慢性静脈不全で足首の動きを測るのに 負荷を伴うプンジテストが 適しているのでしょうか? 信頼性と有効性に関する研究
Iane Renata Carvalhais Mesquita1, Yasmmin França Eliziário2, Sofia Fróis Fernandes de Oliveira2
1Postgraduate Program in Reabilitação e Desempenho Funcional, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
Phlebology
|September 3, 2025
まとめ
慢性静脈不全 (CVI) 患者における足首の背筋屈折の運動範囲 (ROM) の評価は,従来の測法と比較して,より高い信頼性と有効性を提供しています.
科学分野:
- 整形外科
- 理学療法
- 血管医学
背景:
- 慢性静脈不全 (CVI) はしばしば運動能力を低下させ,痛み,腫れ,足首の運動範囲の低下 (ROM) を引き起こします.
- 足首の背筋屈折の正確な評価は,CVIに関連する運動制限の管理に不可欠です.
研究 の 目的:
- CVI患者における足首のドルシフレクションROMに対する重量耐性肺検査 (WBLT) とゴニオメトリーの相互信頼性とコンストラクションの妥当性を比較する.
- WBLTの臨床的関連性を評価し,機能性能の測定値と相関する.
主な方法:
- 54人のCVI患者 (平均年齢66歳) を対象とした横断研究.
- 足首の背筋屈折は,ゴニオメトリーとWBLTを用いて2人の独立した評価者によって評価された.
- 座り立つテスト (STS5,STS60),ヒール・ライステスト (HRT),人間の活動プロファイル (HAP),および小腿周回で測定された機能性能.
主要な成果:
- WBLTは,優れたインターエグザミナー信頼性 (ICC = 0.98) と,ゴニオメトリーでは良好な信頼性 (ICC = 0.77) を示した.
- WBLTは,HAP,HRT,STS5,STS60と有意な相関を示し,良好なコンストラクット有効性を示した.
- ゴニオメトリーは機能的結果の測定値と相関していません.
結論:
- WBLTは,CVI患者における足首の背筋屈折を評価するための非常に信頼性の高い有効なツールです.
- WBLTは,この集団において,ゴニオメトリーと比較して優れた臨床的関連性を提供します.
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