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Research article

First published online September 5, 2017

Smartphone photography utilized to measure wrist range of motion

Eric R. Wagner, Megan Conti Mica, and Alexander Y. Shin shin.alexander@mayo.eduView all authors and affiliations

Volume 43, Issue 2

https://doi.org/10.1177/1753193417729140

Abstract

The purpose was to determine if smartphone photography is a reliable tool in measuring wrist movement. Smartphones were used to take digital photos of both wrists in 32 normal participants (64 wrists) at extremes of wrist motion. The smartphone measurements were compared with clinical goniometry measurements. There was a very high correlation between the clinical goniometry and smartphone measurements, as the concordance coefficients were high for radial deviation, ulnar deviation, wrist extension and wrist flexion. The Pearson coefficients also demonstrated the high precision of the smartphone measurements. The Bland–Altman plots demonstrated 29–31 of 32 smartphone measurements were within the 95% confidence interval of the clinical measurements for all positions of the wrists. There was high reliability between the photography taken by the volunteer and researcher, as well as high inter-observer reliability. Smartphone digital photography is a reliable and accurate tool for measuring wrist range of motion.

Level of evidence: II

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Supplementary Material

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Supplemental Material

Journal of Hand Surgery (European Volume)

Supplemental material files:

Supplementary Appendix 2

Handout reinforcing the information in the video on how to take photographs of wrists in terminal flexion, extension, radial and ulnar deviation

Supplementary Appendix 3

Bland-Altman analysis of digital measurements versus goniometer measurements of the left side and on the right, for wrist flexion and wrist extension. Between 29-31 of 32 smartphone measurements were within the 95% confidence interval of the clinical measurements

Supplementary Appendix 4

Bland-Altman analysis of digital measurements versus goniometer measurements of the left side and on the right, for wrist radial deviation and ulnar deviation. Between 29-31 of 32 smartphone measurements were within the 95% confidence interval of the clinical measurements

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Video 1

Video describing how to take photographs of wrists in terminal flexion, extension, radial and ulnar deviation

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Information

Published In

Journal of Hand Surgery (European Volume)

Volume 43, Issue 2

Pages: 187 - 192

Article first published online: September 5, 2017

Issue published: February 2018

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© The Author(s) 2017.

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PubMed: 28872411

Authors

Eric R. Wagner

Megan Conti Mica

Alexander Y. Shin

Notes

Alexander Y. Shin, Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN 55905, USA. Email: shin.alexander@mayo.edu

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