Manual testing for ankle instability

作者：Wilkin Emily Jane; Hunt Adrienne; Nightingale Elizabeth Jean^*; Munn Joanne; Kilbreath Sharon Lynne; Refshauge Kathryn Margaret

来源：Manual Therapy, 2012, 17(6): 593-596.

DOI：10.1016/j.math.2012.03.007

• Ankle injury
• Joint instability
• Physical therapy modalities
• Manual therapy

Aim: To assess inter-rater reliability of ankle manual tests. We also correlated the manual tests with the Cumberland Ankle Instability Tool (CAIT).
Method: One ankle from each of 60 participants was assessed using four different manual tests (anterior drawer in supine and crook lying, talar tilt, inversion tilt). Three different raters, varying in experience, tested each participant. The CAIT questionnaire was also administered. The study received ethics approval from the University of Sydney Human Research Ethics Committee. Intraclass correlation coefficients (ICC), standard error of the mean (SEM) and percent close agreement (PCA) were used to determine reliability of the four tests. Pearson's correlation coefficients were used to determine relationships between the manual tests and CAIT scores.
Results: Inter-rater reliability for the four manual tests was poor regardless of therapist's experience (ICC[1,1] -0.12 to 0.33; SEM 0.93-1.69). Correlations between the CAIT and manual tests were also low varying between r = -0.12 and -0.42.
Conclusions: Inter-rater reliability was poor for manual tests of ankle stability. Reliability may be improved by using a grading scale with fewer intervals. The CAIT scores and manual tests correlated poorly, potentially reflecting the variety of conditions leading to ankle instability.

• 出版日期2012-12