엉덩정강근막띠의 길이 평가를 위한 세 가지 측정방법들의 신뢰도 비교
Reliability of Three Methods for Measuring Length of Iliotibial Tract
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The purpose of this study was to compare the intra-rater and inter-rater reliability of three methods for measuring iliotibial tract length in 40 knees of 20 subjects. The measurements were performed by two examiners and one assistant. The length of the iliotibial tract was measured using three methods: the first used a modified Ober test with an inclinometer, the second used a modified Ober test with a marker,and the third used active adduction test with a marker in the supine position. Each examiner used the three methods in two sessions. For the first method, the inclinometer value was recorded manually. Forthe second and third methods, Image J analysis software was used to analyze the photographs taken. The intra-rater and inter-rater reliability of the measured value was assessed by means of intra-class correlation coefficients [ICC (3,1)] and the standard error of measurement. The intra-rater reliabilities ofthe three methods were excellent (ICC=.97, .95, and .94, respectively), and the inter-rater reliabilities ofthe first and second methods were fair to good (ICC=.64 and .65, respectively). The inter-rater reliability of the third method was excellent (ICC=.88). Our results suggest that the active adduction test is an objective and qualitative measurement method for measuring iliotibial tract length. We recommend that the active adduction test be used for measuring iliotibial tract length in the clinical setting.
Abstract
The purpose of this study was to compare the intra-rater and inter-rater reliability of three methods for measuring iliotibial tract length in 40 knees of 20 subjects. The measurements were performed by two examiners and one assistant. The length of the iliotibial tract was measured using three methods: the first used a modified Ober test with an inclinometer, the second used a modified Ober test with a marker,and the third used active adduction test with a marker in the supine position. Each examiner used the three methods in two sessions. For the first method, the inclinometer value was recorded manually. Forthe second and third methods, Image J analysis software was used to analyze the photographs taken. The intra-rater and inter-rater reliability of the measured value was assessed by means of intra-class correlation coefficients [ICC (3,1)] and the standard error of measurement. The intra-rater reliabilities ofthe three methods were excellent (ICC=.97, .95, and .94, respectively), and the inter-rater reliabilities ofthe first and second methods were fair to good (ICC=.64 and .65, respectively). The inter-rater reliability of the third method was excellent (ICC=.88). Our results suggest that the active adduction test is an objective and qualitative measurement method for measuring iliotibial tract length. We recommend that the active adduction test be used for measuring iliotibial tract length in the clinical setting.
참고문헌 (18)
- Birnbaum K, "Anatomical and biomechanical investigations of the iliotibial tract", Surg Radiol Anat, 26(6), pp.433~446 (2004)
- Ekman EF, "Magnetic resonance imaging of iliotibial band syndrome", Am J Sports Med, 22(6), pp.851~854 (1994)
- Fredericson M, "Hip abductor weakness in distance runners with iliotibial band syndrome", Clin J Sport Med, 10(3), pp.169~175 (2000)
- Fredericson M, "Practical management of iliotibial band friction syndrome in runners", Clin J Sport Med, 16(3), pp.261~268 (2006)
- Fredericson M, "Quantitative analysis of the relative effectiveness of 3 iliotibial band stretches", Arch Phys Med Rehabil, 83(5), pp.589~592 (2002)
- Fung DA, "Bilateral symptomatic snapping biceps femoris tendon due to fibular exostosis", J Knee Surg, 21(1), pp.55~57 (2008)
- Gajdosik RL, "Influence of knee positions and gender on the Ober test for length of the iliotibial band", Clin Biomech(Bristol, Avon), 18(1), pp.77~79 (2003)
- Halabchi F, "Patellofemoral pain syndrome and modifiable intrinsic risk factors;How to assess and address?", Asian J Sports Med, 4(2), pp.85~100 (2013)
- Herrington L, "The relationship between patella position and length of the iliotibial band as assessed using Ober’s test", Man Ther, 11(3), pp.182~186 (2006)
- Kendall FP, "Muscles: Testing and function with posture and pain", pp.348~351 (2005), Williams &Wilkins
- Kendall HO, "Posture and Pain. Baltimore", pp.209~210 (1952), Williams & Wilkins
- Melchione WE, "Reliability of measurements obtained by use of an instrument designed to indirectly measure iliotibial band length", J Orthop Sports Phys Ther, 18(3), pp.511~515 (1993)
- Noehren B, "Assessment of strength, flexibility, and running mechanics in men with iliotibial band syndrome", J Orthop Sports Phys Ther, 44(3), pp.217~222 (2014)
- Reese NB, "Use of an inclinometer to measure flexibility of the iliotibial band using the Ober test and the modified Ober test : Differences in magnitude and reliability of measurements", J Orthop Sports Phys Ther, 33(6), pp.326~330 (2003)
- Shrout PE, "Intraclass correlations : Uses in assessing rater reliability", Psychol Bull, 86(2), pp.420~428 (1979)
- Waryasz GR, "Patellofemoral pain syndrome (PFPS): A systematic review of anatomy and potential risk factors", Dyn Med, 7, pp.9~ (2008)[DOI]
- Winslow J, "Patellofemoral pain in female ballet dancers : Correlation with iliotibial band tightness and tibial external rotation", J Orthop Sports Phys Ther, 22(1), pp.18~21 (1995)
- Wu CC, "The influence of iliotibial tract on patellar tracking", Orthopedics, 27(2), pp.199~203 (2004)