Gatt Alfred, Chockalingam Nachiappan
Podiatry Department, Faculty of Health Sciences, University of Malta, Msida, Malta.
J Am Podiatr Med Assoc. 2011 Jan-Feb;101(1):59-69. doi: 10.7547/1010059.
Ankle dorsiflexion measurement is important for clinical and research use. With so much evidence on the unreliability of goniometric measurements, a systematic review was performed to investigate various alternative techniques for measuring ankle dorsiflexion in the nonneurologic patient. All of the major databases were queried electronically to identify studies that used any method of ankle dorsiflexion measurement in the nonneurologic subject. Keywords included ankle dorsiflexion NOT cerebral palsy NOT stroke, the latter to exclude neurologic conditions. In 755 studies that used some form of ankle joint dorsiflexion measurement, ten different techniques were identified that included various apparatuses designed specifically for this purpose. Reliability testing of these techniques involved test-retest trials with small student populations as subjects, which returned high intraclass correlation coefficient scores. However, their methodological quality would have benefitted from the use of an actual patient population and comparison with a reference standard. When validating ankle dorsiflexion measurement techniques, actual patient populations should be used, otherwise papers would score poorly on methodological quality assessment. Standardizing patient position, foot posture, amount of moment applied, and reference landmarks will ensure that various trial results can be compared directly.
踝关节背屈测量对于临床和研究应用都很重要。鉴于有大量证据表明角度测量不可靠，因此进行了一项系统综述，以研究在非神经疾病患者中测量踝关节背屈的各种替代技术。通过电子方式查询了所有主要数据库，以识别在非神经疾病受试者中使用任何踝关节背屈测量方法的研究。关键词包括踝关节背屈、非脑瘫、非中风，后者用于排除神经疾病。在755项使用某种形式踝关节背屈测量的研究中，确定了十种不同技术，其中包括专门为此目的设计的各种仪器。这些技术的可靠性测试涉及以少量学生群体为受试者的重测试验，得出了较高的组内相关系数分数。然而，若使用实际患者群体并与参考标准进行比较，其方法学质量会更优。在验证踝关节背屈测量技术时，应使用实际患者群体，否则论文在方法学质量评估中得分会很低。标准化患者体位、足部姿势、施加的力矩量和参考标志将确保可以直接比较各种试验结果。
