Cejudo Antonio, Sainz de Baranda Pilar, Ayala Francisco, Santonja Fernando
INACUA Sports Centre, Murcia, Spain.
Faculty of Sport Sciences and Physical Activity, University of Murcia, Spain.
Man Ther. 2014 Aug;19(4):355-9. doi: 10.1016/j.math.2014.03.008. Epub 2014 Apr 2.
The purpose of this study was twofold: (1) to describe a new version of the weight-bearing ankle lunge test (WBLT) that is simple to administer, that allows clinicians and sports medicine practitioners to directly assess (in degrees) the ankle dorsiflexion range of motion in a very short period of time while adopting a comfortable testing position; as well as (2) to determine the test-retest reliability of the ankle dorsiflexion range of motion measure obtained from the new version of the WBLT. A total of 50 active adults completed this study. All participants performed the new version of the WBLT on three different occasions, with a two-week interval between testing sessions. Reliability was examined through the change in the mean between consecutive pairs of testing sessions (ChM), standard error of measurement (SEM), minimal detectable change at 95% confidence interval (MDC95), and intraclass correlation coefficient (ICC2,k). The findings showed negligible or trivial ChM values for all the flexibility measures analysed (<1°). Furthermore, the SEM and MDC95 scores for the ankle dorsiflexion measure were 1.3 and 3.8 respectively, and the ICC2k was 0.95. Therefore, this study demonstrated that the ankle dorsiflexion measure obtained from the new version of the WBLT has excellent test-retest reliability scores. Thus, an observed change larger than 3.8° from baseline scores after performing a treatment would indicate that a real change in ankle dorsiflexion range of motion was likely.
(1)描述一种新版的负重踝关节前弓步试验(WBLT),该试验易于实施,能让临床医生和运动医学从业者在短时间内采用舒适的测试姿势直接评估(以度为单位)踝关节背屈活动范围;以及(2)确定从新版WBLT获得的踝关节背屈活动范围测量值的重测信度。共有50名活跃的成年人完成了本研究。所有参与者在三个不同场合进行了新版WBLT,测试 session之间间隔两周。通过连续测试 session对之间的均值变化(ChM)、测量标准误差(SEM)、95%置信区间的最小可检测变化(MDC95)和组内相关系数(ICC2,k)来检验信度。结果显示,所有分析的灵活性测量指标的ChM值可忽略不计或微不足道(<1°)。此外,踝关节背屈测量的SEM和MDC95分数分别为1.3和3.8,ICC2k为0.95。因此,本研究表明,从新版WBLT获得的踝关节背屈测量值具有出色的重测信度分数。因此,在进行治疗后,观察到的与基线分数相比变化大于3.8°,可能表明踝关节背屈活动范围发生了真正的变化。