However, these studies made no reference to the reliability of measurement. Reference values from radiographic studies for 1st MTPJ dorsiflexion of between 40° to 100° have been reported by Joseph and 82° by Buell et al. Ī variety of techniques can be used to assess 1st MTPJ range of motion including radiographic measurement, traditional goniometry, electromagnetic tracking and digitisation of video. Therefore, clinical assessment of the 1st MTPJ forms a fundamental part of a lower-limb biomechanical assessment. Measuring the angle of dorsiflexion available can also help identify the presence of pathology, such as hallux limitus or hallux rigidus. Satisfactory dorsiflexion at the first metatarsophalangeal joint (1st MTPJ) is essential to facilitate forward progression of the body during gait and to activate the windlass mechanism. The Dr G application may provide a slightly higher reliability, but devices should not be used inter-changeably as significant variation in measurement between devices may occur. Moderate to high intra and inter-rater reliability of joint position and passive 1st MTPJ motion can be achieved with traditional and smartphone-based goniometric measurement. Inter-rater reliability was moderate to good for the UG (ICC 0.693 (95 % CI 0.580 to 0.788)) and good for the Dr G application (ICC 0.708 (95 % CI 0.597 to 0.799)). However, the Dr G application consistently measured lower angles (mean 27.8° (SD 8.37)) than the UG (mean 32° (SD 11.7)) and these associations were significant (r = 0.399, p 0.809). Resultsįor joint position good intra-rater reliability (ICC >0.861) and good inter-rater reliability (ICC >0.823) was noted.
A double-blind repeated measures design was utilized, with intraclass correlation coefficient (ICC) used to determine levels of reliability. Measurement of joint position and passive range of motion of the 1st MTPJ dorsiflexion was compared using a UG and DrG goniometer. We aimed to determine the intra and inter-rater reliability together with the concurrent validity of a universal plastic goniometer (UG) and a smartphone applicationlication (Dr G) for the measurement of dorsiflexion at the 1st MTPJ. territories.Adequate sagittal plane motion of the first metatarsalphalangeal joint (1st MTPJ) is important during normal gait and goniometric measurement is commonly used as a diagnostic and outcome assessment tool. Godzilla: King of the Monsters © 2019 Legendary and Warner Bros. territories.Ĭrazy Rich Asians © Warner Bros. and requires a high-speed broadband connection.Īn American Pickle streaming on HBO Max. Men in BlackTM: International © 2019 Columbia Pictures Industries, Inc., Tencent Pictures (USA) LLC and Hemisphere-Culver III, LLC. Jumanji: The Next Level © 2019 Columbia Pictures Industries, Inc. MARVEL and all related character names: © & TM 2019 MARVEL. Spider-ManTM: Far From Home © 2019 Columbia Pictures Industries, Inc. Luther © 2014 BBC Studios Productions, LLC. American Gods © MMXX Lions Gate Television, Inc. Little Women © 2019 Columbia Pictures Industries, Inc. Power Book II: Ghost © MMXX Lions Gate Television, Inc. STARZ and related service marks are the property of Starz Entertainment, LLC. Game of Thrones streaming on HBO via HBO Max.
#Hudl app for gait tv#
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