Please use this identifier to cite or link to this item: http://hdl.handle.net/10497/22495
Title: 
Authors: 
Keywords: 
Hallux
Toe joint
Range of motion
Torque
Issue Date: 
2020
Citation: 
Leow, Y., Kong, P. W., Liu, Y., Pan, J. W., Fong, D. T. P., Chan, C. C., & Heng, M. L. (2020). Test-retest reliability of a clinical foot assessment device for measuring first metatarsophalangeal joint quasi-stiffness. The Foot, 45, Article 101742. https://doi.org/10.1016/j.foot.2020.101742
Abstract: 
Background
The stiffness of the first metatarsophalangeal joint (MTPJ) is of interest in cases such as hallux rigidus and apropulsive gait. Subjective rating of joint mobility as ‘hypermobile, normal, or stiff’ is an unreliable method. Previous instruments for the assessment of first MTPJ stiffness can be too hard and uncomfortable for test subjects. Recently, a new device using a load cell and optical fiber with fiber Bragg grating (FBG) sensors was developed to provide a comfortable means of clinical foot assessment. This study aimed to evaluate the test-retest reliability of this FBG-load cell device in measuring the first MTPJ quasi-stiffness.

Methods
The left foot of 13 female subjects were measured twice for their first MTPJ quasi-stiffness, approximately seven days apart. The FBG-load cell device measured the MTPJ range of motion from a resting position to maximum dorsiflexion and then returning to the resting start-position. The force applied by a clinician to displace the toe was simultaneously recorded using the load cell. The quasi-stiffness over the “working range” in loading and unloading directions were determined from the slope of the torque-angular displacement graph. The test-retest reliability of the MTPJ quasi-stiffness was evaluated using intra-class correlation coefficient [ICC (2,1)].

Results
The reliability was almost perfect for MTPJ quasi-stiffness over the loading phase (ICC = 0.814), moderate for MTPJ quasi-stiffness over the unloading phase (ICC = 0.477) and moderate for MTPJ maximum range (ICC = 0.486).

Conclusion
The foot assessment device comprising FBG and load cell was able to reliably measure the first MTPJ quasi-stiffness in a clinical setting. The measurement reliability was higher during the loading phase than the unloading phase.
Description: 
This is the final draft, after peer-review, of a manuscript published in The Foot. The published version is available online at https://doi.org/10.1016/j.foot.2020.101742
URI: 
ISSN: 
0958-2592
Other Identifiers: 
10.1016/j.foot.2020.101742
Website: 
Funding Agency: 
Ministry of Education, Singapore
Undergraduate Research Experience on Campus (URECA) Programme, Nanyang Technological University, Singapore
Appears in Collections:Journal Articles

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