幼児期におけるメタタルス・アドゥクトスの内側と間での信頼性と再現性:コンコードンス研究
Eduardo Pérez-Boal1,2, Carlos Martin-Villa3, Ricardo Becerro-de-Bengoa-Vallejo2,3
1Departamento de Enfermería y Fisioterapia, Facultad de Ciencias de Salud. Campus de Ponferrada, Universidad de León, León, Spain.
Pediatric radiology
|August 25, 2025
まとめ
ラヴェーグ・ポンセティ法と後足の測定は,小児のメタタルス・アドゥクトスの評価に最も信頼性があります. これらの技術は,この一般的な足の変形に対して,観察者内および観察者間で最も高い信頼性を提供します.
科学分野:
- 小児整形外科
- 放射線画像
- バイオメカニカル分析
背景:
- メタタルス・アドクトゥスは,前足のアドクションを特徴とする一般的な先天性足の変形です.
- 生まれながらにして認識されず 足下関節の伸縮,足下関節の伸縮,第一線足下関節の伸縮が起こります
研究 の 目的:
- 幼児における大骨の放射線測定を評価する.
- 正確な診断をするために,観察者内および観察者間の変動率が最も低い測定値を特定します.
主な方法:
- メタタルス・アダクトスの2~9歳児の32例の重量負荷の背中半身X線写真の横断研究.
- ベルグ,キルマーティン,ラヴェーグ & ポンセティ,後足,ルート,シモンズの角度を評価する.
主要な成果:
- ラヴェーグ・ポンセティと後足の角度は,低いSEM,CV,MDCで優れた信頼性 (ICC> 0. 990) を示した.
- Kilmartin,Root,およびSimonsの角度は良好な信頼性 (ICC > 0.900) を示したが,系統的な差異とより高いMDCがあり,再現性を制限した.
結論:
- 裏足の測定とラヴェーグ&ポンセティの測定法がメタタルス・アドクトスの評価に最も信頼性がある.
- これらの方法は,観察者内および観察者間の信頼性が高く,正確な診断と管理に役立ちます.
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