KFORCE Sens® electrogoniometer in the evaluation of wrist range of motion in patients with carpal tunnel syndrome: validity and reliability

Year 2024, Volume: 41 Issue: 3, 505 - 509, 30.09.2024

İsmail Ceylan , Şafak Kuzu , Mehmet Canlı , Anıl Özüdoğru , Halil Alkan , Figen Tuncay

Abstract

This study aimed to test the validity and reliability of the KFORCE Sens® (electrogoniometer) in carpal tunnel syndrome (CTS) patients. Thirty-one volunteers (aged 32-60 years) diagnosed with unilateral CTS were included in this study. Each of the two raters evaluated the participants' wrist range of motion (ROMs) (flexion, extension, radial deviation, and ulnar deviation) twice, for a total of four times, using an electrogoniometer. In addition, wrist ROMs were evaluated once with a universal goniometer. According to the study findings, both the inter-rater and test-retest reliability of the electrogoniometer device in all ROMs of the wrist were excellent (ICC>0.80). In addition, the ROM values of the electrogoniometer device and the ROM values of the universal goniometer in the same joint were highly correlated (r>0.80, p<0.05). The electrogoniometer is a valid, reliable, and practical device for evaluating wrist ROMs in patients with CTS.

Keywords

Range of motion, carpal tunnel syndrome, electrogoniometers, reliability, wrist

Ethical Statement

The ethics committee of this study was approved by Kırşehir Ahi Evran University Faculty of Medicine Clinical Research Ethics Committee (Number: 2022-22/194, Date: 06.12.2022).

References

• Keith MW, Masear V, Chung KC, Maupin K, Andary M, Amadio PC, et al. American academy of orthopaedic surgeons clinical practice guideline on: diagnosis of carpal tunnel syndrome. J Bone Joint Surg Am. 2009;91(10):2478.
• De SD, Vranceanu AM, Ring DC. Contribution of kinesophobia and catastrophic thinking to upper-extremity-specific disability. J Bone Joint Surg Am. 2013;95(1):76-81.
• Wilson J, Sevier T. A review of treatment for carpal tunnel syndrome. Disabil Rehabil. 2003;25(3):113-9.
• Yoshii Y, Zhao C, Henderson J, Zhao KD, Zobitz ME, An KN, et al. Effects of carpal tunnel release on the relative motion of tendon, nerve, and subsynovial connective tissue in a human cadaver model. Clin Biomech (Bristol, Avon). 2008;23(9):1121-7.
• Walker J, Sue D, Miles-Elkousy N, Ford G, Trevelyan H. Active mobility of the extremities in older subjects. Phys Ther. 1984;64(6):919-23.
• Kiran D, Carlson M, Medrano D, Smith DR. Correlation of three different knee joint position sense measures. Phys Ther Sport. 2010;11(3):81-5.
• Perriman DM, Scarvell JM, Hughes AR, Ashman B, Lueck CJ, Smith PN. Validation of the flexible electrogoniometer for measuring thoracic kyphosis. Spine (Phila Pa 1976). 2010;35(14).
• Reider B, Arcand MA, Diehl LH, Mroczek K, Abulencia A, Stroud CC, et al. Proprioception of the knee before and after anterior cruciate ligament reconstruction. Arthroscopy. 2003;19(1):2-12.
• Bronner S, Agraharasamakulam S, Ojofeitimi S. Reliability and validity of a new ankle electrogoniometer. J Med Eng Technol. 2010;34(5-6):350-5.
• Kim MC, Kim NJ, Lee MS, Moon SR. Validity and reliability of the knee joint proprioceptive sensory measurements using a smartphone. J Korean Soc Phys Med. 2015;10(4):15-23.
• McHugh BP, Morton AM, Akhbari B, Molino J, Crisco JJ. Accuracy of an electrogoniometer relative to optical motion tracking for quantifying wrist range of motion. J Med Eng Technol. 2020;44(2):49-54.
• Tekin F, Can-Akman T, Kitiş A. Evaluation of the validity and reliability of the KFORCE Sens® electrogoniometer in evaluation of wrist proprioception. Hand Surg Rehabil. 2022;41(2):183-8.
• Ceylan İ, Büyükturan Ö, Aykanat Ö, Büyükturan B, Şaş S, Ceylan MF. The effectiveness of mobilization with movement on patients with mild and moderate carpal tunnel syndrome: A single-blinded, randomized controlled study. J Hand Ther. 2023;36(4):773-85.
• Paker N, Alp M, Bardak AN, Buğdaycı D, Sabırlı F, Ersoy S. Evaluation of Wrist Range of Motion and Hand Grip Strength in Women with the Diagnosis of Carpal Tunnel Syndrome: A Controlled Study. J Phys Med Rehabil Sci. 2020;23(2).
• Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-91.
• Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016;15(2):155-63.
• Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126(5):1763-8.
• Portney LG, Watkins MP. Foundations of clinical research: applications to practice. Upper Saddle River, NJ: Pearson/Prentice Hall; 2009.
• Pilbeam C, Hood-Moore V. Test–retest reliability of wrist joint position sense in healthy adults in a clinical setting. Hand Ther. 2018;23(3):100-9.
• Tajali SB, MacDermid JC, Grewal R, Young C. Reliability and validity of electro-goniometric range of motion measurements in patients with hand and wrist limitations. Open Orthop J. 2016;10:190.
• Silva Camassuti PA, Marcolino AM, Tamanini G, Barbosa RI, Barbosa AM, de Cássia Registro Fonseca M. Inter-rater, intra-rater and inter-instrument reliability of an electrogoniometer to measure wrist range of motion. Hand Ther. 2015;20(1):3-10