PMID: 11934068Apr 6, 2002Paper

Comparison of two methods used to assess first-ray mobility

Foot & Ankle International
Ward M GlasoeSandy H Sublett

Abstract

Mobility of the first-ray is associated with several common lower extremity disorders. However, the reliability and validity of clinical measurement remains unclear. In this study we examined first-ray mobility by using one hand to stabilize the lesser metatarsals while the clinician's other hand applied a displacement force to the head of the first metatarsal. The amount of mobility was graded as stiff, normal or hypermobile. We then used a well-validated mechanical device to perform similar tests and assessed validity, intrarater reliability and interrater reliability. Three clinicians having varied levels of experience graded first-ray mobility on 15 subjects. A separate investigator measured dorsal mobility with a mechanical device. Both methods of testing were repeated to assess measurement reliability. Reliability was estimated by kappa (K) statistics. Spearman correlation assessed the relationship between mobility graded manually and dorsal mobility measured by device. Manual examination intrarater K values ranged from 0.50 to 0.85, and interrater agreement from 0.09 to 0.16. Manual grading was not related (r = -0.21) to the absolute measure of total dorsal mobility made by device. This brings into question the validity ...Continue Reading

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Citations

Jul 5, 2005·Der Orthopäde·R A FuhrmannR A Venbrocks
Jul 18, 2006·Foot & Ankle International·Mark W CornwallCamilla Lane
Dec 15, 2006·Pain Practice : the Official Journal of World Institute of Pain·Phillip S SizerOmer Matthijs
Feb 7, 2013·Foot & Ankle International·Albrecht DietzeThomas Mittlmeier
Nov 2, 2016·Journal of Foot and Ankle Research·Marabelle L HengPui W Kong
Mar 25, 2019·Foot & Ankle International·Ward M Glasoe, Thomas C Michaud
Nov 1, 2003·Foot & Ankle International·Michael J Coughlin, Paul S Shurnas
Sep 15, 2004·Foot & Ankle International·Ward Mylo GlasoeCharles L Saltzman
Nov 29, 2005·Foot & Ankle International·Ward M GlasoeCharles L Saltzman
Mar 5, 2008·Foot & Ankle International·J-Young KimJu Seon Jung
Mar 15, 2003·The Journal of Bone and Joint Surgery. American Volume·Gregory P Guyton, Mark S Mizel
May 20, 2005·Journal of the American Podiatric Medical Association·Mary K Allen
Nov 27, 2002·The Journal of Orthopaedic and Sports Physical Therapy·Ward Mylo GlasoePaula M Ludewig
Nov 29, 2005·Foot & Ankle International·Carroll P JonesLane Teachout
Jul 31, 2013·International Orthopaedics·Jesse F Doty, Michael J Coughlin
Aug 23, 2019·Foot & Ankle International·Kimberly KouryCesar de Cesar Netto
Nov 27, 2002·Foot & Ankle International·Kurt V Voellmicke, Jonathan T Deland
Jul 15, 2004·The Journal of Bone and Joint Surgery. American Volume·Brett R Grebing, Michael J Coughlin
Oct 4, 2003·Foot & Ankle International·Michael J Coughlin, Paul J Shurnas
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Aug 21, 2004·Foot & Ankle International·Brett R Grebing, Michael J Coughlin
Sep 15, 2004·Foot & Ankle International·Michael J CoughlinFernando Alvarez
Nov 6, 2020·Foot & Ankle International·Karim MahmoudDan Prat
Nov 6, 2020·Journal of the American Podiatric Medical Association·Gaetano Di Stasio, Mia Montanelli
Jun 12, 2021·Foot & Ankle International·Oliver J MorganHoward J Hillstrom
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May 3, 2006·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Ward Mylo Glasoe, Michael J Coughlin
Aug 2, 2021·Foot and Ankle Clinics·Christopher E Gross, J Benjamin Jackson
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Mar 4, 2008·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Richard T Bouché, Eric J Heit

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