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改良足姿势指数的可靠性

Reliability of the modified Foot Posture Index.

作者信息

Cornwall Mark W, McPoil Thomas G, Lebec Michael, Vicenzino Bill, Wilson Jodi

机构信息

Department of Rehabilitation Sciences, Program in Physical Therapy, Northern Arizona University, Flagstaff, AZ 86011, USA.

出版信息

J Am Podiatr Med Assoc. 2008 Jan-Feb;98(1):7-13. doi: 10.7547/0980007.

Abstract

BACKGROUND

The Foot Posture Index (FPI) has been advocated as a simple and convenient tool to assess static foot posture in a clinical setting. Although published studies have indicated that the FPI has good intrarater reliability and moderate interrater reliability, these studies were conducted on a previous version of the tool that used eight criteria to score a patient's foot posture. The revised tool has only six criteria (FPI-6). The purpose, therefore, of this study was to investigate the intrarater and interrater reliability of the revised version of the FPI.

METHODS

Three different raters used the FPI-6 to twice evaluate 92 feet from 46 individuals.

RESULTS

Intrarater reliability was high but interrater reliability was only moderate. In addition, using the raw score generated by the FPI-6 to classify feet into one of five categories did not improve agreement between raters.

CONCLUSIONS

The FPI-6 should be used with extreme caution and may actually have limited value, especially from a research perspective.

摘要

背景

足姿势指数(FPI)被推崇为在临床环境中评估静态足部姿势的一种简单便捷的工具。尽管已发表的研究表明FPI具有良好的同一评估者可靠性和中等的不同评估者可靠性,但这些研究是针对该工具的先前版本进行的,该版本使用八个标准对患者的足部姿势进行评分。修订后的工具仅有六个标准(FPI - 6)。因此,本研究的目的是调查修订版FPI的同一评估者和不同评估者可靠性。

方法

三名不同的评估者使用FPI - 6对46名个体的92只脚进行了两次评估。

结果

同一评估者可靠性较高,但不同评估者可靠性仅为中等。此外,使用FPI - 6产生的原始分数将足部分类为五类之一并未提高评估者之间的一致性。

结论

应极其谨慎地使用FPI - 6,其实际价值可能有限,尤其是从研究角度来看。

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