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Rheumatology 2001; 40: 1081-1084
© 2001 British Society for Rheumatology

Editorials

The development of three-dimensional range of motion measurement systems for clinical practice

K. Jordan, K. Dziedzic, R. Mullis, P. T. Dawes1 and P. W. Jones2

Primary Care Sciences Research Centre, Hornbeam Building, Keele University, Keele, Staffordshire ST5 5BG,
1 Staffordshire Rheumatology Centre, The Haywood, High Lane, Burslem, Stoke-on-Trent, Staffordshire ST6 7AG and
2 Department of Mathematics, Mackay Building, Keele University, Keele, Staffordshire ST5 5BG, UK

Evaluating the range and patterns of movement is a key concern for a clinician in the diagnostic and functional assessment of patients with musculoskeletal disease. These range-of-motion (ROM) measures are also used to obtain a record of the degree of permanent impairment of an individual [1–2].

Currently, clinicians use all or any of visual estimation, a universal goniometer, an inclinometer or a tape measure to make these assessments. However, these tools have major drawbacks in measuring ROM. The first concerns reliability. Patients are followed over a long period of time for many diseases, particularly chronic diseases such as ankylosing spondylitis [3]. It is important, therefore, that clinicians can be satisfied that any change in ROM over this period of time is real change in the patient and is not due to the measuring instrumentation or process. Furthermore, if a ROM measurement tool is not . . . [Full Text of this Article]

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