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01-12-2012 | Research | Uitgave 1/2012 Open Access

Journal of Foot and Ankle Research 1/2012

The foot posture index, ankle lunge test, Beighton scale and the lower limb assessment score in healthy children: a reliability study

Tijdschrift:
Journal of Foot and Ankle Research > Uitgave 1/2012
Auteurs:
Angela M Evans, Keith Rome, Lauren Peet
Belangrijke opmerkingen

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

AE and KR contributed to conception and design of the study. LP and AE acquired the data. KR and AE analysed and interpreted the data. All authors were involved in drafting the manuscript and have given final approval of the version to be published.

Abstract

Background

Outcome measures are important when evaluating treatments and physiological progress in paediatric populations. Reliable, relevant measures of foot posture are important for such assessments to be accurate over time. The aim of the study was to assess the intra- and inter-rater reliability of common outcome measures for paediatric foot conditions.

Methods

A repeated measures, same-subject design assessed the intra- and inter-rater reliability of measures of foot posture, joint hypermobility and ankle range: the Foot Posture Index (FPI-6), the ankle lunge test, the Beighton scale and the lower limb assessment scale (LLAS), used by two examiners in 30 healthy children (aged 7 to 15 years). The Oxford Ankle Foot Questionnaire (OxAFQ-C) was completed by participants and a parent, to assess the extent of foot and ankle problems.

Results

The OxAFQ-C demonstrated a mean (SD) score of 6 (6) in adults and 7(5) for children, showing good agreement between parents and children, and which indicates mid-range (transient) disability. Intra-rater reliability was good for the FPI-6 (ICC = 0.93 - 0.94), ankle lunge test (ICC = 0.85-0.95), Beighton scale (ICC = 0.96-0.98) and LLAS (ICC = 0.90-0.98). Inter-rater reliability was largely good for each of the: FPI-6 (ICC = 0.79), ankle lunge test (ICC = 0.83), Beighton scale (ICC = 0.73) and LLAS (ICC = 0.78).

Conclusion

The four measures investigated demonstrated adequate intra-rater and inter-rater reliability in this paediatric sample, which further justifies their use in clinical practice.

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Andere artikelen Uitgave 1/2012

Journal of Foot and Ankle Research 1/2012 Naar de uitgave