倾斜位置修改的Silfverskiöld测试:可行性和可靠性
Maneesh Bhatia1, Aditya Dhiran1, Annette Jones1
1University Hospitals Leicester, Leicester General Hospital, Department of Orthopaedics (Foot and Ankle Unit), Leicester, United Kingdom.
Foot & ankle orthopaedics
|February 24, 2026
概括
修改后的倾斜位置Silfverskiöld测试可靠地测量胃膜紧张,为诊断脚部和脚病理提供了舒适和实用的替代传统的仰卧或坐着方法.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 诊断可靠性研究 诊断可靠性研究
背景情况:
- 胃膜紧张是足病理的常见原因之一.
- 传统的Silfverskiöld测试可以区分卧卧或坐姿的胃半和管紧张.
- 一个新的倾斜位置修改提供了提高简单性和双边比较的潜力.
研究的目的:
- 为了确定Silfverskiöld测试的倾斜位置修改的诊断可靠性.
- 为了比较从倾向性修改获得的背部屈曲测量与已建立的仰卧和坐姿技术.
- 为了评估患者的舒适度,使用俯卧姿势修改.
主要方法:
- 倾斜位置的Silfverskiöld测试是在脚伸出沙发之外进行的,同时测试完全伸展和90度膝盖曲.
- 该技术使用类内相关系数 (ICC) 评估了观察者间和观察者内部的可靠性.
- 使用ANOVA,在倾斜,仰卧和坐姿之间比较了背部屈曲的测量,并评估了患者的舒适度.
主要成果:
- 倾斜位置的修改显示出良好的观测者间 (ICC 0.89) 和观测者内部 (ICC 0.94-0.97) 的可靠性.
- 在俯卧,俯卧和坐着的姿势 (P > .80) 之间,在背部屈曲测量方面没有发现显著差异.
- 大多数患者 (86.7%) 发现倾向性测试是最舒适的.
结论:
- 席尔弗斯基尔德测试的倾斜位置修改是一种可靠的,临床上可比的方法来评估背部屈曲.
- 这种修改被患者容忍得很好,并为传统方法提供了切实可行的替代方案.
- 由于样本规模较小,建议在更大的研究中进一步验证.
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