The reliability and validity of the weight-bearing lunge test in a Congenital Talipes Equinovarus population (CTEV)

PeerJ

article

Georgia Gosse¹  Emily Ward¹  Auburn McIntyre²  Helen A. Banwell¹ 

[1] School of Health Sciences, University of South Australia;Physiotherapy, Allied Health Department, Women’s and Children’s Hospital;International Centre for Allied Health Evidence, University of South Australia

关键词: Congenital Talipes Equinovarus;    Clubfoot;    Weight-bearing lunge;    Reliability;    Validity;   

DOI  :  10.7717/peerj.10253

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

QuestionWhat is the intra and inter-rater reliability and concurrent validity of the weight-bearing lunge test within a Congenital Talipes Equinovarus population?DesignTest retest design for reliability and validity. The measure was taken, following preconditioning of the participants, using distance from wall, angle at distal posterior tibia using a digital inclinometer and the iPhone level function, twice by each rater. The raters included a clinician, clinician in training and a parent/carer.Outcome measuresWeight bearing lunge test as a measure of ankle dorsiflexion.Results0.751) and good to excellent for the inclinometer (ICC clinician 0.87, ICC training clinician 0.90). Concurrent validity between the clinician’s and parents distance measure was also high with ICC of 0.899. Inter-rater reliability was excellent for distance measure (ICC = 0.948), good for the inclinometer (ICC = 0.801) and moderate for the iPhone (ICC = 0.68). Standard error of measurement ranged from 0.70–2.05, whilst the minimal detectable change ranged from 1.90–5.70.ConclusionThe use of the WBLT within this CTEV population has demonstrated good to excellent reliability and validity amongst clinicians, clinicians in training and parents/carers, supporting its use as an assessment measure of dorsiflexion range of motion. There is support for parents/carers to use the WBLT at home as a monitoring assessment measure which may assist with early detection of a relapse.Trial registrationUniversity of South Australia’s ethics committee (ID: 201397); Women’s and Children’s Hospital ethics committee (AU/1/4BD7310).

【 授权许可】

CC BY