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作为测量髋关节内收功能运动的一种方法,站立位上肢过头内收测试(SOAR)的可靠性和有效性。

Reliability and validity of the medial standing overhead arm reach (SOAR) test as a measure of functional hip adduction motion.

机构信息

Department of Physical Therapy & Human Movement Science, Sacred Heart University, Fairfield, CT, USA.

Physical Therapy Specialists, Guilford, CT, USA.

出版信息

Clin Rehabil. 2024 Jul;38(7):955-964. doi: 10.1177/02692155241236600. Epub 2024 Mar 5.


DOI:10.1177/02692155241236600
PMID:38444212
Abstract

OBJECTIVE: The Posterior Standing Overhead Arm Reach (SOAR) test has been previously reported as a reliable clinical measure of closed chain hip extension motion. The proposed Medial SOAR test expands on that testing approach to provide a similar measure of functional hip adduction motion. This was a preliminary intrarater and interrater reliability and validity study of the Medial SOAR test as a measure of functional hip adduction. DESIGN: Cross-sectional. SETTING: University motion analysis laboratory. PARTICIPANTS: Fifty hips were assessed in 25 (22 female) asymptomatic participants (mean age = 23.4 years, SD = 0.8). MAIN MEASURES: Maximum hip adduction during the Medial SOAR test was measured with a standard goniometer independently by two examiners. The test was also performed using three-dimensional motion capture. The intrarater and interrater reliability of the goniometric measure was determined using intraclass correlation coefficients, and the relationship between measures obtained via goniometry and three-dimensional motion capture was assessed with Pearson correlations and Bland-Altman analysis. RESULTS: Intrarater reliability (ICC) was 0.88 (95% CI = 0.80-0.92) for Examiner 1 and 0.87 (95% CI = 0.79-0.92) for Examiner 2. The standard error of measurement and minimal detectable change were less than 3.0°. Interrater reliability demonstrated an intraclass correlation coefficient = 0.62 (95% CI = 0.28-0.79). Pearson correlations were significant with low-to-moderate associations (r = 0.49, < 0.001; r = 0.24, = 0.045). CONCLUSIONS: Similar to the previously reported Posterior SOAR test, the Medial SOAR test demonstrated acceptable intrarater and interrater reliability, along with low-to-moderate associations with three-dimensional motion capture. The Medial SOAR test has the potential to provide a reliable and accurate assessment of closed chain hip adduction.

摘要

目的:先前有研究报道,后向站立过头臂伸展(SOAR)测试是一种可靠的临床测量方法,用于评估闭合链髋关节伸展运动。本研究提出的内侧 SOAR 测试扩展了这种测试方法,以提供一种类似的功能性髋关节内收运动的测量方法。本研究初步评估了内侧 SOAR 测试作为功能性髋关节内收测量方法的内部和外部信度和效度。

设计:横断面研究。

地点:大学运动分析实验室。

参与者:25 名(22 名女性)无症状参与者的 50 髋被评估(平均年龄 23.4 岁,标准差 0.8)。

主要测量指标:使用标准量角器由两名检查者独立测量内侧 SOAR 测试中髋关节的最大内收角度。该测试还使用三维运动捕捉进行。使用组内相关系数确定量角器测量的内部信度,使用 Pearson 相关和 Bland-Altman 分析评估通过量角器和三维运动捕捉获得的测量值之间的关系。

结果:检查者 1 的内部信度(ICC)为 0.88(95%置信区间:0.80-0.92),检查者 2 的 ICC 为 0.87(95%置信区间:0.79-0.92)。测量误差和最小可检测变化均小于 3.0°。外部信度的组内相关系数为 0.62(95%置信区间:0.28-0.79)。Pearson 相关分析具有显著相关性,但相关性较低(r=0.49,<0.001;r=0.24,=0.045)。

结论:与先前报道的后向 SOAR 测试类似,内侧 SOAR 测试表现出可接受的内部和外部信度,与三维运动捕捉具有较低到中度的相关性。内侧 SOAR 测试具有提供可靠和准确的闭合链髋关节内收评估的潜力。

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