RELIABILITY OF OPEN AND CLOSED KINETIC CHAIN SUBTALAR JOINT NEUTRAL POSITIONS AND NAVICULAR DROP TEST
RELIABILITY OF OPEN AND CLOSED KINETIC CHAIN SUBTALAR JOINT NEUTRAL POSITIONS AND NAVICULAR DROP TEST
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DOI：
10.2519/jospt.1993.18.4.553
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发表时间：
1993-10-01
影响因子：
6.1
通讯作者：
WORRELL, T
中科院分区：
文献类型：
--
作者：
PICCIANO, AM;ROWLANDS, MS;WORRELL, T
距下关节（STJ）的测量通常是在监狱中进行，以评估脚和踝关节的位置，因为下肢功能障碍的发病率很高。本研究的目的是调查开放式动力链距下关节中立位（OKC STJN）和闭合式动力链距下关节中立位（CKC STJN）位置以及舟骨跌落试验（NDT）的测试者内和测试者间信度。在两次测试期间，两名经验不足的测试人员对15名受试者（N = 30英尺）进行了重复测量。测定每个因变量的测试者内和测试者间可靠性（ICC 1，1）和测量标准误（SEM）。对于OKC STJN，测试仪内ICC值为.06和.27，测试仪间ICC值为.00。测试仪内SEM值为1.81和2.29，测试仪间SEM值为2.51度。CKC STJN测试仪内ICC值为0.14和0.18，SEM值为2.46和2.40度。测试者间CKC ICC值为。15，SEM为2.43度。对于NDT，测试器内/CC值为.61和.79，SEM值为1.92 mm和2.57 mm。测试器间ICC值为.57，SEM为2.72 mm。结果表明，OKC和CKC STJN的测试器内和测试器间可靠性较差，NDT的测试器内可靠性和测试器间可靠性较差。我们的结论是，这些脚和踝关节的测量是不可靠的，当由没有经验的测试人员进行。因此，临床医生应实践这些测量技术，并确定其测量误差。
Subtalar joint (STJ) measurements are commonly made in the clink to assess foot and ankle positions because of the high incidence of lower extremity dysfunctions. The purposes of this study were to investigate the intratester and intertester reliability of the open kinetic chain subtalar joint neutral (OKC STJN) and closed kinetic chain subtalar joint neutral (CKC STJN) positions and the navicular drop test (NDT). Two inexperienced testers performed repeated measurements on 15 subjects (N = 30 feet) during two testing sessions. Intratester and intertester reliability (ICC 1,1) and standard error of measurement (SEM) were determined for each dependent variable. For OKC STJN, the intratester ICC values were.06 and.27, and the intertester ICC value was.00. The intratester SEM values were 1.81 and 2.29, and the intertester was 2.51-degrees. The CKC STJN intratester ICC values were .14 and .18, with SEM values of 2.46 and 2.40-degrees. The intertester CKC ICC value was. 15, with an SEM of 2.43-degrees. For the NDT, the intratester /CC values were .61 and .79, and the SEM values were 1.92 mm and 2.57 mm. The intertester ICC value was.57 and the SEM was 2.72 mm. The results reveal that both OKC and CKC STJN yield poor intratester and intertester reliability and the NDT yields poor to moderate intratester reliability and poor intertester reliability. We conclude that these foot and ankle measurements are not reliable when performed by inexperienced testers. Therefore, clinicians should practice these measurement techniques and determine their measurement error.