures on their wrists almost every year. This shows that there are dangers of getting distal fractures; thus, physicians should have this study and compare the two geometric measurements and know how to handle the situations. Thirty-two therapists from different clinical centers in the United States of America measured the passive flexion and extension of about 141 wrists. They paired the tested wrists and noticed that there were differences1. Six of these clinics showed these differences and confirmed that they found a stern difference in the goniometric techniques. When they tried to use standard error, they noticed that volar/dorsal alignment produced fewer errors than ulnar and radial alignment tests. Finally, they realized that the volar/dorsal technique was the most reliable since it differed from the others. Its uniqueness showed that it could work effectively in the required tests for the aged in the United States of America since it could give consistent results.
The conclusion that was made in the study indicates a weakness because there were significant differences among the goniometric techniques. The study made us understand that only one technique could give a perfect result in the tests. Therefore, we realize that the volar/dorsal approach has its strengths in delivering consistent results when physicians conduct a test. If they use the techniques interchangeably, their results will appear to be inconsistent for a long time. Therefore, it’s not essential to use the three techniques interchangeably and expect to get good results. They are not reliable and cannot give a strong result that physicians cannot rely on. Therefore, from the study, we learn that they should adopt one technique to use when conducting a wrist test. Clinicians have to take cautions while interpreting data from goniometric extension and flexion. The physicians kept the tests in book records; thus, they didn’t bias any results.
Many times, we notice that many people have these wrist problems that challenge them to the point that they can’t walk. The older people in America’s United States have the highest chances of contracting this problem, making them weak and unable to walk or hold things firmly with their hands1. The physicians who came up with this idea targeted to help these people remain healthy. Mostly, people over 65 years are susceptible to these problems and commonly face the challenge. In our opinion the article showed that regular testing was essential and could help the affected get help before the situations become mild. Besides that, affected people need to know how to solve the problem.
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