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Two measurement techniques for assessing subtalar joint position: a reliability study

K E Sell1, T M Verity, T W Worrell

  • 1Methodist Sports Medicine Center, Indianapolis, IN 46202.

The Journal of Orthopaedic and Sports Physical Therapy
|March 1, 1994
PubMed
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Navicular height and calcaneal position measurements using an inclinometer demonstrate reliable intertester and intratester results for assessing the subtalar joint. These weight-bearing techniques offer a dependable alternative for clinical and research evaluations.

Area of Science:

  • Orthopedics
  • Biomechanics
  • Podiatry

Background:

  • Accurate subtalar joint assessment is crucial for foot and ankle evaluations.
  • Existing open kinetic chain goniometric measurements for the subtalar joint exhibit poor reliability.
  • Alternative methods like navicular height and calcaneal position lack comprehensive reliability data.

Purpose of the Study:

  • To evaluate the intertester and intratester reliability of navicular height and calcaneal position measurements using an inclinometer.
  • To compare the reliability of these novel weight-bearing techniques against established methods.

Main Methods:

  • Thirty healthy subjects (N=60 feet) participated in the study.
  • Two testers performed repeated measurements of subtalar neutral and resting positions using an inclinometer for calcaneal position and navicular height.

Related Experiment Videos

  • Intratester and intertester reliability (ICC 2,1), SEM, and 95% CIs were calculated.

    • Main Results:

    • Intertester and intratester reliability for calcaneal position ranged from 0.68 to 0.91.
    • Intertester and intratester reliability for navicular height ranged from 0.73 to 0.96.
    • Both methods demonstrated high reliability for all measurements.

    Conclusions:

    • Weight-bearing navicular height and calcaneal position measurements using an inclinometer are reliable for clinical and research use.
    • These techniques are proposed as simpler and more reliable alternatives to open kinetic chain methods for subtalar joint assessment.