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Inter-and intra-rater analysis of hemiparetic shoulder abduction using PhysioPlay™

Daiane Marques Ferreira, Leonardo César Carvalho, Carolina Kosour, Adriana Teresa Silva Santos, Lucas Fechio Marin, Gabriela Xavier Santos, Paulo Alexandre Bressan, Luciana Maria dos Reis
2019 Acta Fisiátrica  
Changes in balance are observed in some hemiparetics following a stroke, generating significant physical, social, and economic impacts; thus, an assessment was developed to facilitate treatment plans for patients. Goniometry is currently used as an evaluation tool for range of motion (ROM); however, the development of exergames has brought a new perspective to the assessment, which uses a dynamic mechanism and has little subjectivity. Objective: This study evaluates the inter-and intra-rater
more » ... -and intra-rater reliability of ROM measurement of the shoulder abduction in post-stroke patients using the exergame PhysioPlay™. Method: Thirteen volunteer chronic stroke survivors, aged 58.23 ± 9.96 years (men and women), participated in this study. Two physiotherapists evaluated the abduction of the shoulder using goniometry and the exergame PhysioPlay™. A retest was performed one week later. Clinical trial registry number – RBR-55smwr. Results: The results of the analyses using intraclass correlation coeficient (ICC) showed an excellent inter- and intra-rater reliability level (r > 0.90; p < .05). The Pearson correlation between the maximum measures obtained in the goniometry and the software PhysioPlay™ showed a high correlation (r > 0.90, p= .001). Conclusion: The Kinect associated with the exergame PhysioPlay™ presented excellent reliability in capturing the ROM measure compared to the conventional goniometry.
doi:10.11606/issn.2317-0190.v26i3a166375 fatcat:l6tmkz3mrrccrntuzmwqt4m4bu