Intra- and Inter-Rater Reliability of the Test: Anteromedial Position of the Talus in the Talocrural Joint
Item
- Title
- Intra- and Inter-Rater Reliability of the Test: Anteromedial Position of the Talus in the Talocrural Joint
- Author(s)
- Dornieden Ralf
- Abstract
-
Study Design
Methodological double-blinded research. Repeated measures design for inter- and intra-rater reliability testing.
Outline/Problem Definition
Context: establishing reliable palpatory tests continues to be a critical, yet elusive step in osteopathic medical research and evidence-based clinical practice.
Backround: Ankle joint injuries in the region of the apparatus of the lateral ligamental capsule belong to the most frequent sporting injuries. Their proportion is 15-25% (KEEMANN, 1990; RENSTRÖM, 1993; UMANS, 2002). Altogether they belong to the most frequent injuries of the musculoskeletal system (VAN DIJK, 2002). During a follow up, six years after the initial trauma, VERHAGEN (1995)found feelings of instability in 39% of all patients, a recidivating predisposition to turgor in 24% and pain syndromes in further 18%. KONRADSEN ET AL.(2002)come upon 32% chronic complaints of pain, swelling or recurrent sprains in a seven-year follow-up after inversion trauma of the ankle. 72% of the subjects with residual disability reported that their ankle functionally impaired them. In the face of the innumerable foot injuries per year and the successive complaints, osteopathic literature about the diagnosis of the foot is almost not existent.
Research Question & Objective
Question: Is the talus-test according to EBENEGGER and TIXA (2004) universally reliable for osteopathic diagnosis of anteromedial dysfunctions of the talus in the talocrural joint or is it only relevant for a subjetive diagnosis for each individual osteopath?
Hypothesis
Relevance for the Patients
Relevance for Osteopathy
Methodology
Methodology: 20-40 symptomatic as well as asymptomatic subjects (in total 121) have been tested with the test according to EBENEGGER and TIXA at four different test locations by three or four osteopath, each (in total 12). Osteopaths and subjects have been blinded. Anamnestic data of the test persons (actual complaints of the feet, operations/accidents, known inversion traumata of the ankle) as well as data of the osteopath (school-leaving year, school, renownedness of the test) have been surveyed by means of questionnaires in advanced of the tests. The intra- and interrater reliability was investigated in two test runs and evaluated by Cohen`s Kappa.
Results
Results: In the actual study, as maximum kappa indices, kappa=0.12,
Critical Reflection/Perspectives/Conclusions
The results of this study indicate, that the described talus test is not universally reliable. However, this test has its justification in osteopathy, and is administered despite the low reliability in manual diagnostics.
Additional Information
- presented at
- Wiener Schule für Osteopathie
- Date Accepted
- 2008
- Date Submitted
- 1.10.2008 00:00:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 13906
- Inst-Identifier
- 781
- Keywords
- Talus
- Recommended
- 1
- Medium
- Dornieden.pdf
- Item sets
- Thesis
- Media
- Dornieden.pdf
Dornieden Ralf, “Intra- and Inter-Rater Reliability of the Test: Anteromedial Position of the Talus in the Talocrural Joint”, Osteopathic Research Web, accessed May 14, 2024, https://www.osteopathicresearch.org/s/orw/item/2950