Swipe om te navigeren naar een ander artikel
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Ankle joint range of motion is a frequently assessed measure used by health care clinicians who manage lower limb pathologies to identify ankle equinus and/or other joint motion concerns that may negatively impact on function. The purpose of this study was to assess a new iPhone application (the level function of the ‘Measure application’), for measuring the weightbearing ankle lunge test in a healthy adult population (reliability) and measuring known angles (validity) when compared to a digital inclinometer.
To determine intra-rater reliability, inter-rater reliability and concurrent validity, 168 measures were conducted on 21 participants. Participants were preconditioned prior to assessment, and two experienced raters measured ankle dorsiflexion range of motion in the knee extended and knee flexed positions of the weight bearing lunge test, using an iPhone level function (of the Measure application) and a digital inclinometer in a randomised order, over two timepoints. Concurrent validity was also determined by comparison of measures of the two devices at known surface angles (0 and 15 degrees) in multiple planes. Reliability and validity were determined with intraclass correlation coefficients, concurrent validity was explored with the Bland Altman plot and an intraclass correlation coefficient. The Standard Error of the Mean and the minimal detectable change were also explored.
The intra-rater reliability using the iPhone and inter-rater reliability using the digital inclinometer, in the knee extended position, were ICC 0.85 respectively, indicating good reliability. All other intra-rater reliability and inter-rater reliability for both devices and both leg positions were over ICC 0.90, indicating excellent reliability. Concurrent validity between the two devices on a flat and known angle surface were ICC 1.0 (Limits of Agreement − 1.0 to 0.61), indicating excellent validity, with good validity demonstrated by a Bland Altman plot of all measures in all positions (ICC of 0.84 (Limits of agreement = − 4.51 to 6.49)).
The use of the iPhone level measure, within the Measurement App has demonstrated to be an easy and reliable measurement tool to determine ankle joint dorsiflexion during the weightbearing lunge test in healthy adults.
DiGiovanni C, Kuo R, Tejwani N, Price R, Hansen S, Cziernecki J, Sangeorzan B. Isolated gastrocnemius tightness. JB & JS. 2002;84A:962–70.
Burns J, Crosbie J. Weight bearing ankle dorsiflexion range of motion in idiopathic pes cavus compared to normal and pes planus feet. Foot. 2005;15:91–4. CrossRef
Wahlstedt C, Rasmussen-Barr E. Anterior cruciate ligament injury and ankle dorsiflexion. Knee Surg Sports Traumatol Arthrosc. 2015;23:3202–7. CrossRef
Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003;85-a:872–7. CrossRef
Pope R, Herbert R, Kirwan J. Effects of ankle dorsiflexion range and pre-exercise calf muscle stretching on injury risk in Army recruits. Aust J Physiother. 1998;44:165–72. CrossRef
James AM, Williams CM, Luscombe M, Hunter R, Haines TP. Factors associated with pain severity in children with calcaneal Apophysitis (sever disease). J Pediatrs. 2015;167(2):455–9. CrossRef
Powden CJ, Hoch JM, Hoch MC. Reliability and minimal detectable change of the weight-bearing lunge test: a systematic review. Man Ther. 2015;20:524–32. CrossRef
Prushansky T, Deryi O, Jabarreen B. Reproducibility and validity of digital Inclinometry for measuring cervical range of motion in Normal subjects. Physiother Res Int. 2010;15:42–8. PubMed
Munteanu SE, Strawhorn AB, Landorf KB, Bird AR, Murley GS. A weightbearing technique for the measurement of ankle joint dorsiflexion with the knee extended is reliable. J Sci Med Sport. 2009;12:54–9. CrossRef
Rabin A, Kozol Z. Weightbearing and nonweightbearing ankle dorsiflexion range of motion: are we measuring the same thing? J Am Podiatr Med Assoc. 2012;102:406–11. CrossRef
Hall EA, Docherty CL. Validity of clinical outcome measures to evaluate ankle range of motion during the weight-bearing lunge test. J Sci Med Sport. 2017;20:618–21. CrossRef
Williams C, Caserta A, Haines T. The TiltMeter app is a novel and accurate measurement tool for the weight bearing lunge test. J Sci Med Sport. 2013;16:392–5. CrossRef
Vohralik SL, Bowen AR, Burns J, Hiller CE, Nightingale EJ. Reliability and validity of a smartphone app to measure joint range. Am J Phys Med Rehabil. 2015;94(4):325–30. CrossRef
Telsyte: Telsyte Australian Smartphone and Wearable Devices Market Study 2018.URL: https://www.telsyte.com.au/announcements/2018/2/20/australian-smartphone-sales-grow-in-2017-as-users-lock-into-platforms.
Bennell K, Khan KM, Matthews B, De Gruyter M, Cook E, Holzer K, Wark JD. Hip and ankle range of motion and hip muscle strength in young female ballet dancers and controls. Br J Sports Med. 1999;33:340–6. CrossRef
Dickson D, Hollman-Gage K, Ojofeitimi S, Bronner S. Comparison of functional ankle motion measures in modern dancers. J Dance Med Sci. 2012;13:116–25.
Urbaniak G, Plous S. Research Randomizer (Version 4.0) 2013 [Computer software]. Retrived on July 23rd 2018.
Menz H. Two feet, or one person? Problems associated with statistical analysis of paired data in foot and ankle medicine. Foot. 2004;13(1):2–5. CrossRef
Haley SM, Fragala-Pinkham MA. Interpreting change scores of tests and measures used in physical therapy. Phys Ther. 2006;86:735–43. PubMed
Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–10. CrossRef
Portney LG, Watkins MP. Foundations of clinical research: applications to pracitce. 3rd ed. New Jersey: Pearson Edcucation, Inc; 2009. p. 852.
StataCorp. Stata statistical software: release 15. vol. 15. College Station, TX: StataCorp LP 2016.
Rose KJ, Burns J, North KN. Factors associated with foot and ankle strength in healthy preschool-age children and age-matched cases of Charcot-Marie-tooth disease type 1A. J Child Neuril. 2010;25:463–8. CrossRef
Williams C, Tinley PD, Curtin M, Nielsen S. Foot and ankle characteristics of children with an idiopathic toe-walking gait. J Am Podiatr Med Assoc. 2013;103:374–9. CrossRef
Searle A, Spink MJ, Chuter VH. Prevalence of ankle equinus and correlation with foot plantar pressures in people with diabetes. Clin Biomech. 2018;60:39–44. CrossRef
Cranage S, Banwell H, Williams CM. Gait and lower limb observation of Paediatrics (GALLOP): development of a consensus based paediatric podiatry and physiotherapy standardised recording proforma. J Foot Ankle Res. 2016;9:8. CrossRef
Kang MH, Oh JS. Relationship between Weightbearing ankle dorsiflexion passive range of motion and ankle kinematics during gait. J Am Podiatr Med Assoc. 2017;107:39–45. CrossRef
Akinyemi K, Atapu A, Adetona O, Coker A. The potential role of mobile phones in the spread of bacterial infections. J Infect Dev Ctries. 2009;3:628–32. CrossRef
Bennell K, Talbot R, Wajswelner H, Techovanich W, Kelly D. Intra-rater and inter-rater reliability of a weight-brearing lunge measure of ankle dorsiflexion. Aust Physiother. 1998;44:175–80. CrossRef
- The iPhone Measure app level function as a measuring device for the weight bearing lunge test in adults: a reliability study
Helen A. Banwell
Cylie M. Williams
- BioMed Central