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[单腿拾物试验评估腰椎和下肢姿势控制及运动控制的评分者间信度]

[Interrater Reliability of the Single Leg Pick-Up Test for Evaluating Postural Control and Movement Control of the Lumbar Spine and Lower Extremity].

作者信息

Otterbach B

出版信息

Sportverletz Sportschaden. 2015 Sep;29(3):164-72. doi: 10.1055/s-0034-1399261. Epub 2015 Apr 28.

DOI:10.1055/s-0034-1399261
PMID:25919335
Abstract

BACKGROUND

Patellofemoral pain syndrome is not really a diagnosis but rather describes the symptoms of this non-traumatic knee joint disease. Decreased movement control of the entire leg is discussed as a reason for the developing pain. Assessments of movement control include functional performance tests. A test to assess postural control and movement control of the foot, knee, hip and lumbar spine is the "Single Leg Pick-Up Test". The aim of the present study is to evaluate the interrater reliability of this test. Subjects/Material and Methods: 56 healthy subjects and three experienced raters participated in the study to assess the interrater reliability. Live rating and video rating were assessed and compared by pairs.

RESULTS

Intraclass correlations of the reached scores ranged from good to excellent (ICCunjust 0.72/0.63/0.85). Kappa and PABAK calculations of the observation criteria reached moderate to good values. The Ø PABAK for all observation criteria was 0.70/0.69/0.80 for the paired comparison of the raters. The agreement of six of seven observation criteria based on PABAK calculations were good to very good for the pairs of raters.

CONCLUSIONS

All motor control deficits present in patellofemoral pain syndrome can be observed by the "Single Leg Pick-Up Test" with substantial reliability. Future studies should confirm reliability and further evaluate discriminative validity of the test. The "Single Leg Pick-Up" can be carried out easily and has the potential to assess patients with patellofemoral pain syndrome and healthy athletes for movement control deficits.

摘要

背景

髌股疼痛综合征并非真正意义上的一种诊断,而是用于描述这种非创伤性膝关节疾病的症状。整条腿运动控制能力下降被认为是疼痛产生的原因之一。运动控制评估包括功能表现测试。“单腿拾物试验”是一种用于评估足部、膝盖、髋部和腰椎姿势控制及运动控制的测试。本研究的目的是评估该测试的评分者间信度。

受试者/材料与方法:56名健康受试者和三名经验丰富的评分者参与了本研究以评估评分者间信度。对现场评分和视频评分进行了成对评估和比较。

结果

所获分数的组内相关性从良好到优秀(组内相关系数分别为0.72/0.63/0.85)。观察标准的kappa系数和PABAK计算得出的值为中等至良好。评分者成对比较时,所有观察标准的Ø PABAK分别为0.70/0.69/0.80。基于PABAK计算,七项观察标准中的六项在评分者对之间的一致性为良好至非常好。

结论

“单腿拾物试验”能够以较高的信度观察到髌股疼痛综合征中存在的所有运动控制缺陷。未来的研究应证实该测试的信度,并进一步评估其区分效度。“单腿拾物试验”操作简便,有潜力用于评估髌股疼痛综合征患者和健康运动员的运动控制缺陷。

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