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一种分析跑步过程中髋关节运动的新方法的可靠性和同时效准则效度研究。

Reliability and concurrent criterion validity of a novel technique for analyzing hip kinematics during running.

机构信息

Doctor of Philosophy in Rehabilitation Sciences Program, Texas Tech University Health Sciences Center, Lubbock , TX , USA and.

出版信息

Physiother Theory Pract. 2014 Apr;30(3):210-7. doi: 10.3109/09593985.2013.830349. Epub 2013 Sep 11.

Abstract

Excessive frontal plane hip kinematics during running has been associated with numerous running pathologies. Traditionally, assessment of hip kinematics during running required expensive and complex equipment and procedures making objective running assessment difficult for practicing clinicians. The aim of this study was to establish the reliability and validity of a novel technique designed for clinicians that allows for objective assessment of frontal plane hip kinematics during running. Hip angles and excursions were measured using videos and jpeg images of 10 subjects (five males and five females) running. A 2-D motion analysis system and computer algorithm served as reference measures. Six raters (three licensed physical therapists and three student physical therapists) took measures on two instances. Reliability was examined using intraclass correlation coefficients (ICC). Validity was investigated with ICCs, 95% limits of agreement (LA), and mean absolute differences (MAD) by comparing each rater's 2-trial average to the criterion reference values. The ICCs for interrater and intrarater reliability for angle and excursion measures ranged from 0.82 to 0.99. The validity ICCs of all measures ranged from 0.89 to 0.99 with acceptable LA. The MAD ranged from 0.5°-1.5°. These results indicate that this novel technique is reliable and valid for measuring hip kinematics compared to the reference measures making it suitable for broad-based clinical use.

摘要

跑步时过度的额状面髋关节运动与许多跑步相关的病理有关。传统上,评估跑步时髋关节运动需要昂贵且复杂的设备和程序,这使得临床医生难以进行客观的跑步评估。本研究的目的是建立一种新的技术的可靠性和有效性,该技术专为临床医生设计,允许对跑步时额状面髋关节运动进行客观评估。使用视频和 10 名受试者(5 名男性和 5 名女性)跑步的 jpeg 图像测量髋关节角度和偏移量。二维运动分析系统和计算机算法作为参考测量值。6 名评估者(3 名持照物理治疗师和 3 名学生物理治疗师)在两个实例中进行了测量。使用组内相关系数(ICC)检查可靠性。通过将每个评估者的 2 次试验平均值与标准参考值进行比较,使用 ICC、95%一致性界限(LA)和平均绝对差异(MAD)来研究有效性。角度和偏移量测量的组内和组间可靠性 ICC 范围为 0.82 至 0.99。所有测量的有效性 ICC 范围为 0.89 至 0.99,LA 可接受。MAD 范围为 0.5°-1.5°。这些结果表明,与参考测量值相比,该新技术在测量髋关节运动方面具有可靠性和有效性,使其适合广泛的临床应用。

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