Department of Physiotherapy and Sport Rehabilitation Shanghai University of Sport, China; Faculty of Health, Arts and Design, Swinburne University of Technology, Australia; Research Institute for Sport and Exercise, University of Canberra, Australia.
Department of Physiotherapy and Sport Rehabilitation Shanghai University of Sport, China; Department of Physiotherapy, University of Melbourne, Australia.
J Sci Med Sport. 2021 Jul;24(7):665-669. doi: 10.1016/j.jsams.2021.02.004. Epub 2021 Feb 16.
BACKGROUND: Research evidence has suggested that a more sensitive ankle proprioceptive testing method with higher ecological validity is needed for assessing proprioceptive deficits in individuals with chronic ankle instability (CAI). OBJECTIVES: (1) To determine the test-retest reliability of a novel ankle proprioception assessment tool, the Ankle Inversion Discrimination Apparatus for Landing (AIDAL); (2) To assess whether AIDAL scores were sufficiently sensitive to detect proprioceptive deficits in chronic ankle instability (CAI); and (3) To examine whether AIDAL scores correlated with Cumberland Ankle Instability Tool (CAIT) scores. DESIGN: Cross-sectional study. METHODS: The AIDAL was purpose-built to assess ankle discrimination in four positions of ankle inversion (10°, 12°, 14° and 16°) upon landing from a 10cm drop. Area Under the Receiver Operating Curve (AUC) was employed as the ankle proprioceptive discrimination score. Seven-day test-retest reliability was evaluated with 23 university students (12 CAI and 11 non-CAI), and another 36 university students (18 CAI and 18 non-CAI) were in the comparison study. RESULTS: The test-retest reliability ICC score for the whole group was 0.763 (95% CI=0.519-0.892), which showed an excellent reliability level. ICC was 0.701 for the non-CAI group (95%CI=0.210-0.910) and 0.804 for the CAI group (95%CI=0.451-0.939). The CAI group performed at a significantly lower level on the AIDAL assessment than the non-CAI group (0.777±0.05 vs. 0.815±0.05, F=5.107, p=0.03). The discriminative AUC value for the AIDAL test was 0.756 with a cut point of 0.819 (sensitivity=0.733, specificity=0.800). The MDC scores for CAI and non-CAI groups were both 0.04. Spearman's correlation showed that the CAIT scores were significantly correlated with the ankle proprioceptive discrimination scores (rho=0.401, p=0.015). CONCLUSION: The AIDAL showed good test-retest reliability for both non-CAI and CAI groups. Measuring ankle inversion proprioception during landing may be important for assessing the outcomes of CAI rehabilitation, as proprioceptive performance obtained from the AIDAL was significantly correlated with severity of functional ankle instability CAIT scores.
背景：研究证据表明，需要一种更敏感、具有更高生态有效性的踝关节本体感觉测试方法，以评估慢性踝关节不稳定（CAI）患者的本体感觉缺陷。
目的：（1）确定新型踝关节本体感觉评估工具——踝关节内翻辨别仪（AIDAL）的测试-重测信度；（2）评估 AIDAL 评分是否足以检测 CAI 中的本体感觉缺陷；（3）检验 AIDAL 评分是否与坎伯兰踝关节不稳定性工具（CAIT）评分相关。
设计：横断面研究。
方法：AIDAL 是专门为评估从 10cm 高处跳下后落地时踝关节内翻的 4 个位置（10°、12°、14°和 16°）的踝关节辨别能力而设计的。受试者操作特征曲线下面积（AUC）被用作踝关节本体感觉辨别评分。23 名大学生（12 名 CAI 和 11 名非 CAI）参与了 7 天的测试-重测信度评估，另外 36 名大学生（18 名 CAI 和 18 名非 CAI）参与了对比研究。
结果：整体组的测试-重测可靠性 ICC 评分为 0.763（95%CI=0.519-0.892），表明具有优秀的可靠性水平。非 CAI 组的 ICC 为 0.701（95%CI=0.210-0.910），CAI 组的 ICC 为 0.804（95%CI=0.451-0.939）。CAI 组在 AIDAL 评估中的表现明显低于非 CAI 组（0.777±0.05 与 0.815±0.05，F=5.107，p=0.03）。AIDAL 测试的判别 AUC 值为 0.756，截断点为 0.819（敏感性=0.733，特异性=0.800）。CAI 和非 CAI 组的 MDC 评分均为 0.04。Spearman 相关分析表明，CAIT 评分与踝关节本体感觉辨别评分显著相关（rho=0.401，p=0.015）。
结论：AIDAL 对非 CAI 和 CAI 组均具有良好的测试-重测信度。在落地时测量踝关节内翻本体感觉可能对评估 CAI 康复的结果很重要，因为 AIDAL 获得的本体感觉表现与功能性踝关节不稳定 CAIT 评分的严重程度显著相关。
Percept Mot Skills. 2022-12
Musculoskelet Sci Pract. 2024-8
Phys Ther Sport. 2014-5
Front Aging Neurosci. 2022-9-30
Front Bioeng Biotechnol. 2025-2-7
BMC Med Inform Decis Mak. 2025-2-13
Front Bioeng Biotechnol. 2024-4-18
Zotero 插件