Development and validation of the Copenhagen Ankle Range of Motion Scale.

IF 1.2 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Danish medical journal Pub Date : 2025-07-22 DOI:10.61409/A06240381

Saber M Saber, Ida Tryggedsson, Maj Britt Køhler Astow, Anne Marie Halmø Elholm, Kenneth Chukwuemeka Obionu, Michael Ringdom Krogsgaard

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引用次数: 0

Abstract

Introduction: It would be advantageous if patients could self-report ankle range of motion (ROM). This study aimed to develop the Copenhagen Ankle Range of Motion Scale (CARS).

Methods: After input from healthcare professionals and patients, a pictorial questionnaire was developed to report ankle dorsiflexion with a straight knee and a flexed knee and ankle plantiflexion. CARS outcomes were compared to goniometer measurements made by a nurse and a doctor. Reliability, interclass correlation coefficients (ICC), agreements and correlations were calculated.

Results: A total of 102 patients were enrolled. ICCs for goniometer measurements by a nurse and a doctor were 0.66-0.77. There was good agreement between the pictorial choices made by doctors and nurses, with a weighted kappa between 0.63 and 0.71. Agreement between CARS measures and the mean of goniometer measures by the two observers showed a weighted kappa of 0.32-0.5, and Pearson correlation coefficients between patient selections and the mean goniometer measurement were 0.53-0.56.

Conclusions: CARS can be used to obtain an indication of ankle ROM without the patient's physical attendance and can standardise estimates of ankle ROM in clinical practice. It was not possible to calculate the tool's sensitivity, specificity and positive/negative predictive values. Further development with patient involvement may improve the validity of CARS version 2.0.

Funding: None.

Trial registration: Not relevant.

查看原文本刊更多论文

哥本哈根踝关节活动度量表的开发和验证。

如果患者能自我报告踝关节活动范围（ROM）将是有利的。本研究旨在发展哥本哈根踝关节活动度量表（CARS）。方法：在医疗保健专业人员和患者的输入后，制定了一份图像调查问卷，报告踝关节背屈与直膝和屈膝和踝关节跖屈。CARS的结果与一名护士和一名医生测角仪的测量结果进行了比较。计算信度、类间相关系数（ICC）、一致性和相关性。结果：共纳入102例患者。一名护士和一名医生测角仪的icc值为0.66-0.77。医生和护士所做的图片选择之间有很好的一致性，加权kappa在0.63和0.71之间。CARS测量值与两位观测者测角仪测量值均值之间的一致性加权kappa为0.32-0.5，患者选择与测角仪测量值均值之间的Pearson相关系数为0.53-0.56。结论：CARS可用于在没有患者身体检查的情况下获得踝关节ROM的指征，并可在临床实践中标准化踝关节ROM的估计。无法计算该工具的敏感性、特异性和阳性/阴性预测值。有患者参与的进一步发展可能会提高CARS 2.0版本的有效性。资金:没有。试验注册：不相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Danish medical journal MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

6.20%

发文量

审稿时长

3-8 weeks

期刊介绍： The Danish Medical Journal (DMJ) is a general medical journal. The journal publish original research in English – conducted in or in relation to the Danish health-care system. When writing for the Danish Medical Journal please remember target audience which is the general reader. This means that the research area should be relevant to many readers and the paper should be presented in a way that most readers will understand the content. DMJ will publish the following articles: • Original articles • Protocol articles from large randomized clinical trials • Systematic reviews and meta-analyses • PhD theses from Danish faculties of health sciences • DMSc theses from Danish faculties of health sciences.