Robotic axial lower leg testing: repeatability and reproducibility

Verfasser / Beitragende:
[Thomas Branch, Shaun Stinton, Maya Sternberg, William Hutton, Frédéric Lavoie, Christian Guier, Philippe Neyret]
Ort, Verlag, Jahr:
2015
Enthalten in:
Knee Surgery, Sports Traumatology, Arthroscopy, 23/10(2015-10-01), 2892-2899
Format:
Artikel (online)
ID: 605458499
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024 7 0 |a 10.1007/s00167-015-3768-4  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00167-015-3768-4 
245 0 0 |a Robotic axial lower leg testing: repeatability and reproducibility  |h [Elektronische Daten]  |c [Thomas Branch, Shaun Stinton, Maya Sternberg, William Hutton, Frédéric Lavoie, Christian Guier, Philippe Neyret] 
520 3 |a Purpose: The purpose of this study was to determine the test-retest reliability and the repeatability over multiple days of a robotic testing device when used to measure laxity of the lower leg during a simulated dial test. Methods: Ten healthy subjects were evaluated using an instrumented robotic lower leg testing system over 4days. Three testing cycles were performed each day. Each leg was rotated into external and then internal rotation by servomotors until a torque threshold of 5.65N m was reached. Load-deformation curves were generated from torque and rotation data. Both average-measure and single-measure intraclass correlation coefficients (ICC) were compared across the curves. ICC scores were also compared for features of the curves including: maximum external rotation at −5.65N m of torque, maximum internal rotation at 5.65N m of torque, rotation at torque 0, compliance (slope of load-deformation curve) at torque 0, endpoint compliance in external rotation, endpoint compliance in internal rotation, and play at torque 0. Play at torque 0 was defined as the width of the hysteresis curve at torque 0. Results: Average-measure ICC scores and test-retest scores were >0.95 along the entire load-deformation curve except around zero torque. ICC scores at maximum internal and external rotation ranged from 0.87 to 0.99 across the left and right knees. ICC scores for the other features of the curves ranged from 0.61 to 0.98. The standard error of the mean ranged from 0.0497 to 1.1712. Conclusions: The robotic testing device in this study proved to be reliable for testing a subject multiple times both within the same day and over multiple days. These findings suggest that the device can provide a level of reliability in rotational testing that allows for clinical use of test results. Objective laxity data can improve consistency and accuracy in diagnosing knee injuries and may enable more effective treatment. 
540 |a The Author(s), 2015 
690 7 |a Knee laxity  |2 nationallicence 
690 7 |a Manual examination  |2 nationallicence 
690 7 |a Robotic testing  |2 nationallicence 
690 7 |a Reliability  |2 nationallicence 
690 7 |a Rotational laxity  |2 nationallicence 
700 1 |a Branch  |D Thomas  |u University Orthopedics, Decatur, GA, USA  |4 aut 
700 1 |a Stinton  |D Shaun  |u ArthroMetrix, LLC, 441 Armour Place NE, 30324, Atlanta, GA, USA  |4 aut 
700 1 |a Sternberg  |D Maya  |u Quartiles Consulting, Atlanta, GA, USA  |4 aut 
700 1 |a Hutton  |D William  |u Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA  |4 aut 
700 1 |a Lavoie  |D Frédéric  |u Hôpital Notre-Dame du CHUM, Montréal, Canada  |4 aut 
700 1 |a Guier  |D Christian  |u San Francisco Sports Medicine and Orthopaedic Surgery, San Francisco, CA, USA  |4 aut 
700 1 |a Neyret  |D Philippe  |u Department of Orthopaedic Surgery, Centre Albert Trillat, Hôpital de la Croix-Rousse, Lyon, France  |4 aut 
773 0 |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2892-2899  |x 0942-2056  |q 23:10<2892  |1 2015  |2 23  |o 167 
856 4 0 |u https://doi.org/10.1007/s00167-015-3768-4  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00167-015-3768-4  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Branch  |D Thomas  |u University Orthopedics, Decatur, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Stinton  |D Shaun  |u ArthroMetrix, LLC, 441 Armour Place NE, 30324, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sternberg  |D Maya  |u Quartiles Consulting, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hutton  |D William  |u Department of Orthopaedics, Emory University School of Medicine, Atlanta, GA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lavoie  |D Frédéric  |u Hôpital Notre-Dame du CHUM, Montréal, Canada  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Guier  |D Christian  |u San Francisco Sports Medicine and Orthopaedic Surgery, San Francisco, CA, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Neyret  |D Philippe  |u Department of Orthopaedic Surgery, Centre Albert Trillat, Hôpital de la Croix-Rousse, Lyon, France  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Knee Surgery, Sports Traumatology, Arthroscopy  |d Springer Berlin Heidelberg  |g 23/10(2015-10-01), 2892-2899  |x 0942-2056  |q 23:10<2892  |1 2015  |2 23  |o 167