Costa Marco Túlio, Tejerina Javier Felipe Salinas, Silva Cesar Augusto Lima da, Rêgo Itallo Epaminondas de Queiroz, Bergamasco Jordanna Maria Pereira, Marchi Neto Noé De
Grupo do Pé e Tornozelo, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brasil.
Rev Bras Ortop (Sao Paulo). 2022 Jun 10;59(6):e907-e912. doi: 10.1055/s-0042-1749620. eCollection 2024 Dec.
To evaluate the methods of measuring leg-foot movement in normal ankles and feet by comparing the results of clinical measurements with those of radiographic measurement and to determine the range of leg-foot movement considered normal. Leg-foot movement was measured in 44 patients (60 feet) using a traditional goniometer, digital goniometer, inclinometer, , in addition to radiographic measurement (considered gold standard). Maximum dorsiflexion was achieved by asking the patient to take a step forward with the contralateral foot and perform as much dorsiflexion as possible in the ankle studied without removing the heel from the ground. For maximum plantar flexion, the patient was asked to take a step back with the contralateral foot and make as much plantar flexion as possible without removing the studied forefoot from the ground. The values obtained in radiographic measurement were higher than those obtained with clinical measurement. When we compared only the results of clinical measurement, the traditional goniometer was inaccurate. According to the radiographic method, the mean leg-foot range of motion was 65.6 degrees. The mean maximum plantar flexion was 34.9 degrees, and the mean maximum dorsiflexion was 30.7 degrees. The most appropriate method for the evaluation of leg-foot range of motion is the radiographic one. The traditional goniometer proved to be the most imprecise clinical method. The mean leg-foot range of motion in healthy young adults was 65 degrees.
通过比较临床测量结果与影像学测量结果，评估正常踝关节和足部测量腿-足运动的方法，并确定正常的腿-足运动范围。 除影像学测量（视为金标准）外，使用传统测角仪、数字测角仪、倾角仪对44例患者（60只脚）进行腿-足运动测量。通过让患者用对侧脚向前迈一步，并在不使足跟离开地面的情况下，使所研究的踝关节尽可能多地背屈来实现最大背屈。对于最大跖屈，让患者用对侧脚向后迈一步，并在不使所研究的前足离开地面的情况下，尽可能多地进行跖屈。 影像学测量获得的值高于临床测量获得的值。当我们仅比较临床测量结果时，传统测角仪不准确。根据影像学方法，腿-足平均运动范围为65.6度。平均最大跖屈为34.9度，平均最大背屈为30.7度。 评估腿-足运动范围最合适的方法是影像学方法。传统测角仪被证明是最不精确的临床方法。健康年轻成年人的腿-足平均运动范围为65度。
