Online questionnaire, clinical and biomechanical measurements for outcome prediction of plantar heel pain: feasibility for a cohort study.
Online questionnaire, clinical and biomechanical measurements for outcome prediction of plantar heel pain: feasibility for a cohort study.
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DOI：
10.1186/s13047-021-00472-w
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发表时间：
2021-04-26
影响因子：
2.9
通讯作者：
Morrissey D
中科院分区：
文献类型：
--
作者：
Gulle H;Prior T;Miller S;Birn-Jeffery AV;Morrissey D
足底足跟痛（PHP）占成年人需要专业护理的足部症状的11-15%。恢复是可变的，没有强有力的患者，临床医生或研究人员的预后指南。因此，我们的目的是确定问卷调查的有效性，可靠性和可行性，选择临床和生物力学措施，以在随后的队列研究中生成预后模型。招募了36人（19名女性和17名男性; 20-63岁），每组人数相等：PHP（PwPHP），其他足部疼痛（PwOP）和健康（H）对照组。18人以随机顺序进行了两次问卷调查，以确定在线和面对面的协议。其余18人完成了一次在线问卷，加上临床测量，包括力量和活动范围，中足活动度，足底筋膜触诊和超声评估。相同的人中有9人接受了生物力学评估，评估形式为分级负荷挑战，增加外部重量和两次修正步长。结果指标包括：（1）数据收集程序、测量时间和其他反馈的可行性;（2）建立问卷组与常规程序的等效性;临床和成像测量的已知组有效性;以及生物力学测量的初始验证和可靠性。在线和面对面问卷管理之间没有系统性差异（p值均> 0.05），也没有管理顺序效应（d =-0.31-0.25）。问卷的信度为良好或极好（ICC 2，1_absolute）（ICC 0.86-0.99），除了两个分量表。完全完成调查需要29 ± 14分钟。在临床上，与健康对照组相比，PwPHP具有显著更少的踝背屈和髋内旋[PwPHP-PwOP-H的平均值（±SD）分别为14°（±6）-18°（±8）-28°（±10）; 43°（±4）-45 °（±9）-57°（±12）;两者p <0.02]。PwPHP组的足底筋膜厚度明显高于其他组（3.6（0.4）mm vs 2.9（0.4）mm，p = 0.01）。分级加载挑战表明地面反作用力逐渐增加。在线问卷管理是有效的，因此促进了大规模的队列招募，并与远程服务评价和研究相关。体格检查和超声检查显示了组间的预期差异，而分级负荷挑战逐渐增加负荷，并保证未来的研究。临床医生和研究人员可以对这些方法学方法和队列研究充满信心，从中产生有用的临床工具是可行的。四.在线版本包含补充材料，可在10.1186/s13047-021-00472-w上查阅。
Plantar heel pain (PHP) accounts for 11–15% of foot symptoms requiring professional care in adults. Recovery is variable, with no robust prognostic guides for sufferers, clinicians or researchers. Therefore, we aimed to determine the validity, reliability and feasibility of questionnaire, clinical and biomechanical measures selected to generate a prognostic model in a subsequent cohort study. Thirty-six people (19 females & 17 males; 20–63 years) were recruited with equal numbers in each of three groups: people with PHP (PwPHP), other foot pain (PwOP) and healthy (H) controls. Eighteen people performed a questionnaire battery twice in a randomised order to determine online and face-to-face agreement. The remaining 18 completed the online questionnaire once, plus clinical measurements including strength and range of motion, mid-foot mobility, palpation and ultrasound assessment of plantar fascia. Nine of the same people underwent biomechanical assessment in the form of a graded loaded challenge augmenting walking with added external weight and amended step length on two occasions. Outcome measures were (1) feasibility of the data collection procedure, measurement time and other feedback; (2) establishing equivalence to usual procedures for the questionnaire battery; known-group validity for clinical and imaging measures; and initial validation and reliability of biomechanical measures. There were no systematic differences between online and face-to-face administration of questionnaires (p-values all > .05) nor an administration order effect (d = − 0.31–0.25). Questionnaire reliability was good or excellent (ICC2,1_absolute)(ICC 0.86–0.99), except for two subscales. Full completion of the survey took 29 ± 14 min. Clinically, PwPHP had significantly less ankle-dorsiflexion and hip internal-rotation compared to healthy controls [mean (±SD) for PwPHP-PwOP-H = 14°(±6)-18°(±8)-28°(±10); 43°(±4)- 45°(±9)-57°(±12) respectively; p < .02 for both]. Plantar fascia thickness was significantly higher in PwPHP (3.6(0.4) mm vs 2.9(0.4) mm, p = .01) than the other groups. The graded loading challenge demonstrated progressively increasing ground reaction forces. Online questionnaire administration was valid therefore facilitating large cohort recruitment and being relevant to remote service evaluation and research. The physical and ultrasound examination revealed the expected differences between groups, while the graded loaded challenge progressively increases load and warrants future research. Clinician and researchers can be confident about these methodological approaches and the cohort study, from which useful clinical tools should result, is feasible. IV The online version contains supplementary material available at 10.1186/s13047-021-00472-w.
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DOI：
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