Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study

Easy-to-use evaluation of Range Of Motion (ROM) during walking is necessary to make decisions during neurological rehabilitation programs and during follow-up visits in clinical and remote settings. This study discussed goniometer applications (DrGoniometer and Angles - Video Goniometer) that measur...

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Main Authors: Monica Parati, Matteo Gallotta, Beatrice De Maria, Annalisa Pirola, Matteo Morini, Luca Longoni, Emilia Ambrosini, Giorgio Ferriero, Simona Ferrante
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/23/4/2232
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author Monica Parati
Matteo Gallotta
Beatrice De Maria
Annalisa Pirola
Matteo Morini
Luca Longoni
Emilia Ambrosini
Giorgio Ferriero
Simona Ferrante
author_facet Monica Parati
Matteo Gallotta
Beatrice De Maria
Annalisa Pirola
Matteo Morini
Luca Longoni
Emilia Ambrosini
Giorgio Ferriero
Simona Ferrante
author_sort Monica Parati
collection DOAJ
description Easy-to-use evaluation of Range Of Motion (ROM) during walking is necessary to make decisions during neurological rehabilitation programs and during follow-up visits in clinical and remote settings. This study discussed goniometer applications (DrGoniometer and Angles - Video Goniometer) that measure knee joint ROM during walking through smartphone cameras. The primary aim of the study is to test the inter-rater and intra-rater reliability of the collected measurements as well as their concurrent validity with an electro-goniometer. The secondary aim is to evaluate the usability of the two mobile applications. A total of 22 patients with Parkinson’s disease (18 males, age 72 (8) years), 22 post-stroke patients (17 males, age 61 (13) years), and as many healthy volunteers (8 males, age 45 (5) years) underwent knee joint ROM evaluations during walking. Clinicians and inexperienced examiners used the two mobile applications to calculate the ROM, and then rated their perceived usability through the System Usability Scale (SUS). Intraclass correlation coefficients (ICC) and correlation coefficients (corr) were calculated. Both applications showed good reliability (ICC > 0.69) and validity (corr > 0.61), and acceptable usability (SUS > 68). Smartphone-based video goniometers could be used to assess the knee ROM during walking in neurological patients, because of their acceptable degree of reliability, validity and usability.
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spelling doaj.art-5801d2d4d79f48268e13a8864b6409412023-11-16T23:12:03ZengMDPI AGSensors1424-82202023-02-01234223210.3390/s23042232Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability StudyMonica Parati0Matteo Gallotta1Beatrice De Maria2Annalisa Pirola3Matteo Morini4Luca Longoni5Emilia Ambrosini6Giorgio Ferriero7Simona Ferrante8Department of Electronics, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Milan, ItalyIstituti Clinici Scientifici Maugeri IRCCS, 20138 Milan, Milan, ItalyIstituti Clinici Scientifici Maugeri IRCCS, 20138 Milan, Milan, ItalyIstituti Clinici Scientifici Maugeri IRCCS, 20138 Milan, Milan, ItalyIstituti Clinici Scientifici Maugeri IRCCS, 20138 Milan, Milan, ItalyIstituti Clinici Scientifici Maugeri, 20851 Lissone, Monza Brianza, ItalyDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Milan, ItalyIstituti Clinici Scientifici Maugeri IRCCS Tradate, 21049 Tradate, Varese, ItalyDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, 20133 Milan, Milan, ItalyEasy-to-use evaluation of Range Of Motion (ROM) during walking is necessary to make decisions during neurological rehabilitation programs and during follow-up visits in clinical and remote settings. This study discussed goniometer applications (DrGoniometer and Angles - Video Goniometer) that measure knee joint ROM during walking through smartphone cameras. The primary aim of the study is to test the inter-rater and intra-rater reliability of the collected measurements as well as their concurrent validity with an electro-goniometer. The secondary aim is to evaluate the usability of the two mobile applications. A total of 22 patients with Parkinson’s disease (18 males, age 72 (8) years), 22 post-stroke patients (17 males, age 61 (13) years), and as many healthy volunteers (8 males, age 45 (5) years) underwent knee joint ROM evaluations during walking. Clinicians and inexperienced examiners used the two mobile applications to calculate the ROM, and then rated their perceived usability through the System Usability Scale (SUS). Intraclass correlation coefficients (ICC) and correlation coefficients (corr) were calculated. Both applications showed good reliability (ICC > 0.69) and validity (corr > 0.61), and acceptable usability (SUS > 68). Smartphone-based video goniometers could be used to assess the knee ROM during walking in neurological patients, because of their acceptable degree of reliability, validity and usability.https://www.mdpi.com/1424-8220/23/4/2232smartphonegoniometerknee range of motionmeasurement propertiesusabilitystroke
spellingShingle Monica Parati
Matteo Gallotta
Beatrice De Maria
Annalisa Pirola
Matteo Morini
Luca Longoni
Emilia Ambrosini
Giorgio Ferriero
Simona Ferrante
Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study
Sensors
smartphone
goniometer
knee range of motion
measurement properties
usability
stroke
title Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study
title_full Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study
title_fullStr Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study
title_full_unstemmed Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study
title_short Video-based Goniometer Applications for Measuring Knee Joint Angles during Walking in Neurological Patients: A Validity, Reliability and Usability Study
title_sort video based goniometer applications for measuring knee joint angles during walking in neurological patients a validity reliability and usability study
topic smartphone
goniometer
knee range of motion
measurement properties
usability
stroke
url https://www.mdpi.com/1424-8220/23/4/2232
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