Test-retest reliability of a clinical foot assessment device for measuring first metatarsophalangeal joint quasi-stiffness

Leow, Yixuan; Kong, Pui Wah; Liu, Yimin; Pan, Jing Wen; Fong, Daniel Tik-Pui; Chan, Chi Chiu; Heng, Marabelle L.

doi:10.1016/j.foot.2020.101742

Cited by 8 publications

(9 citation statements)

References 21 publications

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“…For example, the Foot Posture Index (FPI‐6) (Redmond et al., 2006) explains less than 25% of the variance in foot kinematics during walking, and measurements of dorsal arch height and the foot mobility magnitude account for less than 10% (Buldt et al., 2015). Recent studies suggest that orthopaedic tests evaluating forces acting on joints or joint stiffness, rather than joints' positions or ranges of motion, are reliable (Leow et al., 2020; Moisan et al., 2021), and their results can be strongly correlated with joint biomechanics during locomotion (McBride et al., 2019). These findings may also translate to the first metatarsophalangeal joint, where a clinical measurement of the force required to passively dorsiflex the first metatarsophalangeal joint until arch raising occurs could provide clinicians with valuable information regarding the function of the windlass mechanism.…”

Section: Introductionmentioning

confidence: 99%

Intrarater and interrater reliability of the first metatarsophalangeal joint dorsiflexion resistance test

Moisan

McBride

Isabelle

et al. 2022

Musculoskeletal Care

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Background:The first metatarsophalangeal joint plays a fundamental role during the gait cycle. The Hubscher manoeuvre, which consists of passively dorsiflexing the first metatarsophalangeal joint of an individual in relaxed stance and observing the raising of the medial longitudinal arch, is a clinical test thought to examine the function of the first metatarsophalangeal joint. However, the hallux dorsiflexion achieved during this test is not related to hallux dorsiflexion during gait. On the other hand, unlike kinematic tests, results from kinetic tests have been shown to be strongly correlated with dynamic joint biomechanics. Thus, given the need for valid and reliable tests to evaluate the function of the first metatarsophalangeal joint, this study aimed to assess the reliability of a new kinetic test, namely, the first metatarsophalangeal joint dorsiflexion resistance test.Method: Thirty young adults completed two data collection sessions 1 week apart, during which the first metatarsophalangeal joint dorsiflexion resistance test was performed. Intrarater and interrater reliability were assessed using intraclass correlation coefficients (ICC), minimal detectable difference (MDD), standard error of the mean (SEM) and limits of agreements (LoA).Results: For the intrarater reliability, the ICC was 0.77 (p < 0.001), the SEM was 6.5 N, the MDD was 18.1 N and the LoA were −7.9 to 26.9 N. For the interrater reliability, the ICC was 0.86 (p < 0.001), the SEM was 6.9 N, the MDD was 19.0 N and the LoA were −6.4 to 21.8 N. Conclusion:The results of this study demonstrate good intra and interrater reliability of the first metatarsophalangeal joint dorsiflexion resistance test, which provides evidence to support its use in clinical and research contexts. Further work is required to establish the test results' relationship with joint kinetics during gait and to provide normative values in individuals with and without musculoskeletal disorders as well as among different age groups and genders to optimise its utilization in clinical and research settings.

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Section: Introductionmentioning

confidence: 99%

Intrarater and interrater reliability of the first metatarsophalangeal joint dorsiflexion resistance test

Moisan

McBride

Isabelle

et al. 2022

Musculoskeletal Care

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“…To measure the intradiscal response of compressive load two strain gauge pressure sensors are used. The author also gave about the difference in the FBG sensors and strain gauge sensors and also their responses [ 14 ]. Kalinowski et al discussed about Bragg grating and optical pressure sensor and its development and implementation to measure the mechanical deformation.…”

Section: Different Application Of Fbg Sensormentioning

confidence: 99%

“…5 a Fiber Bragg grating (FBG) device attached to the foot to sense the first metatarsophalangeal (MTPJ) motion, with a load cell to measure the force applied by a clinician. b Schematic representation of FBG system setup [ 14 ] …”

Section: Different Application Of Fbg Sensormentioning

confidence: 99%

Recent advancements of fiber Bragg grating sensors in biomedical application: a review

Rohan

Venkadeshwaran

Ranjan

2023

J Opt

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Due to attractive application in the medical field, fiber Bragg grating sensor has become increasing attractive from past few decades for various strain sensing applications. FBG sensor has been used in many applications such as different surgical devices, vital sign detection devices, invasive surgery, heart rate, dental applications and biosensing application as wearable sensing devices. This paper reviews the 55 recent research articles published on fiber Bragg grating sensor for biomedical application used the qualitative, quantitative and experimental method to identify the recent advancement and challenges. In this study, particular focus is placed on applications for biomechanical devices, temperature monitors, respiratory monitors, and biosensing applications. Critical things, demands, and emerging trends for these sensing devices are also discussed in order to determine what will be needed for the next generation.

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“…This practice of taking 1 to 2 trials is commonly adopted in other biomedical devices. 16,19 To further explore the possible influence of participants' physical characteristics on the reliability of the hallux flexion measurements, we ran additional correlation analyses to examine the relationship between the absolute between-trial difference and age, height, and body mass. If a positive and significant relationship was found, it would indicate that reliability decreased (larger betweentrial difference) with age, height, or body mass.…”

Section: Hallux Valgus Controlmentioning

confidence: 99%

“…10 Specific to biomechanics of the human body, FBG-based sensors have demonstrated promising results in measuring ground reaction force during human gait, 14 facilitating active knee orthosis for rehabilitation, 15 and assessing the first toe joint quasi-stiffness. 16,17 When developing new sensors or measurement systems, it is first necessary to validate the new measurements against current gold standard or best practice. The FBG-based smart sock system developed by Leow et al 8 had reasonable accuracy within 1 cm in measuring toe flexion displacement as validated in a laboratory setting using 3-D motion capture as the gold standard.…”

Section: Introductionmentioning

confidence: 99%

Within-Day and Between-Day Reliability of a FBG-Based Smart Sock System for Measuring Active Toe Flexion Displacement of the Hallux

Kong

Pan

Fong

et al. 2021

J. Mech. Med. Biol.

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This study examined the test-retest reliability of hallux flexion displacement measured using a smart sock system with embedded fiber Bragg grating (FBG) sensors. Thirty female participants consisting of 15 hallux valgus (HV) patients and 15 control participants were recruited. Maximum active hallux flexion displacement was measured twice on each participant in the first visit; the same procedures were repeated 7 days later. Intraclass correlation coefficients (ICC2,1) and standard error of measurement (SEM) were applied to test within-day and between-day reliability. Paired-samples T-test was performed to compare the displacements between trials. Results showed almost perfect within-day reliability for both HV and control groups ([Formula: see text] and 0.977, respectively) with small SEM (both 0.5[Formula: see text]cm). However, fair to moderate between-day reliability was found (0.323 and 0.438, respectively). Significant differences were found between repeated measurements taken on the same day (mean [Formula: see text][Formula: see text]cm, [Formula: see text]) and on different days (mean [Formula: see text][Formula: see text]cm, [Formula: see text]), though the effect size was small. The poorer between-day reliability is likely due to the inconsistency in fitting the sock onto the foot. Future optimization of the prototype design is called for to improve the fitting consistency of wearable sensors onto patients.

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Test-retest reliability of a clinical foot assessment device for measuring first metatarsophalangeal joint quasi-stiffness

Cited by 8 publications

References 21 publications

Intrarater and interrater reliability of the first metatarsophalangeal joint dorsiflexion resistance test

Intrarater and interrater reliability of the first metatarsophalangeal joint dorsiflexion resistance test

Recent advancements of fiber Bragg grating sensors in biomedical application: a review

Within-Day and Between-Day Reliability of a FBG-Based Smart Sock System for Measuring Active Toe Flexion Displacement of the Hallux

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