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Concordância entre diferentes metodologias de avaliação da amplitude de dorsiflexão durante um teste de mobilidade em cadeia cinética fechada
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Abstract(s)
Objetivo: Determinar a concordância entre diferentes formas de avaliar a amplitude de dorsiflexão durante um teste de mobilidade em cadeia cinética fechada Métodos: Para dar resposta aos objetivos propostos será conduzido um estudo observacional, transversal onde foi realizado o Lunge Teste Modificado a um grupo de 48 participantes. A amplitude de movimento de dorsiflexão foi avaliada recorrendo a um sistema de vídeo, a um goniómetro e a um inclinómetro colocado 15 cm abaixo da tuberosidade anterior da tíbia (inclin@TAT) e no tendão de aquiles. Resultados: As correlações entre a análise de vídeo, o goniómetro e o inlin@TAT foram elevadas. Os valores de ICC obtidos variaram entre o baixo e o bom. A análise de Bland-Altman revelou valores absolutos de viés que variaram entre 1.99º e 10.10º, assim como limites de concordância amplos. Conclusão: A validade e concordância é mais importante entre os instrumentos de Vídeo/Goniometro, o Vídeo/Inclin@TAT para avaliar a amplitude de dorsiflexão durante um teste de mobilidade em cadeia cinética fechada, os restantes têm uma baixa concordância.
Objective: To determine the validity and concordance between different ways of assessing dorsiflexion amplitude during a closed kinetic chain mobility test. Methods: In order to respond to the proposed objectives, an observational, cross-sectional study was conducted in which the Modified Lunge Test was performed in a group of 48 participants. The dorsiflexion range of motion was assessed using a video system, a goniometer and an inclinometer placed 15 cm below the anterior tuberosity of the tibia (inclin @ TAT) and in the Achilles tendon. Results: Correlations between video analysis, goniometer and inlin @ TAT were high. The ICC values obtained ranged from low to good. The Bland-Altman analysis revealed absolute values of bias ranging from 1.99º to 10.10º, as well as broad agreement limits. Conclusion: Validity and agreement is most important between Video / Goniometer instruments, Video / Inclin @ TAT to assess the amplitude of dorsiflexion during a closed kinetic chain mobility test, the remainder have a low agreement.
Objective: To determine the validity and concordance between different ways of assessing dorsiflexion amplitude during a closed kinetic chain mobility test. Methods: In order to respond to the proposed objectives, an observational, cross-sectional study was conducted in which the Modified Lunge Test was performed in a group of 48 participants. The dorsiflexion range of motion was assessed using a video system, a goniometer and an inclinometer placed 15 cm below the anterior tuberosity of the tibia (inclin @ TAT) and in the Achilles tendon. Results: Correlations between video analysis, goniometer and inlin @ TAT were high. The ICC values obtained ranged from low to good. The Bland-Altman analysis revealed absolute values of bias ranging from 1.99º to 10.10º, as well as broad agreement limits. Conclusion: Validity and agreement is most important between Video / Goniometer instruments, Video / Inclin @ TAT to assess the amplitude of dorsiflexion during a closed kinetic chain mobility test, the remainder have a low agreement.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia
Keywords
Weight-bearing ankle lunge test Tornozelo Dorsiflexão Concordância Weight-bearing ankle lunge test Tornozelo Ankle dorsiflexion Range of motion