Criterion-Related Validity of a Clinical Measure of Dorsal First Ray Mobility

Glasoe, Ward M.; Getsoian, Scott; Myers, Matthew; Komnick, Matthew; Kolkebeck, Denny; Oswald, Wolfgang; Liakos, Photine

doi:10.2519/jospt.2005.35.9.589

Cited by 20 publications

(32 citation statements)

References 13 publications

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“…This device produces a force displacement measurement, and records movement from a probe placed on the head of the first metatarsal. In spite of these instruments having been used in various studies, [11][12][13][14][15][16] they have some inconveniences such as, for example, being too complex, being large, not quantifying plantarflexion (which would be useful to compare with dorsiflexion), or not reflecting the combined movements of dorsiflexion-inversion and plantarflexion-eversion [4,17]. These are possible reasons why they are not used in daily clinical practice [8].…”

Section: Introductionmentioning

confidence: 99%

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The Validity and Reliability of a New Simple Instrument for the Measurement of First Ray Mobility

Munuera-Martínez

Vidalón

Monge-Vera

et al. 2020

Sensors

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Several methods have been described to quantify the first ray mobility. They all have certain disadvantages (great size, sophistication, or lack of validation). The objective of this work was to study the validity and reliability of a new instrument for the measurement of first ray mobility. Anterior-posterior radiographs were obtained from 25 normal feet and 24 hallux valgus feet, with the first ray in a neutral position, maximally dorsiflexed and maximally plantarflexed. The first ray mobility was radiographicaly measured in both groups, and was also manually examined with the new device. A cluster analysis determined whether normal and hallux valgus feet were correctly classified, and a graphic analysis of Bland-Altman was performed to compare the radiographic and manual measurement techniques. Based on the radiographs, the first ray mobility only showed significant differences in dorsiflexion between both groups (P = 0.015). First ray dorsiflexion, plantarflexion and total range of motion measured with the new device were different between both groups (P = 0.040, P = 0.011 and P = 0.006, respectively). The silhouette measure of the cohesion and separation coefficients from the cluster analysis was greater than 0.50 for the dorsiflexion, plantarflexion and total range of motion obtained from the radiographs and from the new device. The Bland-Altman graph suggested that 96% of the data presented agreement between both measurement methods. These results suggested that the new instrument was valid and reliable.

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Section: Introductionmentioning

confidence: 99%

“…More simple instruments have been subsequently created aiming at solving some of the aforementioned inconveniences [18,19]. However, some studies have reported only limited concordance and data reliability [16,20].…”

Section: Introductionmentioning

confidence: 99%

The Validity and Reliability of a New Simple Instrument for the Measurement of First Ray Mobility

Munuera-Martínez

Vidalón

Monge-Vera

et al. 2020

Sensors

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“…The examiner (WMG) is a physical therapist by training and has a 20-year history of translating research into practice [15,24]. The measures of foot mobility are listed, with the baseline recorded in sitting:…”

Section: Clinical Measurement Proceduresmentioning

confidence: 99%

Prediction of the First Ray Axis from Clinical Measurements: Implications for the Treatment of Bunion

M¹

2014

Clin Res Foot Ankle

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Objective: Inclination of the first ray axis has been identified as a risk factor of bunion, but the actual orientation of a joint axis can only be quantified with motion analysis techniques. This investigation used a single-group regression design for the purpose of identifying a surrogate measure, or system of measurements, that could predict the orientation of the first ray axis. Methods:The clinical measurements of the foot were performed on 20 women participants including 10 with, and 10 without bunion. Magnetic resonance images of the foot were acquired while the participant stood to simulate gait. Images were then rendered into virtual datasets from which first ray kinematics were decomposed into X, Y, and Z Cardan angles and helical axis direction cosine component parameters. Reliability of the clinical measurements was assessed, and multiple regression analysis determined the relationship amongst variables.Results: Measurements of dorsum foot height, hallux dorsiflexion, hallux angle, intermetatarsal angle, and arch angle were reliable (ICC ≥ 0.67) and when used as variables in the regression analysis models, the curvilinear measure of hallux dorsiflexion and the linear measure of hallux angle combined to explain a significant (p=0.01) 49 percent (R2=0.49) of the overall variance in predicting the first ray axis. Conclusion:Five of the clinical measurements, all except navicular drop and hindfoot valgus were judged reliable. Of these, only hallux dorsiflexion and hallux angle had a relationship with the first ray axis. This report marks the first attempt to identify measures that predict the loading behaviors of the first ray. Results may inform future work, as it is likely some other combination of measurements may more strongly predict inclination of the first ray axis which may, in theory, be amendable with non-operative treatment (i.e. orthoses) in the management of foot bunion.

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“…Symptoms related to the sesamoids may manifest as plantar pain and localized tenderness to palpation. Custom devices have been developed to objectively quantify 1 st ray dorsal mobility [69, 70] and 1 st metatarso-phalangeal joint mobility [71] in in vivo research studies; however these devices are not in widespread use in clinical practice.…”

Section: Foot Painmentioning

confidence: 99%

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

Rao

Riskowski

Hannan

2012

Best Practice & Research Clinical Rheumatology

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Musculoskeletal conditions of the foot and ankle are an important public health challenge due to their increasing incidence combined with their substantial negative impact on patients’ quality of life. Non-pharmacological treatments serve as the first line of treatment and are frequently used for patients with musculoskeletal conditions of the foot and ankle. This review provides a summary of the assessments and non-invasive treatment options based upon available evidence. Recent studies show that individuals with foot and ankle pain have multiple co-existing impairments in alignment, motion, load distribution and muscle performance that may be evident in static and/or dynamic tasks. Additionally, both clinical and epidemiological studies support the inter-dependence between the foot and proximal joints. For instance, aberrant foot structure has been linked to foot osteoarthritis (OA), as well as OA and pain at the knee and hip. Most recently, advances in motion capture technology and plantar load distribution measurement offer opportunities for precise dynamic assessments of the foot and ankle. In individuals with musculoskeletal conditions of the foot and ankle, the chief objectives of treatment are to afford pain relief, restore mechanics (alignment, motion and/or load distribution) and return the patient to their desired level of activity participation. Given that most patients present with multiple impairments, combinational therapies that target foot-specific as well as global impairments have shown promising results. In particular, in individuals with rheumatoid arthritis and other rheumatic diseases, comprehensive rehabilitation strategies including early detection, foot-based interventions (such as orthoses) and wellness-based approaches for physical activity and self-management have been successful. While significant improvements have been made in the last decade to the assessment and treatment of foot and ankle conditions, few randomized clinical trials specifically have investigated patients with foot or ankle conditions to provide global insights into this area. Consequently, current recommendations vary based upon the scope of studies presented in this review as well as the strength of studies. This review indicates a need for more in-depth investigations into the components of assessment and treatment options for foot and ankle musculoskeletal conditions.

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Criterion-Related Validity of a Clinical Measure of Dorsal First Ray Mobility

Cited by 20 publications

References 13 publications

The Validity and Reliability of a New Simple Instrument for the Measurement of First Ray Mobility

The Validity and Reliability of a New Simple Instrument for the Measurement of First Ray Mobility

Prediction of the First Ray Axis from Clinical Measurements: Implications for the Treatment of Bunion

Musculoskeletal conditions of the foot and ankle: Assessments and treatment options

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