Motantasut Phornchanok, Hunsawong Torkamol, Mato Lugkana, Donpunha Wanida
Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), Khon Kaen University, Thailand.
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University: Khon Kaen 40002, Thailand.
J Phys Ther Sci. 2019 Apr;31(4):392-397. doi: 10.1589/jpts.31.392. Epub 2019 Apr 1.
[Purpose] To investigate the reliability of novice and experienced physiotherapists using the normalized navicular height truncated and the foot posture index-6 for classifying foot posture in healthy adults. [Participants and Methods] Thirty asymptomatic adults participated in this study. After brief training, inter-rater reliability was performed by an expert and inexperienced rater (the novice physiotherapist). On the same day, both raters independently performed the normalized navicular height truncated and the foot posture index-6. For intra-rater reliability, the inexperienced rater repeated data collection on the 8th day after the first assessment. Intraclass correlation coefficients (ICCs) and Cohen's Weighted Kappa ( ) were used for continuous and categorical data, respectively. [Results] The normalized navicular height truncated and the Rasch-converted foot posture index-6 scores demonstrated an excellent inter- and intra-rater reliability (ICCs=0.98-0.99). For classifying foot posture, the normalized navicular height truncated and the total foot posture index-6 scores represented more than 90% inter- and intra-rater agreement with values ranging from 0.92-0.94, while each item of foot posture index-6 demonstrated inter- and intra-rater agreement ranging from substantial to almost perfect ( =0.71-0.94). [Conclusion] The normalized navicular height truncated and the foot posture index-6 are simple and reliable methods that can be used by the inexperienced rater.
[目的] 探讨新手和经验丰富的物理治疗师使用截断的标准化舟骨高度和足姿势指数-6对健康成年人足部姿势进行分类的可靠性。[参与者与方法] 30名无症状成年人参与了本研究。经过简短培训后,由一名专家和一名经验不足的评估者(新手物理治疗师)进行评估者间信度测试。在同一天,两名评估者独立进行截断的标准化舟骨高度和足姿势指数-6的测量。对于评估者内信度,经验不足的评估者在首次评估后的第8天重复数据收集。组内相关系数(ICC)和科恩加权卡帕系数( )分别用于连续数据和分类数据。[结果] 截断的标准化舟骨高度和经过拉施转换的足姿势指数-6评分显示出极佳的评估者间和评估者内信度(ICC = 0.98 - 0.99)。对于足部姿势分类,截断的标准化舟骨高度和总足姿势指数-6评分在评估者间和评估者内的一致性超过90%, 值范围为0.92 - 0.94,而足姿势指数-6的每个项目在评估者间和评估者内的一致性范围从高度一致到几乎完美( = 0.71 - 0.94)。[结论] 截断的标准化舟骨高度和足姿势指数-6是简单可靠的方法,经验不足的评估者也可以使用。