A New Flexometric Method to Evaluate Range of Movement: A Validity and Reliability Study
Source abstract
Abstract
Hip range of movement (ROM) impairments could affect individuals’ quality of life. The aim of this study is to describe a new flexometric method (FM) as a means to estimate hip ROM and to determine its concurrent validity and inter-rater and intra-rater reliability. Hip ROM was measured by performing the straight leg raise test (SLR) and hip abduction test (HA). The WIMU system is the gold standard. ROM was calculated in degrees using a trigonometric function based on values derived from measurements with a flexometer. The SLR and the HA showed high concurrent validity and good inter- and intra-rater reliability with an interclass correlation coefficient value that was at all times > 0.9. The minimal detectable change at the 90% confidence level for inter- and intra-rater reliability was equal to or greater than 5.7° in SLR-Right, 5.6° in SLR-Left, 5.1° in HA, 6.3° in SLR-Right, 4.9° in SLR-Left, and 5.4° in HA, respectively. This study suggests that the FM is a valid and reliable tool for assessing hip ROM. Due to its convenience and cost-effectiveness, this method could be widely used to measure the ROM of several joints in field-based tests.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Hip disorders and treatments · Sports injuries and prevention · Musculoskeletal pain and rehabilitation
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Institut Nacional d’Educació Física de Catalunya (INEFC), Department of Sports Performance, Universitat de Barcelona (UB), 08038 Barcelona, Spain
Research Group in Technology Applied to High Performance and Health, Department of Health Sciences, TecnoCampus, Universitat Pompeu Fabra (UPF), 08302 Barcelona, Spain
Sport Performance Area, FC Barcelona, 08028 Barcelona, Spain
References (59)
Show source-provided references
1. Acute Lower Extremity Running Kinematics after a Hamstring Stretch10.4085/1062-6050-47.1.5 ↗
2. The Relationship between Hamstring Muscle Extensibility and Spinal Postures Varies with the Degree of Knee Extension10.1123/jab.29.6.678 ↗
3. Is Lower Hip Range of Motion a Risk Factor for Groin Pain in Athletes? A Systematic Review with Clinical Applications10.1136/bjsports-2016-096619 ↗
4. Evaluation of Intra-Subject Difference in Hamstring Flexibility in Patients with Low Back Pain: An Exploratory Study10.3233/BMR-140490 ↗
5. Analysis of Lumbar Spine and Hip Motion during Forward Bending in Subjects with and without a History of Low Back Pain10.1097/00007632-199601010-00017 ↗
6. V Lower Limb Strength and Flexibility in Athletes with and without Patellar Tendinopathy10.1016/j.ptsp.2015.12.001 ↗
7. Strength around the Hip and Flexibility of Soft Tissues in Individuals with and without Patellofemoral Pain Syndrome10.2519/jospt.2005.35.12.793 ↗
8. Which Screening Tools Can Predict Injury of the Lower Extremeties in Team Sports?10.1007/BF03262295 ↗
9. The Reliability and Minimal Detectable Change of Shoulder Mobility Measurements Using a Digital Inclinometer10.3109/09593985.2010.481011 ↗
10. Acute Responses of Soccer Match Play on Hip Strength and Flexibility Measures: Potential Measure of Injury Risk10.1080/02640414.2014.927069 ↗
11. Range of Motion and Lordosis of the Lumbar Spine: Reliability of Measurement and Normative Values10.1097/00007632-200101010-00011 ↗
12. Three-dimensional Lumbar Spinal Kinematics: A Study of Range of Movement in 100 Healthy Subjects Aged 20 to 60+ Years10.1093/rheumatology/39.12.1337 ↗
13. The Better Way to Determine the Validity, Reliability, Objectivity and Accuracy of Measuring Devices10.3233/WOR-162310 ↗
14. Lumbar Range of Motion: Influence of Time of Day and Individual Factors on Measurements10.1097/00007632-199606010-00012 ↗
15. Development and Validation of a New Technique for Assessing Lumbar Spine Motion10.1097/00007632-200204150-00022 ↗
16. Spinal Range of Motion: Accuracy and Sources of Error with Inclinometric Measurement10.1097/00007632-199709010-00006 ↗
17. Pelvic Mobility When Bending Forward in Standing Position: Validity and Reliability of 2 Motion Analysis Devices10.1053/apmr.2001.18217 ↗
18. Concurrent Validity and Reliability of an IPhone App for the Measurement of Ankle Dorsiflexion and Inter-Limb Asymmetries
19. Validity and Reliability of a New Device (WIMU®) for Measuring Hamstring Muscle Extensibility10.1055/s-0043-108998 ↗
20. Norkin, C.C., and White, D.J. (2016). Measurement of Joint Motion: A Guide to Goniometry, F. A. Davis.
21. Bandy, W.D., and Reese, N.B. (2009). Joint Range of Motion and Muscle Length Testing, Elsevier.
22. Range-of-Motion Measurements10.2106/00004623-199505000-00017 ↗
23. Inter-Rater Reliability for Measurement of Passive Physiological Movements in Lower Extremity Joints Is Generally Low: A Systematic Review10.1016/S1836-9553(10)70005-9 ↗
24. Clinical Tests of the Sacroiliac Joint: A Systematic Methodological Review. Part 1: Reliability
25. Kirby, R.F. (1991). Kirby’s Guide to Fitness and Motor Performance Tests, BenOak Pub. Co.
26. Moras, G. (2002). Amplitud de Moviment Articular i La Seva Valoració: El Test Flexomètric. [Ph.D. Thesis, University of Barcelona].
27. MacDougall, J.D., Wenger, H.A., and Green, H.J. (1991). Physiological Testing of the High-Performance Athlete, Human Kinetics Books.
28. Comparison of the Hold-Relax Procedure and Passive Mobilization on Increasing Muscle Length10.1093/ptj/52.7.725 ↗
29. Reliability of Measuring Trunk Motions in Centimeters10.1093/ptj/62.10.1431 ↗
30. Straight-Leg-Raising Test: Comparison of Three Instruments10.1093/ptj/63.9.1429 ↗
31. Reliability of Goniometric and Trigonometric Techniques for Measuring Hip-Extension Range of Motion Using the Modified Thomas Test10.4085/1062-6050-50.2.05 ↗
32. Oliva-Lozano, J.M., Martín-Fuentes, I., and Muyor, J.M. (2020). Validity and Reliability of a New Inertial Device for Monitoring Range of Motion at the Pelvis during Sexual Intercourse. Int. J. Environ. Res. Public Health, 17.10.3390/ijerph17082884 ↗
33. Oliva-Lozano, J.M., Martín-Fuentes, I., and Muyor, J.M. (2020). Validity and Reliability of an Inertial Device for Measuring Dynamic Weight-Bearing Ankle Dorsiflexion. Sensors, 20.10.3390/s20020399 ↗
34. García-Rubio, J., Pino, J., Olivares, P.R., and Ibáñez, S.J. (2020). Validity and Reliability of the WIMUTM Inertial Device for the Assessment of Joint Angulations. Int. J. Environ. Res. Public Health, 17.10.3390/ijerph17010193 ↗
35. Portney, L.G., and Watkins, M.P. (2009). Foundations of Clinical Research: Applications to Practice, Prentice Hall. [3rd ed.].
36. A New View of Inter-Observer Agreement10.1111/j.1744-6570.1963.tb01283.x ↗
37. de Winter, A.F., Heemskerk, M.A.M.B., Terwee, C.B., Jans, M.P., Devillé, W., Van Schaardenburg, D.-J., Scholten, R.J.P.M., and Bouter, L.M. (2004). Inter-Observer Reproducibility of Measurements of Range of Motion in Patients with Shoulder Pain Using a Digital Inclinometer. BMC Musculoskelet. Disord., 5.10.1186/1471-2474-5-18 ↗
38. Assessing Health Status and Quality-of-Life Instruments: Attributes and Review Criteria10.1023/A:1015291021312 ↗
39. Clinical Implication of the Peabody Developmental Motor Scales: A Constructive Review10.1300/J006v09n02_06 ↗
40. Interpreting Change Scores of Tests and Measures Used in Physical Therapy10.1093/ptj/86.5.735 ↗
41. Fowler, J., Jarvis, P., and Chevannes, M. (2013). Practical Statistics for Nursing and Health Care, John Wiley & Sons.
42. Streiner, D.L., Norman, G.R., and Cairney, J. (2015). Health Measurement Scales: A Practical Guide to Their Development and Use, Oxford University Press.10.1093/med/9780199685219.001.0001 ↗
43. A Comparison of the Sit and Reach and the Modified Sit and Reach in the Measurement of Flexibility in Women10.1080/02701367.1992.10607580 ↗
44. The Validity of the Modified Sit-and-Reach Test in College-Age Students10.1080/02701367.1994.10607614 ↗
45. The Validity and Reliability of the Back Saver Sit-and-Reach Test in Middle School Girls and Boys10.1080/02701367.1996.10607976 ↗
46. Normal Range of Joint Movements in Shoulder, Hip, Wrist and Thumb with Special Reference to Side: A Comparison between Two Populations10.1093/ije/3.3.253 ↗
47. Reliability of Range-of-Motion Measurement in the Elbow and Forearm10.1016/S1058-2746(98)90003-9 ↗
48. The Amplitude of Pronation and Supination with the Elbow Flexed to a Right Angle
49. Joint Angle Measurement: A Comparative Study of the Reliability of Goniometry and Wire Tracing for the Hand10.1177/026921559701100408 ↗
50. Reliability of Goniometers in Assessing Finger Joint Angle10.1093/ptj/49.5.465 ↗
51. Quantitative Measurements of Joint Mobility in Adolescents10.1136/ard.43.2.288 ↗
52. Alignment and Joint Motion in the Normal Foot10.2519/jospt.1995.22.5.216 ↗
53. Ankle Joint Dorsiflexion Measurement Studies. A Review of the Literature10.7547/87507315-86-5-205 ↗
54. Validity of the Double Inclinometer Method for Measuring Lumbar Flexion
55. Statistics in Respiratory Medicine. 2. Repeatability and Method Comparison10.1136/thx.46.6.454 ↗
56. Choosing Measures of Health Status for Individuals in General Populations10.2105/AJPH.71.6.620 ↗
57. Sagittal Mobility of the Hip-Joint10.3109/17453676408989327 ↗
58. Comparison of the Reliability of the Orthoranger and the Standard Goniometer for Assessing Active Lower Extremity Range of Motion10.1093/ptj/68.2.214 ↗
59. Proposal for a Trigonometric Method to Evaluate the Abduction Angle of the Lower Limbs in Neonates10.1177/0883073808318549 ↗