Anh Phong Nguyen, Hugo Bogaerts, Chloé Galerne, François Fourchet
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Intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC) were calculated.</p><p><strong>Results: </strong>PTGT reported excellent intra-rater reliability for both novice (ICC = 0.97, SEM = 2.2°, MDC = 4.1°) and experienced rater (ICC = 0.94, SEM = 2.4°, MDC = 4.3°). Modified PTGT provided excellent intra-rater reliability for both experienced (ICC = 0.96, SEM = 1.4°, MDC = 3.3°) and novice rater (ICC = 0.96, SEM = 2.3°, MDC = 4.2°). Inter-rater reliability increases along with the addition of the referential horizontal plane, being poor to good for PTGT (ICC = 0.64, SEM = 2.8°, MDC = 4.7°), whereas moderate to good for modified PTGT (ICC = 0.78, SEM = 2.3°, MDC = 4.2°).</p><p><strong>Conclusion: </strong>The PTGT appears reproducible enough to be used in a clinical setting. Its modified version, i.e., with a referential horizontal plane, offers a greater inter-rater reliability, making it a better option for research purposes.</p>","PeriodicalId":47319,"journal":{"name":"Journal of Manual & Manipulative Therapy","volume":" ","pages":"1-7"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Reproducibility of a modified posterior talar glide test in ankle sprain conditions: a cross-sectional analysis on chronic ankle instability, copers, and healthy controls.\",\"authors\":\"Anh Phong Nguyen, Hugo Bogaerts, Chloé Galerne, François Fourchet\",\"doi\":\"10.1080/10669817.2025.2531927\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>The posterior talar glide test (PTGT) is recommended for ankle sprain assessment, but it has limited scientific support. 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引用次数: 0
摘要
背景:距骨后滑动试验(PTGT)被推荐用于踝关节扭伤评估,但科学支持有限。因此,本研究的目的是评估PTGT在两种情况下的可重复性:1)临床医生的临床经验;2)在三种临床情况(慢性踝关节不稳定(CAI)、铜铜和健康对照)下使用改良的参考水平面设置。方法:招募28名受试者。PTGT测量由两名评分者进行,即新手和有经验的评分者,在有参考水平面和没有参考水平面的情况下,每个评分者分别在每个脚踝上进行两次测量。计算了类内相关系数(ICC)、测量标准误差(SEM)和最小可检测变化(MDC)。结果:PTGT报告了新手(ICC = 0.97, SEM = 2.2°,MDC = 4.1°)和经验丰富的评分者(ICC = 0.94, SEM = 2.4°,MDC = 4.3°)的出色评分者内部信度。改进后的PTGT为有经验的评分者(ICC = 0.96, SEM = 1.4°,MDC = 3.3°)和新手评分者(ICC = 0.96, SEM = 2.3°,MDC = 4.2°)提供了出色的评分者内部信度。随着参考水平面的增加,评分者间信度增加,PTGT从差到好(ICC = 0.64, SEM = 2.8°,MDC = 4.7°),而修改后的PTGT从中等到好(ICC = 0.78, SEM = 2.3°,MDC = 4.2°)。结论:PTGT具有足够的可重复性,可用于临床。它的改进版本,即具有参考水平面,提供了更大的评级间可靠性,使其成为研究目的的更好选择。
Reproducibility of a modified posterior talar glide test in ankle sprain conditions: a cross-sectional analysis on chronic ankle instability, copers, and healthy controls.
Background: The posterior talar glide test (PTGT) is recommended for ankle sprain assessment, but it has limited scientific support. Therefore, the aims of this study were to assess the reproducibility of PTGT in two conditions: 1) the clinical experience of the clinician and 2) in a modified setting using a referential horizontal plane in three clinical conditions (chronic ankle instability (CAI), copers, and healthy controls).
Methods: Twenty-eight participants were recruited. PTGT measurements were performed using two raters, i.e., novice and experienced, and performed twice with and without the referential horizontal plane with each rater on each ankle. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), and minimal detectable change (MDC) were calculated.
Results: PTGT reported excellent intra-rater reliability for both novice (ICC = 0.97, SEM = 2.2°, MDC = 4.1°) and experienced rater (ICC = 0.94, SEM = 2.4°, MDC = 4.3°). Modified PTGT provided excellent intra-rater reliability for both experienced (ICC = 0.96, SEM = 1.4°, MDC = 3.3°) and novice rater (ICC = 0.96, SEM = 2.3°, MDC = 4.2°). Inter-rater reliability increases along with the addition of the referential horizontal plane, being poor to good for PTGT (ICC = 0.64, SEM = 2.8°, MDC = 4.7°), whereas moderate to good for modified PTGT (ICC = 0.78, SEM = 2.3°, MDC = 4.2°).
Conclusion: The PTGT appears reproducible enough to be used in a clinical setting. Its modified version, i.e., with a referential horizontal plane, offers a greater inter-rater reliability, making it a better option for research purposes.
期刊介绍:
The Journal of Manual & Manipulative Therapy is an international peer-reviewed journal dedicated to the publication of original research, case reports, and reviews of the literature that contribute to the advancement of knowledge in the field of manual therapy, clinical research, therapeutic practice, and academic training. In addition, each issue features an editorial written by the editor or a guest editor, media reviews, thesis reviews, and abstracts of current literature. Areas of interest include: •Thrust and non-thrust manipulation •Neurodynamic assessment and treatment •Diagnostic accuracy and classification •Manual therapy-related interventions •Clinical decision-making processes •Understanding clinimetrics for the clinician