Validity and Reliability of Smartphone Application in Measuring Knee Range of Motion in Patients with Patellofemoral Pain Syndrome

Labib Mousa Ghali, Enas Fawzy Youssef, Ahmad Hamdi Azzam, Samah Saad Zahran

Labib Mousa Ghali, Enas Fawzy Youssef, Ahmad Hamdi Azzam, Samah Saad Zahran – Validity and Reliability of Smartphone Application in Measuring Knee Range of Motion in Patients with Patellofemoral Pain Syndrome. Fizjoterapia Polska 2020; 20(5); 144-149

Abstract

Background. Limitation in knee range of motion (ROM) is frequently compromised in patients with patellofemoral pain syndrome (PFPS). Smartphones have become the most widely used device and begun to enter the field of musculoskeletal evaluation. Objective. to investigate the concurrent validity and reliability of the smartphone “Goniometer Records” application in assessing knee ROM in patients with PFPS. Methods. thirty-six PFPS patients (age: 22.82 ± 1.76 years, male:28, female:8) were participated. Knee ROM was measured simultaneously by the smartphone “Goniometer Records” application and by the bubble inclinometer. These measurements were repeated by the same experienced examiner on the same day to measure intra-rater reliability, and by another experienced examiner on the same day to measure inter-rater reliability and after one-week to measure test-retest reliability Results. There was a strong positive correlation to confirm concurrent validity between the smartphone application and the bubble inclinometer (r = 0.97-0.98; p = 0.0001. Intra-rater, inter-rater and test-retest reliabilities of smartphone application suggested excellent reliability for knee flexion and extension (ICC = 0.988-0.997), (ICC = 0.985-0.994), (ICC = 0.984-0.994) respectively. Conclusion. Smartphone application is a valid and reliable alternative for bubble inclinometer in measuring active knee ROM in patients with PFPS.

Key words:
reliability, validity, ROM, patellofemoral pain syndrome, smartphone
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ffect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran

Mohamed Serag Eldein Mahgoub, Wagdy William Amin, Samah Saad Zahran – Effect of locomotor training with a robotic-gait orthosis (lokomat) In Spasticity Modulation of Spastic Hemiplegic Children: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 94-101

Abstract
Background. Studying of robotic-assisted locomotor training (lokomat) in spasticity modulation on cerebral palsied hemiplegic children is a strategy for determining its efficacy in reducing spasticity.
Objective. To investigate the efficacy of robotic-assisted locomotor training (lokomat) in spasticity modulation. Methods. Thirty spastic hemiplegic cerebral palsied children of both genders ranged in age from 7 to 14 years contributed in this study, they were being randomly selected from comprehensive rehabilitation center and assigned into two equal groups (15 children each). Control group (A) underwent traditional exercise treatment, while Study group (B) underwent lokomat gait training in addition to traditional exercise program. Lokomat training was performed 3 days/week for 4 weeks with up to 45 minutes of training per session. The 3-D kinematics gait analysis was carried out before and after intervention and used as an indicator for improvement and reduction of spasticity.
Results. there was a statistically significant improvement in the study group in comparison to control group. Conclusion. Lokomat gait training is an effective additional tool for physical therapy program in treatment of hemiparetic C.P. children as it plays an important role in decreasing spasticity and improving patient gait pattern.

Key words:
cerebral palsy, spasticity, 3-D measurement, Lokomat gait training

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