A weightbearing technique for the measurement of ankle joint dorsiflexion with the knee extended is reliable
A weightbearing technique for the measurement of ankle joint dorsiflexion with the knee extended is reliable
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DOI：
10.1016/j.jsams.2007.06.009
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发表时间：
2009-01-01
影响因子：
4
通讯作者：
Murley, George S.
中科院分区：
文献类型：
--
作者：
Munteanu, Shannon E.;Strawhorn, Andrea B.;Murley, George S.
踝关节背屈的测量通常由临床医生进行，他们管理塔肢体肌肉骨骼病理学。本研究的目的是确定一种技术的可靠性，以测量踝关节背屈在负重位置与膝关节伸展。四名具有不同临床经验的评估者测量了30名无症状参与者在膝关节伸展的负重位置的踝关节背屈。测量发生两次，间隔1周，使用（i）数字倾斜仪和（ii）透明丙烯酸板装置。计算组内相关系数（ICC）和95%一致性限（LOA）。对于数字测斜仪（平均ICC = 0.88，平均95%LOA = -6.6度至4.8度）和透明丙烯酸板装置（平均ICC = 0.89，平均95%LOA = -7.2度至4.3度），经验丰富的评定者的评定者内可靠性较高。对于数字倾斜仪（ICC = 0.77，95%LOA = -9.1度至8.3度）和透明丙烯酸板装置（ICC = 0.89，95%LOA = -8.1度至4.6度），无经验评定者的评定者内可靠性为良好至较高。数字倾斜仪（ICC = 0.95，95%LOA = -5.7度至5.7度）和透明丙烯酸板装置（ICC = 0.97，95%LOA = -4.7度至4.7度）的评定者间可靠性较高。有经验和无经验的评估者都可以可靠地测量膝关节伸展负重位的踝关节背屈。然而，这种测量技术的可靠性需要在测量的预期目的的背景下进行解释。(C)2007年澳大利亚运动医学。由爱思唯尔有限公司出版。保留所有权利。
Measurement of ankle joint dorsiflexion is routinely undertaken by clinicians who manage tower limb musculoskeletal pathology. This study aimed to determine the reliability of a technique to measure ankle joint dorsiflexion in a weightbearing position with the knee extended. Four raters with varying clinical experience measured ankle joint dorsiflexion in a weightbearing position with the knee extended on 30 asymptomatic participants. Measurements occurred on two occasions, 1 week apart using (i) a digital inclinometer and (ii) a clear acrylic plate apparatus. Intraclass correlation coefficients (ICCs) and 95% limits of agreement (LOAs) were calculated. Intra-rater reliability of the experienced raters was high for both the digital inclinometer (average ICC = 0.88, average 95% LOA = -6.6 degrees to 4.8 degrees) and the clear acrylic plate apparatus (average ICC = 0.89, average 95% LOA = -7.2 degrees to 4.3 degrees). Intra-rater reliability of the inexperienced rater was good to high for both the digital inclinometer (ICC = 0.77, 95% LOA = -9.1 degrees to 8.3 degrees) and the clear acrylic plate apparatus (ICC = 0.89, 95% LOA = -8.1 degrees to 4.6 degrees). Inter-rater reliability was high for both the digital inclinometer (ICC = 0.95, 95% LOA = -5.7 degrees to 5.7 degrees) and the clear acrylic plate apparatus (ICC = 0.97, 95% LOA = -4.7 degrees to 4.7 degrees). Measurements of ankle dorsiflexion in a weightbearing position with the knee extended can be performed reliably by experienced and inexperienced raters. However, the reliability of this measurement technique needs to be interpreted in the context of the purpose for which the measurement is intended. (C) 2007 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.