足姿指数评价青少年特发性脊柱侧弯患者足部位置的信度

doi:10.3969/j.issn.1006-9771.2022.08.006

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (8): 909-913.doi: 10.3969/j.issn.1006-9771.2022.08.006

• 专题儿童与青少年功能康复 • 上一篇下一篇

足姿指数评价青少年特发性脊柱侧弯患者足部位置的信度

杨佳曼¹,王毅¹,毛志涛¹,刘通²,范德辉²()

1.广州中医药大学第五临床医学院,广东广州市 510405
2.广东省第二中医院,广东广州市 510095

收稿日期:2022-03-18 修回日期:2022-08-02 出版日期:2022-08-25 发布日期:2022-08-30
通讯作者: 范德辉 E-mail:1317073040@qq.com
作者简介:杨佳曼(1993-),女,汉族,河南濮阳市人,博士研究生,主要研究方向：中医药治疗脊柱相关疾病。
基金资助:
国家自然科学基金青年基金项目(81704179);国家自然科学基金面上项目(82174482);广东省中医药局中医药专项研究课题(20213002)

Reliability of Foot Posture Index for adolescent idiopathic scoliosis

YANG Jiaman¹,WANG Yi¹,MAO Zhitao¹,LIU Tong²,FAN Dehui²()

1. the Fifth Clinical Medical College of Guangzhou University of Traditional Chinese Medicine, Guangzhou, Guangdong 510405, China
2. Guangdong Second Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong 510095, China

Received:2022-03-18 Revised:2022-08-02 Published:2022-08-25 Online:2022-08-30
Contact: FAN Dehui E-mail:1317073040@qq.com
Supported by:
National Natural Science Foundation of China (Youth)(81704179);National Natural Science Foundation of China (General)(82174482);Guangdong Provincial Bureau of Traditional Chinese Medicine Special Research Project of Traditional Chinese Medicine(20213002)

摘要/Abstract

摘要：

目的探究足姿指数(FPI-6)评价我国青少年特发性脊柱侧弯(AIS)患者足姿的信度。

方法 2021年7月至2022年4月,从广东省第二中医院门诊及不定向招募AIS患者35例,两名评定者于同一天采用FPI-6进行足姿评定;1周后,其中一名评定者对35例患者再次进行评定。计算评定者间和重测组内相关系数,绘制Bland-Altman图,各项目评分与总分间行Spearman相关分析。

结果除距骨头触诊和距骨关节区隆起外,其他项目评定者间和重测组内相关系数均 > 0.75,足姿分类无显著性差异(χ² = 4.000, P > 0.05)。各项目分与总分间相关系数均 > 0.3 (P < 0.01)。

结论 FPI-6对轻度AIS患者足姿评估有较好信度。

关键词: 足姿指数, 青少年特发性脊柱侧弯, 信度

Abstract:

Objective To evaluate the reliability of Foot Posture Index (FPI-6) for Chinese adolescent idiopathic scoliosis (AIS) patients.

Methods From July, 2021 to April, 2022, 35 AIS patients were recruited from Guangdong Second Hospital of Traditional Chinese Medicine and non-specially. They were evaluated with FPI-6 by two raters on the same days, and by one of the raters a week later. The intra-class correlation coefficient (ICC) of inter-rater and test-retest was calculated and Bland-Altman diagram was drawn; the correlation among the items score and total score was analyzed with Spearman correlation coefficient.

Results The ICCs were above 0.75 except talar head palpation, and eversion and inversion of the calcaneus. There was no significant difference in foot posture classification among the three evaluation results (χ² = 4.000, P >0.05). There was a significant positive correlation between each item score and total score (r > 0.3, P < 0.01).

Conclusion FPI-6 is reliable for people with mild AIS.

Key words: Foot Posture Index, adolescent idiopathic scoliosis, reliability

中图分类号:

R682.3

杨佳曼,王毅,毛志涛,刘通,范德辉. 足姿指数评价青少年特发性脊柱侧弯患者足部位置的信度[J]. 《中国康复理论与实践》, 2022, 28(8): 909-913.

YANG Jiaman,WANG Yi,MAO Zhitao,LIU Tong,FAN Dehui. Reliability of Foot Posture Index for adolescent idiopathic scoliosis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(8): 909-913.

图/表 7

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表5

图1

表6

参考文献 36

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项目	数值
年龄/岁	14.873±1.395
身高/cm	161.257±6.318
体质量/kg	50.854±6.792
体质量指数/kg·m^-2	19.671±2.075
Cobb角/°	12.573±1.483

项目	ICC	95%CI	P值
距骨头触诊	0.564	0.131~0.781	0.013
外踝上下曲率	0.827	0.659~0.912	0.001
跟骨额平面位置	0.801	0.609~0.899	0.003
距骨关节区隆起	0.727	0.458~0.863	0.003
内侧纵弓高度和弧度	0.891	0.769~0.963	0.005
足趾可见度	0.776	0.560~0.886	0.002
总分	0.860	0.721~0.929	0.006

项目	ICC	95%CI	P值
距骨头触诊	0.667	0.333~0.833	0.010
外踝上下曲率	0.858	0.719~0.928	0.009
跟骨额平面位置	0.844	0.691~0.929	0.007
距骨关节区隆起	0.856	0.713~0.924	0.005
内侧纵弓高度和弧度	0.858	0.719~0.928	0.001
足趾可见度	0.837	0.680~0.918	0.004
总分	0.893	0.789~0.946	0.009

项目	评定者间			重测
项目	SEM	MDC	95%LOA	SEM	MDC	95%LOA
距骨头触诊	0.039	0.074	-0.542~0.612	0.037	0.069	-0.467~0.452
外踝上下曲率	0.058	0.147	-0.718~0.625	0.058	0.147	-0.604~0.528
跟骨额平面位置	0.054	0.143	-0.613~0.709	0.053	0.146	-0.503~0.641
距骨关节区隆起	0.047	0.113	-0.613~0.527	0.043	0.104	-0.465~0.474
内侧纵弓高度和弧度	0.051	0.135	-0.702~0.661	0.051	0.135	-0.637~0.533
足趾可见度	0.056	0.145	-0.839~0.711	0.056	0.145	-0.667~0.715
总分	0.137	0.382	-1.572~1.497	0.135	0.374	-1.284~1.491

项目	r值	P值
距骨头触诊	0.483	0.004
外踝上下曲率	0.731	0.004
跟骨额平面位置	0.509	0.006
距骨关节区隆起	0.402	0.007
内侧纵弓高度和弧度	0.576	0.003
足趾可见度	0.703	0.002

足姿指数评价青少年特发性脊柱侧弯患者足部位置的信度

Reliability of Foot Posture Index for adolescent idiopathic scoliosis

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评定者	轻度旋前	中立位
A	43	27
B	45	25
A(重测)	43	27