Inter-rater reliability of a new instrument for measuring isometric strength of toe flexor muscle
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i1a216209Keywords:
Foot, Muscle strength, Muscles, Technological DevelopmentAbstract
The assessment of toe flexor muscle strength is an important factor in the analysis of the muscles that contribute to sustaining the longitudinal plantar arch. Intrinsic muscles have several functions such as providing support and stabilization to the arches of the foot, shock absorption, and rigidity for the transmission of forces and postural stability. Objective: To evaluate the reliability of a device to measure the isometric strength of the toe flexor muscles individually. Method: Methodological study with a quantitative approach to assess the reliability of the instrument for evaluating the maximum voluntary isometric strength of the flexor muscles of the toes individually. 20 feet of healthy volunteers were evaluated in two moments: initial evaluation performed by evaluator 1 and evaluation after one week performed by evaluator 2, to test the interclass reliability through the statistical test of Intraclass Correlation Coefficient (ICC). Results: The results showed excellent ICC in all toes with values ranging between 0.805 and 0.921. Toe 4 had the lowest standard error of measurement (SME) and minimal detectable change (MMD), demonstrating lower collection error and greater sensitivity. Conclusion: The proposed instrument is reliable for measuring the intrinsic flexor muscle strength of the foot, being an alternative for evaluating it in different populations, as it presents good reliability and reproducibility at an affordable cost, and can be used in future clinical studies and clinical practice.
Downloads
References
Jastifer JR. Intrinsic muscles of the foot: Anatomy, function, rehabilitation. Phys Ther Sport. 2023;61:27-36. Doi: https://doi.org/10.1016/j.ptsp.2023.02.005
McKeon PO, Hertel J, Bramble D, Davis I. The foot core system: a new paradigm for understanding intrinsic foot muscle function. Br J Sports Med. 2015;49(5):290. Doi: https://doi.org/10.1136/bjsports-2013-092690
Taddei UT, Matias AB, Ribeiro FIA, Bus SA, Sacco ICN. Effects of a foot strengthening program on foot muscle morphology and running mechanics: a proof-of-concept, single-blind randomized controlled trial. Phys Ther Sport. 2020;42:107-115. Doi: https://doi.org/10.1016/j.ptsp.2020.01.007
Maeda N, Hirota A, Komiya M, Morikawa M, Mizuta R, Fujishita H, et al. Intrinsic foot muscle hardness is related to dynamic postural stability after landing in healthy young men. Gait Posture. 2021;86:192-198. Doi: https://doi.org/10.1016/j.gaitpost.2021.03.005
Futrell EE, Roberts D, Toole E. The effects of intrinsic foot muscle strengthening on functional mobility in older adults: A systematic review. J Am Geriatr Soc. 2022;70(2):531-40. Doi: https://doi.org/10.1111/jgs.17541
Kumar CG, Rajagopal KV, Hande HM, Maiya AG, Mayya SS. Intrinsic foot muscle and plantar tissue changes in type 2 diabetes mellitus. J Diabetes. 2015;7(6):850-7. Doi: https://doi.org/10.1111/1753-0407.12254
Ciniglio A, Acquaviva M, Guiotto A, Malaquias TM, Hoang H, Guarneri G, et al. Intrinsic foot muscle forces: A possible biomarker of diabetes. Gait Posture 2020;81(1):64–5. Doi: https://doi.org/10.1016/j.gaitpost.2020.07.057
Soysa A, Hiller C, Refshauge K, Burns J. Importance and challenges of measuring intrinsic foot muscle strength. J Foot Ankle Res. 2012;5(1):29. Doi: https://doi.org/10.1186/1757-1146-5-29
Latey PJ, Burns J, Hiller CE, Nightingale EJ. Relationship between foot pain, muscle strength and size: a systematic review. Physiotherapy. 2017;103(1):13-20. Doi: https://doi.org/10.1016/j.physio.2016.07.006
Kurihara T, Yamauchi J, Otsuka M, Tottori N, Hashimoto T, Isaka T. Maximum toe flexor muscle strength and quantitative analysis of human plantar intrinsic and extrinsic muscles by a magnetic resonance imaging technique. J Foot Ankle Res. 2014;7:26. Doi: https://doi.org/10.1186/1757-1146-7-26
Kottner J, Audigé L, Brorson S, Donner A, Gajewski BJ, Hróbjartsson A, et al. Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. J Clin Epidemiol. 2011;64(1):96-106. Doi: https://doi.org/10.1016/j.jclinepi.2010.03.002
Edouard P, Gasq D, Calmels P, Degache F. Sensorimotor control deficiency in recurrent anterior shoulder instability assessed with a stabilometric force platform. J Shoulder Elbow Surg. 2014;23(3):355-60. Doi: https://doi.org/10.1016/j.jse.2013.06.005
Hopkins WG. Measures of reliability in sports medicine and science. Sports Med. 2000;30(1):1-15. Doi: https://doi.org/10.2165/00007256-200030010-00001
Beckerman H, Roebroeck ME, Lankhorst GJ, Becher JG, Bezemer PD, Verbeek AL. Smallest real difference, a link between reproducibility and responsiveness. Qual Life Res. 2001;10(7):571-8. Doi: https://doi.org/10.1023/a:1013138911638
Rodriguez MD, Serrão JC, Avila AOV, Amadio AC. Aspectos antropométricos do pé humano: procedimentos de mensuração e relações com o crescimento físico na segunda infância. Rev Bras Postura Movimento 1998;2(1):15-27.
Kwon OY, Tuttle LJ, Johnson JE, Mueller MJ. Muscle imbalance and reduced ankle joint motion in people with hammer toe deformity. Clin Biomech (Bristol, Avon). 2009;24(8):670-5. Doi: https://doi.org/10.1016/j.clinbiomech.2009.05.010
Unger CL, Wooden MJ. Effect of foot intrinsic muscle strength training on jump performance. J Strength Cond Res 2000;14(4):373–78.
Spink MJ, Fotoohabadi MR, Menz HB. Foot and ankle strength assessment using hand-held dynamometry: reliability and age-related differences. Gerontology. 2010;56(6):525-32. Doi: https://doi.org/10.1159/000264655
Senda M, Takahara Y, Yagata Y, Yamamoto K, Na-gashima H, Tukiyama H, et al. Measurement of the muscle power of the toes in female marathon runners us-ing a toe dynamometer. Acta Med Okayama. 1999;53(4):189-91. Doi: https://doi.org/10.18926/AMO/31617
Garth WP Jr, Miller ST. Evaluation of claw toe deformity, weakness of the foot intrinsics, and posteromedial shin pain. Am J Sports Med. 1989;17(6):821-7. Doi: https://doi.org/10.1177/036354658901700617
Goldmann JP, Brüggemann GP. The potential of human toe flexor muscles to produce force. J Anat. 2012;221(2):187-94. Doi: https://doi.org/10.1111/j.1469-7580.2012.01524.x
Martins GA. Sobre confiabilidade e validade. Rev Bras Gestão Negócios. 2006;8(20):1-12.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Acta Fisiátrica
![Creative Commons License](http://i.creativecommons.org/l/by-nc-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.