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Table 3 Inter-rater reproducibility of hip range of motion (deg.) and muscle strength (N) for 2 orthopaedists and 2 chiropractors

From: Reproducibility of range of motion and muscle strength measurements in patients with hip osteoarthritis – an inter-rater study

Hip range of motion measured with a goniometer to the nearest 5 deg.

Ortho 1 (deg.) Mean (SD)

Ortho 2 (deg.) Mean (SD)

Mean difference (SD)

Percent agreement (%)*

LOA (deg.)

SEM†

ICC (95% CI)

Flexion (n = 48)

113 (18)

106 (14)

7 (10)‡

71

-12 – 26

8

0.73 (0.38 – 0.87)

Extension (n = 48)

6 (6)

4 (8)

2 (5)‡

79

-8 – 13

4

0.68 (0.46 – 0.81)

Abduction (n = 48)

29 (10)

26 (8)

3 (7)‡

67

-12 – 17

6

0.63 (0.41 – 0.76)

Adduction (n = 48)

17 (7)

17 (7)

0 (6)

77

-11 – 12

4

0.65 (0.45 – 0.79)

Internal rotation (n = 48)

4 (14)

12 (14)

-8 (10)‡

42

-28 – 12

9

0.63 (0.17 – 0.82)

External rotation (n = 48)

28 (11)

33 (7)

-4 (9)‡

69

-21 – 13

6

0.53 (0.26 – 0.72)

Hip muscle strength measured with a dynamometer in Newton (N)

Strength (N)

Strength (N)

  

(N)

  

Abduction (n = 48)

213 (65)

212 (67)

0 (37)

 

-72 – 72

26

0.85 (0.74 – 0.91)

Flexion (n = 48)

167 (42)

185 (50)

-21 (41)‡

 

-101 – 59

32

0.55 (0.28 – 0.73)

Internal rotation (n = 48)

151 (38)

146 (36)

5 (36)

 

-66 – 76

26

0.52 (0.29 – 0.70)

External rotation (n = 48)

123 (34)

132 (39)

-9 (28)‡

 

-65 – 47

21

0.68 (0.49 – 0.81)

Hip range of motion measured with a goniometer to the nearest 5 deg.

Chiro 1 (deg.) Mean (SD)

Chiro 2 (deg.)

Mean (SD)

Mean difference (SD)

Percent agreement (%)*

LOA (deg.)

SEM†

ICC (95% CI)

Flexion (n = 61)

112 (13)

108 (15)

4 (9)‡

83

-14 – 21

7

0.79 (0.63 – 0.88)

Extension (n = 61)

9 (5)

14 (5)

-6 (5)‡

66

-16 – 5

5

0.33 (0.06 – 0.61)

Abduction (n = 61)

29 (9)

22 (9)

7 (8)‡

46

-8 – 23

8

0.45 (0.01 – 0.71)

Adduction (n = 61)

17 (7)

14 (5)

3 (8)‡

61

-13 – 19

6

0.14 (0.09 – 0.36)

Internal rotation (n = 61)

13 (10)

11 (16)

2 (14)

31

-25 – 30

10

0.44 (0.21 – 0.62)

External rotation (n = 61)

32 (9)

30 (12)

2 (11)

59

-19 – 23

8

0.48 (0.27 – 0.65)

Hip muscle strength measured with a dynamometer in Newton (N)

Strength (N)

Strength (N)

  

(N)

  

Abduction (n = 61)

141 (42)

186 (61)

-45 (51)‡

 

-146 – 55

48

0.38 (0.00 – 0.64)

Flexion (n = 61)

165 (50)

178 (65)

-11 (35)‡

 

-79 – 56

26

0.81 (0.69 – 0.88)

Internal rotation (n = 61)

142 (43)

190 (49)

-48 (34)‡

 

-115 – 19

42

0.48 (0.09 – 0.77)

External rotation (n = 61)

120 (34)

150 (48)

-30 (26)‡

 

-80 – 20

28

0.65 (0.00 – 0.82)

  1. deg., degrees; N, newton; SD, standard deviation; LOA, limits of agreement; SEM, standard error of the measurement; ICC, intraclass correlation coeffficient; CI, confidence interval.
  2. *Percent agreement. Difference ≤ 5o between examiners except for flexion ≤10o.
  3. †SEMagreement.
  4. ‡Statistically significant differences between means, p<0.05.