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Reliability of hindfoot goniometry when using a flexible electrogoniometer.

P Ball1, G R Johnson

  • 1Durham School of Podiatric Medicine, Durham, UK.

Clinical Biomechanics (Bristol, Avon)
|August 7, 2013
PubMed
Summary
This summary is machine-generated.

Clinical assessment of subtalar motion using electrogoniometry reveals unreliability in determining the neutral position. While the electrogoniometer is reliable, current methods for assessing hindfoot inversion and eversion ranges need improvement.

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Area of Science:

  • Biomechanics
  • Clinical Assessment
  • Orthopedics

Background:

  • Subtalar joint motion is crucial for pathological foot examination and orthotic fabrication.
  • Current clinical methods for assessing subtalar motion and neutral position lack consistent reliability.

Purpose of the Study:

  • To investigate the reliability of clinical methods for assessing subtalar movement.
  • To evaluate the repeatability of determining the subtalar neutral position.

Main Methods:

  • Utilized state-of-the-art goniometry to measure subtalar motion.
  • Examined the influence of subject position and active/passive movement on measurements.
  • Assessed the repeatability of determining the subtalar neutral position.

Main Results:

  • Significant variations (up to 7°) were observed between different clinicians' neutral position assessments.
  • Electrogoniometry proved to be a reliable clinical measuring instrument.

Conclusions:

  • Current clinical methods for assessing subtalar neutral position are unreliable.
  • Improved methods are needed for accurate assessment of hindfoot inversion and eversion ranges.