Interobserver reliability in Pirani clubfoot severity scoring between a paediatric orthopaedic surgeon and a physiotherapy assistant

Journal of Pediatric Orthopedics. Part B
Samir ShaheenShafique Pirani

Abstract

The Ponseti method, now regarded as the standard of care for congenital clubfoot, is equally effective whether provided by orthopaedic surgeons or orthopaedic paramedics. Therefore, it is particularly suitable for under-resourced nations with lack of surgeons and physicians. At the Sudan Clubfoot Clinic, physiotherapy assistants (3-year diploma nurses with additional physiotherapy experience) are part of the Ponseti clubfoot treatment team, with the role of assessing the degree of deformity by the Pirani score to assist the team in providing treatment. However, the reliability of Pirani scores measured by physiotherapy assistants in this context is unknown. After obtaining informed consent, we measured the interobserver reliability between a physiotherapy assistant and an orthopaedic surgeon in measuring Pirani scores in 91 virgin clubfeet in 54 infants (41 males and 13 females) at the Sudan Clubfoot Clinic. Scores were measured independently before the onset of treatment and analysed by the κ statistic for interobserver reliability. The κ statistic was 0.61 for posterior crease, 0.72 for empty heel, 0.51 for rigid equinus, 0.54 for the hid-foot score, 0.57 for medial crease, 0.54 for curved lateral border, 0.56 for lateral hea...Continue Reading

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Citations

Jul 16, 2014·Clinical Orthopaedics and Related Research·Kelly GrayJoshua Burns
Nov 21, 2013·Journal of Visual Communication in Medicine·James S Huntley
Feb 20, 2014·Foot and Ankle Clinics·Kenneth J Hunt, Jessica H Ryu
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Jan 23, 2018·Frontiers in Physiology·Balasankar GanesanAlison Chivers
Jul 18, 2019·Journal of Children's Orthopaedics·S Böhm, M F Sinclair
Jul 14, 2017·Journal of Pediatric Orthopedics. Part B·Samir ShaheenAshok Johari
Dec 31, 2016·World Journal of Clinical Cases·Guinevere GraniteRonald Wade
Apr 8, 2014·Journal of Pediatric Orthopedics·Ryan GaoCameron Walker
Nov 21, 2020·Bone & Joint Open·Yael GelferDeborah M Eastwood
Jan 28, 2021·International Journal of Environmental Research and Public Health·Angela Margaret EvansSharif Khan
May 22, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Alaaeldin Azmi AhmadMo'ath S Abu Hamdeh
Dec 3, 2021·PloS One·Anna-Clara EsbjörnssonHenrik Wallander

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