본문 바로가기
KERD
논문KCI 등재

엄지발가락 휨각도 측정을 위한 각도계의 신뢰도와 타당도

Reliability and Validity of the Goniometer for Hallux Valgus Angle Measurement

1

조회

0

다운로드

6

인용

0

참고문헌

키워드

주제분류물리치료학

초록

The purpose of this study was to investigate the reliability and validity of goniometer measurements of the hallux valgus angle (HVA) compared to radiographic measurements, which are the current standard. Twenty subjects (10 female, 10 male) were recruited for this study (40 feet). The HVA of the subjects was measured using goniometer and radiographic measurement. In three trials, measurements were taken of each subject by two examiners using goniometer and radiographic measurements using radiography in a standing position. The reliability of the measurements was investigated using intraclass correlation coefficients (ICC(3,1)), and the validity was tested using the Pearson product-moment correlation coefficient and an independent t-test. The intra-rater reliability of left and right HVAs were poor (ICC=.409 and .341, respectively). The inter-rater reliability of left and right HVAs were poor and moderate (ICC=.303 and .501, respectively). Left and right HVAs measured using goniometer and radiographic measurements were also poor and moderate (Pearson r=.246 and .544, respectively). These results suggest that goniometer measurements of the HVA are inaccurate and have unacceptable validity compared to radiographic measurements.

Abstract

The purpose of this study was to investigate the reliability and validity of goniometer measurements of the hallux valgus angle (HVA) compared to radiographic measurements, which are the current standard. Twenty subjects (10 female, 10 male) were recruited for this study (40 feet). The HVA of the subjects was measured using goniometer and radiographic measurement. In three trials, measurements were taken of each subject by two examiners using goniometer and radiographic measurements using radiography in a standing position. The reliability of the measurements was investigated using intraclass correlation coefficients (ICC(3,1)), and the validity was tested using the Pearson product-moment correlation coefficient and an independent t-test. The intra-rater reliability of left and right HVAs were poor (ICC=.409 and .341, respectively). The inter-rater reliability of left and right HVAs were poor and moderate (ICC=.303 and .501, respectively). Left and right HVAs measured using goniometer and radiographic measurements were also poor and moderate (Pearson r=.246 and .544, respectively). These results suggest that goniometer measurements of the HVA are inaccurate and have unacceptable validity compared to radiographic measurements.

참고문헌 (22)

  1. Al-Abdulwahab SS, "Hallux valgus and preferred shoe types among young healthy Saudi Arabian females", Ann Saudi Med, 20(3-4), pp.319~321 (2000)
  2. Coughlin MJ, "Hallux valgus", J Bone Joint Surg Am, 78(6), pp.932~966 (1996)
  3. Coughlin MJ, "Hallux valgus in men: Effect of the distal metatarsal articular angle on hallux valgus correction", Foot Ankle Int, 18(8), pp.463~470 (1997)
  4. Coughlin MJ, "Mann Award. The reliability of angular measurements in hallux valgus deformities", Foot Ankle Int, 22(5), pp.369~379 (2001)
  5. Coughlin MJ, "Hallux valgus:Demographics, etiology, and radiographic assessment", Foot Ankle Int, 28(7), pp.759~777 (2007)
  6. Coughlin MJ, "The high price of high-fashion footwear", Instr Course Lect, 44, pp.371~377 (1995)
  7. Hardy RH, "Observations on hallux valgus; based on a controlled series", J Bone Joint Surg Br, 33-B(3), pp.376~391 (1951)
  8. Lamur KS, "Geometric data of hallux valgus feet", Foot Ankle Int, 17(9), pp.548~554 (1996)
  9. Mann RA, "Repair of hallux valgus with a distal soft-tissue procedure and proximal metatarsal osteotomy. A long-term follow- up", J Bone Joint Surg Am, 74(1), pp.124~129 (1992)
  10. Nix S, "Validity and reliability of hallux valgus angle measured on digital photographs", J Orthop Sports Phys Ther, 42(7), pp.642~648 (2012)
  11. Nix S, "Prevalence of hallux valgus in the general population: A systematic review and meta-analysis", J Foot Ankle Res, 27, pp.3~21 (2010)
  12. Piggott H, "The natural histroy of hallux valgus in adolescence and early adult life", J Bone Joint Surg Br, 42-B(4), pp.749~760 (1960)
  13. Piqué-Vidal C, "Radiographic angles in hallux valgus: Differences between measurements made manually and with a computerized program", Foot Ankle Int, 27(3), pp.175~180 (2006)
  14. Pouliart N, "Clinical and radiographic evaluation of wilson osteotomy for hallux valgus", Foot Ankle Int, 17(7), pp.388~394 (1996)
  15. Robinson AH, "Variation of the distal metatarsal articular angle with axial rotation and inclination of the first metatarsal", Foot Ankle Int, 27(12), pp.1036~1040 (2006)
  16. Roddy E, "Validation of a self-report instrument for assessment of hallux valgus", Osteoarthritis Cartilage, 15(9), pp.1008~1012 (2007)
  17. Saro C, "Reliability of radiological and cosmetic measurements in hallux valgus", Acta Radiol, 46(8), pp.843~851 (2005)
  18. Schneider W, "Reproducibility of the radiographic metatarsophalangeal angle in hallux surgery", J Bone Joint Surg Am, 85(3), pp.494~499 (2003)
  19. Shrout PE, "Intraclass correlations: Uses in assessing rater reliability", Psychol Bull, 86(2), pp.420~428 (1979)
  20. Srivastava S, "Radiographic angles in hallux valgus: Comparison between manual and computer- assisted measurements", J Foot Ankle Surg, 49(6), pp.523~528 (2010)
  21. Srivastava S, "Radiographic measurements of hallux angles: A review of current techniques", Foot (Edinb), 20(1), pp.27~31 (2010)
  22. Walter R, "Inter- and intra-observer reliability of a smartphone application for measuring hallux valgus angles", Foot Ankle Surg, 19(1), pp.18~21 (2013)

관련 논문AI추천

이 간행물의 다른 논문 (7건)