Ferber R, McClay Davis I, Williams D S, Laughton C
Department of Physical Therapy, University of Delaware, Newark 19716-2591, USA.
J Orthop Res. 2002 Nov;20(6):1139-45. doi: 10.1016/S0736-0266(02)00077-3.
It is important to understand the day-to-day variability that is attributed to repositioning of markers especially when assessing a treatment effect or response over time. While previous studies have reported reliability of waveform patterns, none have assessed the repeatability of discrete points such as peak angles, velocities and angular excursions which are often used when making statistical and clinical comparisons. The purpose of this study was to compare the within- and between-day variability of discrete kinematic, kinetic, and ground reaction force (GRF) data collected during running. Comparisons for 20 recreational runners were evaluated for within- and between-day reliability of discrete 3D kinematic, kinetic, and GRF variables. The results indicated that within-day comparisons were more reliable than between-day. Joint angular velocity and angular excursion values were more reliable between-days as compared to absolute peak angle measures and may be more useful in interpreting changes in treatment over time. Between-day kinematic and kinetic sagittal plane values were more reliable than secondary plane values. Reliability of GRF data was greater than kinematic and kinetic data for between-day comparisons.
了解因标记重新定位而导致的日常变异性很重要,尤其是在评估随时间变化的治疗效果或反应时。虽然先前的研究报告了波形模式的可靠性,但没有一项研究评估过离散点(如峰值角度、速度和角偏移)的可重复性,而这些离散点在进行统计和临床比较时经常会用到。本研究的目的是比较跑步过程中收集的离散运动学、动力学和地面反作用力(GRF)数据在日内和日间的变异性。对20名休闲跑步者的离散三维运动学、动力学和GRF变量的日内和日间可靠性进行了评估比较。结果表明,日内比较比日间比较更可靠。与绝对峰值角度测量相比,关节角速度和角偏移值在日间更可靠,并且在解释随时间变化的治疗变化方面可能更有用。日间运动学和动力学矢状面值比次要平面值更可靠。在日间比较中,GRF数据的可靠性大于运动学和动力学数据。