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Clinical assessment of ankle joint dorsiflexion : A review of measurement techniques

Gatt, A. and Chockalingam, N. (2011) Clinical assessment of ankle joint dorsiflexion : A review of measurement techniques. Journal of the American Podiatric Medical Association, 101 (1). pp. 59-69.

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Abstract or description

Ankle dorsiflexion measurement is important for clinical and research use. With so much evidence on the unreliability of goniometric measurements, a systematic review was performed to investigate various alternative techniques for measuring ankle dorsiflexion in the nonneurologic patient. All of the major databases were queried electronically to identify studies that used any method of ankle dorsiflexion measurement in the nonneurologic subject. Keywords included ankle dorsiflexion NOT cerebral palsy NOT stroke, the latter to exclude neurologic conditions. In 755 studies that used some form of ankle joint dorsiflexion measurement, ten different techniques were identified that included various apparatuses designed specifically for this purpose. Reliability testing of these techniques involved test-retest trials with small student populations as subjects, which returned high intraclass correlation coefficient scores. However, their methodological quality would have benefitted from the use of an actual patient population and comparison with a reference standard. When validating ankle dorsiflexion measurement techniques, actual patient populations should be used, otherwise papers would score poorly on methodological quality assessment. Standardizing patient position, foot posture, amount of moment applied, and reference landmarks will ensure that various trial results can be compared directly.

Item Type: Article
Additional Information: cited By (since 1996) 4
Uncontrolled Keywords: ankle; human; joint characteristics and functions; physiology; review, Ankle Joint; Humans; Range of Motion, Articular
Subjects: A900 Others in Medicine and Dentistry
B800 Medical Technology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Nachiappan CHOCKALINGAM
Date Deposited: 14 Mar 2013 22:26
Last Modified: 14 Mar 2013 22:26
URI: http://eprints.staffs.ac.uk/id/eprint/707

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