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慢性踝关节不稳患者行走时踝关节内翻辨别装置的信度与效度

Reliability and validity of the ankle inversion discrimination apparatus during walking in individuals with chronic ankle instability.

作者信息

Shao Xuerong, Kang Ming, Luan Lijiang, Deng Fawei, Adams Roger, Wu Tao, Han Jia

机构信息

School of Exercise and Health, Shanghai University of Sport, Shanghai, China.

Department of Rehabilitation Medicine, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.

出版信息

Front Physiol. 2023 Jan 19;14:1036194. doi: 10.3389/fphys.2023.1036194. eCollection 2023.


DOI:10.3389/fphys.2023.1036194
PMID:36744024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9893012/
Abstract
  1. to explore the test-retest reliability of a new device for measuring ankle inversion proprioception during walking, i.e., the Ankle Inversion Discrimination Apparatus-Walking (AIDAW) in individuals with or without Chronic Ankle instability (CAI); 2) to assess its discriminant validity in differentiating individuals with or without CAI; 3) to investigate its convergent validity by examining its association with Cumberland Ankle Instability Tool (CAIT) and the Y Balance Test (YBT). For test-retest reliability, 15 participants with CAI and 15 non-CAI healthy controls were recruited. Participants completed the AIDAW test twice with a 7-day interval. The area under the receiver operating curve (AUC) was obtained as the AIDAW score. The intraclass correlation coefficient (ICC) and MDC were calculated. For the validity study, another 20 individuals with CAI and 20 non-CAI healthy controls were involved. The AIDAW scores were analyzed by an independent samples -test, and the optimal cutoff value of AIDAW scores to best distinguish individuals with CAI was calculated by Youden's index. Spearman or Pearson correlation analysis was used to analyze the correlation between AIDAW proprioceptive scores and the CAIT and final YBT scores. For test-retest reliability, the ICC values for the CAI, non-CAI, and the whole group were 0.755, 0.757, and 0.761 respectively. The MDC of the CAI and non-CAI group was 0.04 and 0.05. Regarding discriminant validity, the AIDAW proprioceptive discrimination scores in the CAI group were significantly lower than those in the non-CAI group ( = 0.003); and the cutoff score for distinguishing CAI from the non-CAI participants was 0.759. For convergent validity, the AIDAW scores were significantly correlated with the functional balance YBT final scores ( = 0.001) and the CAIT scores ( = 0.009). The AIDAW is a reliable and valid device for evaluating ankle inversion proprioception during walking in individuals with and without CAI. AIDAW can be used as a clinical assessment tool to discriminate CAI from non-CAI individuals and to monitor effects of rehabilitation. The AIDAW proprioceptive discrimination scores were significantly and positively correlated with YBT and CAIT scores.
摘要
  1. 探讨一种用于测量行走过程中踝关节内翻本体感觉的新设备,即行走时踝关节内翻辨别仪(AIDAW)在慢性踝关节不稳(CAI)患者和非CAI患者中的重测信度;2) 评估其在区分CAI患者和非CAI患者方面的判别效度;3) 通过检查其与坎伯兰踝关节不稳工具(CAIT)和Y平衡测试(YBT)的相关性来研究其收敛效度。对于重测信度,招募了15名CAI患者和15名非CAI健康对照者。参与者间隔7天完成两次AIDAW测试。以AIDAW得分作为受试者工作特征曲线(ROC曲线)下面积。计算组内相关系数(ICC)和最小可检测变化(MDC)。对于效度研究,又纳入了20名CAI患者和20名非CAI健康对照者。通过独立样本t检验分析AIDAW得分,并通过约登指数计算出最能区分CAI患者的AIDAW得分的最佳截断值。采用Spearman或Pearson相关分析来分析AIDAW本体感觉得分与CAIT及YBT最终得分之间的相关性。对于重测信度,CAI组、非CAI组和全组的ICC值分别为0.755、0.757和0.761。CAI组和非CAI组的MDC分别为0.04和0.05。关于判别效度,CAI组的AIDAW本体感觉辨别得分显著低于非CAI组(P = 0.003);区分CAI患者和非CAI参与者的截断分数为0.759。对于收敛效度,AIDAW得分与功能性平衡YBT最终得分(P = 0.001)和CAIT得分(P = 0.009)显著相关。AIDAW是一种可靠且有效的设备,可用于评估有或无CAI个体行走时的踝关节内翻本体感觉。AIDAW可用作临床评估工具,以区分CAI患者和非CAI个体,并监测康复效果。AIDAW本体感觉辨别得分与YBT和CAIT得分显著正相关。
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/5c7f8b5cb197/fphys-14-1036194-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/72d2ff825d87/fphys-14-1036194-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/b6f00b25c434/fphys-14-1036194-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/308439f8bacc/fphys-14-1036194-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/5c7f8b5cb197/fphys-14-1036194-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/72d2ff825d87/fphys-14-1036194-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/a84cdd730bfc/fphys-14-1036194-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/b6f00b25c434/fphys-14-1036194-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/5da2bc1144b1/fphys-14-1036194-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/e725f527b93f/fphys-14-1036194-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/308439f8bacc/fphys-14-1036194-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f916/9893012/5c7f8b5cb197/fphys-14-1036194-g007.jpg

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引用本文的文献

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[2]
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本文引用的文献

[1]
Impaired ankle inversion proprioception during walking is associated with fear of falling in older adults.

Front Aging Neurosci. 2022-9-30

[2]
Translation, Cultural Adaptation, and Reliability and Validity Testing of a Chinese Version of the Freezing of Gait Questionnaire (FOGQ-CH).

Front Neurol. 2021-11-23

[3]
Kinesiology tape length and ankle inversion proprioception at step-down landing in individuals with chronic ankle instability.

J Sci Med Sport. 2021-9

[4]
Ankle inversion proprioception measured during landing in individuals with and without chronic ankle instability.

J Sci Med Sport. 2021-7

[5]
The effect of chronic ankle instability on muscle activations in lower extremities.

PLoS One. 2021

[6]
Clinical evaluation of manual stress testing, stress ultrasound and 3D stress MRI in chronic mechanical ankle instability.

BMC Musculoskelet Disord. 2021-2-17

[7]
Applicability of cutoff scores of Chinese Cumberland Ankle Instability Tool and Foot and Ankle Ability Measure as inclusion criteria for study of chronic ankle instability in Chinese individuals.

Phys Ther Sport. 2021-3

[8]
Chronic ankle instability is associated with proprioception deficits: A systematic review and meta-analysis.

J Sport Health Sci. 2021-3

[9]
"Imposed" and "obtained" ankle proprioception across the life span-Commentary on Djajadikarta et al.

J Appl Physiol (1985). 2020-9-1

[10]
How to Include Patient-Reported Outcome Measures in Clinical Trials.

Curr Osteoporos Rep. 2020-10

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