Skip to main content
Top
Gepubliceerd in:

Open Access 01-12-2011 | Poster presentation

The reliability of toe systolic pressure and the toe brachial index in patients with diabetes

Auteurs: Mary Romanos, Anita Raspovic, Byron Perrin

Gepubliceerd in: Journal of Foot and Ankle Research | bijlage 1/2011

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail
insite
ZOEKEN

Background

The ankle brachial index is a useful clinical test for establishing blood supply to the foot. However, there are limitations to this method when conducted on people with diabetes. As an alternative to the ankle brachial index, measuring toe systolic pressures and the toe brachial index have been recommended to assess the arterial blood supply to the foot. This study aimed to determine the intra and inter-rater reliability of the measurement of toe systolic pressure and the toe brachial index in patients with diabetes using a manual sphygmomanometer and photoplethysmography unit.

Methods

This was a repeated measures, reliability study. Three raters measured toe systolic pressure and the toe brachial index in thirty participants with diabetes. Measurement sessions occurred on two occasions, one week apart, using a manual photoplethysmography unit (Hadeco Smartdop 45) and a standardised measurement protocol. Intra-class correlation coefficients and 95% limits of agreement (LOA) were calculated.

Results

The mean intra-class correlation for intra-rater reliability for toe systolic pressures was 0.87 (95% LOA: -25.97 to 26.06 mmHg) and the mean intra-class correlation for Toe Brachial Indices was 0.75 (95% LOA: -0.22 to 0.28). The intra-class correlation for inter-rater reliability was 0.88 for toe systolic pressures (95% LOA: -22.91 to 29.17.mmHg) and 0.77 for toe brachial indices (95% LOA: -0.21 to 0.22).

Conclusions

Despite the reasonable intra-class correlation results, the range of error was broad. This potentially clinically significant margin of error raises questions about the reliability of using a manual sphygmomanometer and photoplethysmography to measure toe systolic pressure and toe brachial index. When assessing patients with peripheral arterial occlusive disease, it is important to consider all other non-invasive vascular assessment options.
This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://​creativecommons.​org/​licenses/​by/​2.​0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Onze productaanbevelingen

BSL Podotherapeut Totaal

Binnen de bundel kunt u gebruik maken van boeken, tijdschriften, e-learnings, web-tv's en uitlegvideo's. BSL Podotherapeut Totaal is overal toegankelijk; via uw PC, tablet of smartphone.

Metagegevens
Titel
The reliability of toe systolic pressure and the toe brachial index in patients with diabetes
Auteurs
Mary Romanos
Anita Raspovic
Byron Perrin
Publicatiedatum
01-12-2011
Uitgeverij
BioMed Central
Gepubliceerd in
Journal of Foot and Ankle Research / Uitgave bijlage 1/2011
Elektronisch ISSN: 1757-1146
DOI
https://doi.org/10.1186/1757-1146-4-S1-P52

Andere artikelen bijlage 1/2011

Journal of Foot and Ankle Research 1/2011 Naar de uitgave