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Feasibility of an Ultrasound-Based Method for Measuring Talar Displacement during the Anterior Drawer Stress Test Using a Telos Device : A Preliminary Study
Title: | Feasibility of an Ultrasound-Based Method for Measuring Talar Displacement during the Anterior Drawer Stress Test Using a Telos Device : A Preliminary Study |
Authors: | Tsutsumi, Kaori Browse this author →KAKEN DB | Nakaya, Utayo Browse this author | Koshino, Yuta Browse this author →KAKEN DB | Tateno, Mari Browse this author | Matsumoto, Kazuhisa Browse this author | Tanaka, Mai Browse this author | Yokoyama, Mika Browse this author | Horie, Tatsunori Browse this author | Samukawa, Mina Browse this author →KAKEN DB | Kamishima, Tamotsu Browse this author →KAKEN DB | Tohyama, Harukazu Browse this author →KAKEN DB |
Keywords: | ankle flexibility | ultrasound | ankle sprain | anterior drawer test | talus | tibia |
Issue Date: | 18-Feb-2022 |
Publisher: | MDPI |
Journal Title: | International journal of environmental research and public health |
Volume: | 19 |
Issue: | 4 |
Start Page: | 2367 |
Publisher DOI: | 10.3390/ijerph19042367 |
PMID: | 35206561 |
Abstract: | This study was conducted to measured talar displacement using ultrasound during an anterior drawer test (ADT) with a Telos device. Five adults (3 men and 2 women; 8 ankles; mean age: 23.2 y) with a history of ankle sprain and eight adults (5 men and 3 women; 16 ankles; mean age: 22.1 y) without a history of ankle sprain were recruited into a history of ankle sprain (HAS) and a control group, respectively. Talar displacement was observed in response to load forces applied by a Telos device during the ultrasound stress imaging test. The ultrasound probe was placed 5 mm inside from the center of the Achilles tendon on the posterior ankle along the direction of the major axis. The inter-rater reliability for the present method was classified as good and excellent (ICC(2,2) = 0.858 and 0.957 at 120 N and 150 N, respectively) in the control group and excellent (ICC(2,2) = 0.940 and 0.905 at 120 N and 150 N, respectively) in the HAS group, according to specific intraclass correlation coefficient values. We found that talar displacement during the ADT was lower in the HAS group than in the control group. Analysis of the receiver operating characteristic curve revealed that the quantitative ultrasound-based ADT using a Telos device was superior to the X-ray-based test in detecting reduced ankle joint mobility during the ADT (area under the curve of 0.905 and 0.726 at a force of 150 N using ultrasound-based and X-ray-based tests, respectively). Further investigation is needed; nevertheless, this preliminary study suggests that the ultrasound-based quantitative ADT using a Telos device might detect talar displacement more sensitively than the conventional stress X-ray. |
Type: | article |
URI: | http://hdl.handle.net/2115/85072 |
Appears in Collections: | 保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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