Reliability and validity analyzes of Kinect V2 based measurement system for shoulder motions.

Telerehabilitation systems provide some advantages against the classic rehabilitation methods. The ability of the shoulders depends on active motion range of them to do activities in daily life and to do sports. To evaluate the shoulder motions, range of motion (ROM) measurement is a basic method. Clinical goniometer and digital goniometer are the most commonly used measurement tools. However, these measurement tools have some deficiencies and difficulties. In this paper, we consider a Kinect One Sensor (Kinect V2) based measurement system for shoulder motions as an alternative method. The aim of this study is to examine the reliability and validity analyzes of the proposed shoulder measurement system. Three systems were used to evaluate validity of the Kinect V2 to measure shoulder motions: Kinect V2 based system, clinical goniometer and digital goniometer. One expert physical therapist measured shoulder abduction, flexion, external rotation, internal rotation and extension ROM values using a clinical goniometer and a digital goniometer in 40 healthy volunteers (22 males, 18 females, and 19-33 years old). All poses for each shoulder motion were captured with the Kinect V2 based system again and the ROM values were calculated. These procedures were carried out with all of the volunteer participants in three repetitions. In reliability for Kinect V2 based shoulder motion measurement system, we used the intraclass correlation coefficients (ICC), standard error of the measure (SEM), minimal detectable change (MDC). The validity test includes the 95% limits of agreement (LOA) and mean difference between the Kinect V2 based system and the both of the goniometer systems for measuring shoulder motions. The high ICC values show that the Kinect V2 based shoulder motion measurement system has very good intra-rater reliability for abduction, flexion, external rotation, internal rotation shoulder poses. For extension pose, it has good reliability result according to the ICC value. The validity analysis gives good results for all shoulder poses except internal rotation between Kinect V2 and clinical/digital goniometer. As a result, Kinect V2 based measurement system is a reliable and valid alternative telerehabilitation tool for shoulder motions.