Ness Brandon M, Sudhagoni Ramu G, Tao Hanz, Full Olivia R, Seehafer Lucas O, Walder Chelsie M, Zimney Kory
University of South Dakota, Vermillion, SD, USA.
Int J Sports Phys Ther. 2018 Feb;13(1):19-27.
Ankle plantarflexion (PF) active range of motion (ROM) is traditionally assessed in a non-weight-bearing (NWB) position with a universal goniometer. However, a convenient, reliable, low-cost means of assessing functional PF active ROM in a weight-bearing (WB) position has yet to be established.
To compare the intra- and interrater reliability of PF active ROM measurements obtained from a goniometric NWB assessment, and a functional heel-rise test (FHRT) performed in WB.
Reliability study.
Two physical therapy student examiners, blinded to each other's measurements, assessed PF active ROM through a NWB goniometric technique and a FHRT on all subjects within the same test session. Intra- and interrater reliability values were calculated using an intraclass correlation coefficient (ICC, ICC) and 95% confidence intervals. Standard error of measurement (SEM) and minimal detectable change (MDC) were recorded for each method.
43 healthy participants (mean ± SD, age: 22.7 ± 1.7 years, height: 1.7 ± 0.1 m, mass: 77.8 ± 17.2 kg) completed testing procedures. The within-session intrarater reliability (ICC) estimates were observed for goniometry (right: 0.96, left: 0.95 - 0.97) and FHRT (right: 0.99, left: 0.99), as well as the interrater reliability (ICC) of goniometry (right: 0.79, left: 0.79) and FHRT (right: 0.79, left: 0.87). Goniometry SEM (3.3 - 3.6 °) and MDC (9.2 - 9.8 °) were observed, in addition to FHRT SEM (0.6 cm) and MDC (1.6 - 1.7 cm). A weak correlation was found between FHRT and goniometric measurements (r = -0.03 - 0.13).
The FHRT was found to have good to excellent intra- and interrater reliability, similar to goniometric measurement. The lack of agreement between these measurements requires further exploration of a WB assessment of ankle PF active ROM.
2b.
传统上，踝关节跖屈（PF）活动范围（ROM）是使用通用角度计在非负重（NWB）位进行评估的。然而，一种方便、可靠且低成本的在负重（WB）位评估功能性PF主动ROM的方法尚未确立。
比较通过角度计非负重评估以及在负重位进行的功能性足跟抬起试验（FHRT）所获得的PF主动ROM测量值的组内和组间可靠性。
可靠性研究。
两名物理治疗专业的学生检查者，彼此不知道对方的测量结果，在同一次测试中通过非负重角度测量技术和FHRT对所有受试者的PF主动ROM进行评估。使用组内相关系数（ICC）和95%置信区间计算组内和组间可靠性值。记录每种方法的测量标准误差（SEM）和最小可检测变化（MDC）。
43名健康参与者（平均±标准差，年龄：22.7±1.7岁，身高：1.7±0.1米，体重：77.8±17.2千克）完成了测试程序。观察到角度测量法（右侧：0.96，左侧：0.95 - 0.97）和FHRT（右侧：0.99，左侧：0.99）的组内评分者可靠性（ICC）估计值，以及角度测量法（右侧：0.79，左侧：0.79）和FHRT（右侧：0.79，左侧：0.87）的组间评分者可靠性（ICC）。观察到角度测量法的SEM（3.3 - 3.6°）和MDC（9.2 - 9.8°），以及FHRT的SEM（0.6厘米）和MDC（1.6 - 1.7厘米）。发现FHRT与角度测量值之间存在弱相关性（r = -0.03 - 0.13）。
发现FHRT具有良好至优秀的组内和组间可靠性，与角度测量法相似。这些测量结果之间缺乏一致性需要对踝关节PF主动ROM的负重评估进行进一步探索。
2b。
