CONSISTENCY OF VISUAL ASSESSMENTS OF ARCH HEIGHT AMONG CLINICIAN
CONSISTENCY OF VISUAL ASSESSMENTS OF ARCH HEIGHT AMONG CLINICIAN
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DOI：
10.1177/107110079401500411
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发表时间：
1994-04-01
影响因子：
2.7
通讯作者：
BERREY, BH
中科院分区：
文献类型：
--
作者：
COWAN, DN;ROBINSON, JR;BERREY, BH
扁平足和高足弓足被认为是跑步者和其他活跃人群中肌肉骨骼损伤和功能问题的风险因素，尽管没有建立定量定义或评估任何一种情况的措施。作为一项更大规模研究的一部分，研究人员拍摄了246名年轻男性陆军学员负重右脚的四张平面照片。这些照片由6名临床医生独立评估，并按明显平足（1类）至明显高拱（5类）的量表进行评级。临床医师之间的评估差异很大，即使是极端的足型。考虑到另一位临床医生将足部评定为明显平坦，临床医生将足部评定为明显平坦的概率范围为0.32至0.79，中位概率为0.57，而对于明显高拱的足部，概率范围为0.0至1.00，中位概率为0.17。这些发现表明需要客观的标准和定量方法来评估足部形态。
Flat feet and high-arched feet have been cited as risk factors for musculoskeletal injury and functional problems among runners and other active individuals, although there are no established quantitative definitions or measures for assessing either condition. As part of a larger study, four-plane photographs were made of the weight-bearing right foot of 246 young male Army trainees. These photographs were independently evaluated by six clinicians and rated on a scale of clearly flat-footed (category 1) to clearly high arched (category 5). There was much interclinician variability in the assessments, even for extremes of foot type. The probability of a clinician assessing a foot as clearly flat, given that another clinician had rated the foot as clearly flat, ranged from 0.32 to 0.79, with a median probability of 0.57, while for clearly high-arched feet, probabilities ranged from 0.0 to 1.00, with a median of 0.17. These findings demonstrate the need for objective standards and quantitative methods of evaluating foot morphology.