DOI QR코드

DOI QR Code

Inter- and Intra- Rater Reliability of Navicular Drop Tests Position

  • Kim, So-yeon (Dept. of Physical Therapy, College of Health and Welfare, Silla University) ;
  • Yoo, Jung-eun (Dept. of Physical Therapy, College of Health and Welfare, Silla University) ;
  • Woo, Da-hyun (Dept. of Physical Therapy, College of Health and Welfare, Silla University) ;
  • Jung, Bo-young (Dept. of Physical Therapy, College of Health and Welfare, Silla University) ;
  • Choi, Bo-ram (Dept. of Physical Therapy, College of Health and Welfare, Silla University)
  • Received : 2019.03.13
  • Accepted : 2019.05.03
  • Published : 2019.06.30

Abstract

Background: Pes planus, or flat foot, causes lower limb malalignment and foot pain during walking or exercise. Therefore, a highly reliable evaluation method to accurately diagnose flat feet is necessary. This study investigated the intra-and inter-rater reliability of the navicular drop test in different postures. Design: Cross sectional study. Methods: Forty healthy volunteers performed the navicular drop test in three different combinations of non-weight-bearing and weight-bearing postures (standing/standing, sitting/sitting, and sitting/standing). Two examiners alternately performed the measurements five times in each subject, and in each posture. Significant differences in measurements were obtained among the three postures, with the highest navicular drop being observed in the sitting/standing posture. Results: Inter-rater reliability was high in the sitting/standing and sitting/sitting postures. Intra-rater reliability was high in all three postures. In the sitting/sitting and sitting/standing postures, large navicular drop values and high inter- and intra-rater reliability were observed. Conclusion: Therefore, the sitting/standing and sitting/sitting postures are recommended for use in navicular drop tests to diagnose flat feet.

Keywords

References

  1. Boergers R. Effect of arch taping on peak force, contact surface area and neuromuscular activity at midstance.University of Winsconsin-LA Crosse. 2000.
  2. Del Rossi G, Fiolkowski P, Horodyski MB et al. For how long do temporary techniques maintain the height of the medial longitudinal arch? Phy Ther Sport. 2004;5(2):84-9. https://doi.org/10.1016/j.ptsp.2004.02.001
  3. Eom JR, Moon DC, Kim JS. The changes of balance performance by low-dye taping application on flexible flatfoot. J Korean Soc Phy Med. 2014;9(4):355-61. https://doi.org/10.13066/kspm.2014.9.4.355
  4. Harris EJ, Vanore JV, Thomas JL et al. Diagnosis and treatment of pediatric flatfoot. J Foot Ankle Surg. 2004;43(6):341-73. https://doi.org/10.1053/j.jfas.2004.09.013
  5. Ki JW, Lee EH, Ko KH et al. The effects of navicular drop on the clinical measures of lower extremity alignment. Korean J Orthop Manu Ther. 2010;16(1):1-8.
  6. Kim TH, Koh EK, Jung DY. The effect of arch support taping on plantar pressure and navicular drop height in subject with excessive pronated foot during 6 weeks. J Korean Soc Phy Med. 2011;6(4).
  7. Lee TH, Chay SW, Kim HJ. Diagnosis of flat foot. J Korean Foot Ankle Soc. 2016; 20(1).
  8. McPoil TG, Cornwall MW, Medoff L et al. Arch height change during sit-to-stand: An alternative for the navicular drop test. J foot Ankle Res. 2008;1(1):3. https://doi.org/10.1186/1757-1146-1-3
  9. Mueller MJ, Host JV, Norton BJ. Navicular drop as a composite measure of excessive pronation. J Am Podiatr Med Assoc. 1993;83(4):198-202. https://doi.org/10.7547/87507315-83-4-198
  10. Neumann DA. Kinesiology of the Musculoskeletal System-E-Book: Foundations for Rehabilitation. Elsevier Health Sciences, 2013.
  11. Vicenzino B, Franettovich M, McPoil T et al. Initial effects of anti-pronation tape on the medial longitudinal arch during walking and running. Br J Sports Med. 2005;39(12):939,43; discussion 943.
  12. Wang W, Crompton R. Analysis of the human and ape foot during bipedal standing with implications for the evolution of the foot. J Biomech. 2004;37(12):1831-6. https://doi.org/10.1016/j.jbiomech.2004.02.036