Measurement of passive ankle dorsiflexion: Procedure and reliability.

The purpose of this study was to develop a reliable procedure to measure passive ankle dorsiflexion in the clinical setting. A known torque was applied to produce ankle dorsiflexion in a standardised testing position. Ankle angle was measured using skin surface markers and polaroid photography. The interrater reliability of this procedure was evaluated by having five testers each measure 15 subjects. It was found that the procedure was highly reliable; the Intraclass Correlation Coefficient for the combined group data was 0.97 and the percentage intertester agreement was 77 per cent. These results demonstrate that the measurement procedure has the potential to be a clinically useful means of evaluating the effect of physiotherapeutic intervention aimed at altering passive ankle dorsiflexion movement.

[1]  A. Apley,et al.  Apley's System of Orthopaedics and Fractures , 1982 .

[2]  M. Province,et al.  Reliability of goniometric measurements in patients with Duchenne muscular dystrophy. , 1985, Physical therapy.

[3]  D. Currier,et al.  Elements of Research in Physical Therapy , 1984 .

[4]  B. J. Winer.  Statistical Principles in Experimental Design , 1992 .

[5]  Richard W. Bohannon,et al.  Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. , 1987, Physical therapy.

[6]  Mayerson Nh,et al.  Goniometric measurement reliability in physical medicine. , 1984 .

[7]  J R Carey,et al.  Tracking ability of hemiparetic and healthy subjects. , 1989, Physical therapy.

[8]  J. M. Rothstein,et al.  Goniometric reliability in a clinical setting. Subtalar and ankle joint measurements. , 1988, Physical therapy.

[9]  D. Grieve.  Prediction of gastrocnemius length from knee and ankle joint posture , 1978 .

[10]  J. M. Rothstein.  Measurement in physical therapy , 1985 .

[11]  S. Azen,et al.  Reliability of goniometric measurements. , 1978, Physical therapy.

[12]  R. Mcrae.  Clinical Orthopaedic Examination , 1977 .

[13]  R. P. Fabio.  Reliability of computerized surface electromyography for determining the onset of muscle activity. , 1987 .

[14]  D. R. Fish,et al.  Sources of goniometric error at the elbow. , 1985, Physical therapy.

[15]  M. Wiles.  Elements of Research in Physical Therapy. , 1980 .

[16]  F. A. Hellebrandt,et al.  The Measurement of Joint Motion: Part III—Reliability of Goniometry , 1949 .

[17]  C. Kispert,et al.  Interrater reliability of skinfold fat measurements. , 1987, Physical therapy.

[18]  J. Fleiss,et al.  Intraclass correlations: uses in assessing rater reliability. , 1979, Psychological bulletin.

[19]  S. Rose,et al.  Reliability and validity of goniometric measurements at the knee. , 1987, Physical therapy.

[20]  D. Weiss,et al.  Interrater reliability and agreement of subjective judgments , 1975 .