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Intratest reliability in determining the subtalar joint axis using the palpation technique described by K. Kirby

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Abstract
Background: Exact determination and classification of the spatial position of the subtalar joint axis could be a predictive clinical variable in biomechanical analysis and a valuable tool in the design of functional foot orthoses. Methods: Three clinicians with different levels of experience determined and classified the subtalar joint axis location, three times, on 52 individuals, using the clinical palpation, allocation and interpretation technique, as described by K. Kirby. Results: High intratester precision (ICC 0.72 to 0.93) was found for determining the axis location (SEM, 3.72 degrees for angle/0.27 cm for X-axis); however, classification of the spatial position of the axis has large intertester variation (kappa = 0.243 to 0.494) Conclusions: The clinical palpation technique itself is reliable; the consistent attribution of a classification, in other words, interpretation, is weak.
Keywords
biomechanics, intratest reliability, STJ axis, palpation, foot

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Chicago
De Schepper, Joris, Ken Van Alsenoy, Johan Rijckaert, Sophie De Mits, Tom Lootens, and Philip Roosen. 2012. “Intratest Reliability in Determining the Subtalar Joint Axis Using the Palpation Technique Described by K. Kirby.” Journal of the American Podiatric Medical Association 102 (2): 122–129.
APA
De Schepper, Joris, Van Alsenoy, K., Rijckaert, J., De Mits, S., Lootens, T., & Roosen, P. (2012). Intratest reliability in determining the subtalar joint axis using the palpation technique described by K. Kirby. JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION, 102(2), 122–129.
Vancouver
1.
De Schepper J, Van Alsenoy K, Rijckaert J, De Mits S, Lootens T, Roosen P. Intratest reliability in determining the subtalar joint axis using the palpation technique described by K. Kirby. JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION. 2012;102(2):122–9.
MLA
De Schepper, Joris, Ken Van Alsenoy, Johan Rijckaert, et al. “Intratest Reliability in Determining the Subtalar Joint Axis Using the Palpation Technique Described by K. Kirby.” JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION 102.2 (2012): 122–129. Print.
@article{1013842,
  abstract     = {Background: Exact determination and classification of the spatial position of the subtalar joint axis could be a predictive clinical variable in biomechanical analysis and a valuable tool in the design of functional foot orthoses. 
Methods: Three clinicians with different levels of experience determined and classified the subtalar joint axis location, three times, on 52 individuals, using the clinical palpation, allocation and interpretation technique, as described by K. Kirby. 
Results: High intratester precision (ICC 0.72 to 0.93) was found for determining the axis location (SEM, 3.72 degrees for angle/0.27 cm for X-axis); however, classification of the spatial position of the axis has large intertester variation (kappa = 0.243 to 0.494) 
Conclusions: The clinical palpation technique itself is reliable; the consistent attribution of a classification, in other words, interpretation, is weak.},
  author       = {De Schepper, Joris and Van Alsenoy, Ken and Rijckaert, Johan and De Mits, Sophie and Lootens, Tom  and Roosen, Philip},
  issn         = {8750-7315},
  journal      = {JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION},
  keyword      = {biomechanics,intratest reliability,STJ axis,palpation,foot},
  language     = {eng},
  number       = {2},
  pages        = {122--129},
  title        = {Intratest reliability in determining the subtalar joint axis using the palpation technique described by K. Kirby},
  volume       = {102},
  year         = {2012},
}

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