A Photometric Method for Measuring Ankle Dorsiflexion Reproducibility in Young Athletes

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论证。足背屈是反映足部潜在功能能力的重要生物力学指标之一。对其进行定量评估在临床检查、判断儿童参与体育活动的适宜性及评估运动损伤风险方面具有重要意义。

目的：评估光度测量法在测量运动儿童足背屈角度方面的重现性，并与传统的量角器法进行比较。

材料与方法。纳入30名运动儿童（年龄为6–12岁），均无已知骨科疾病。由两名独立专家基于解剖定位点，分别采用量角器法与光度测量法测量足背屈角度。通过组内相关系数（intraclass correlation coefficient, ICC）评估两位专家测量结果的一致性。采用Bland–Altman图分析两种方法之间的一致性。

结果。量角器法测得的平均角度为17.15°，光度测量法为18.1°（统计学差异，t检验，p = 0.04）。光度测量法显示出更高的专家间一致性（ICC = 0.91），而量角器法为（ICC = 0.78）。

结论。光度测量法是一种可靠且重现性良好的足背屈角度测量工具，适用于运动儿童的临床评估与动态监测。

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作者简介

Leonid V. Gorobets

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Medical Home

Email: gorobetsleonid@gmail.com
ORCID iD: 0000-0001-9424-3713
俄罗斯联邦, Saint Petersburg; Rostov-on-Don

Andrey V. Sapogovskiy

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: sapogovskiy@gmail.com
ORCID iD: 0000-0002-5762-4477
SPIN 代码: 2068-2102

MD, PhD, Cand. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg

Evgenii V. Melchenko

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

Email: emelchenko@gmail.com
ORCID iD: 0000-0003-1139-5573
SPIN 代码: 1552-8550

MD, PhD, Cand. Sci. (Medicine)

俄罗斯联邦, Saint Petersburg

Aleksandr N. Kasev

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery; Arkhangelsk Regional Children’s Clinical Hospital named after P.G. Vyzhletsov

Email: an.kasev@aodkb29.ru
ORCID iD: 0009-0006-0802-4949
SPIN 代码: 6193-3610
俄罗斯联邦, Saint Petersburg; Arkhangelsk

Vladimir M. Kenis

H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery

编辑信件的主要联系方式.
Email: kenis@mail.ru
ORCID iD: 0000-0002-7651-8485
SPIN 代码: 5597-8832

MD, PhD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Saint Petersburg

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2. Fig. 2. An example of photometric estimation of the angle of dorsal flexion.

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3. Fig. 1. Landmarks for goniometer and marker placement: A, head of the fifth metatarsal bone; B, lowest point on the lateral surface of the foot; C, lateral malleolus; D, horizontal surface; and E, head of the fibula. Solid black line, line connecting points C and E; dashed black line, continuation of the previous line; and red line, line connecting points A and B. Image adapted with modifications from [DOI: 10.7547/87507315-86-5-205]. © Rome K., 1996. Licensed under CC-BY-NC 4.0.

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4. Fig. 3. The Bland–Altman plot illustrating agreement between goniometry and photometry.

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