An investigation of the reproducibility of a self-selected natural feet position when standing: Implications for the assessment of upright standing posture
Postural assessment Base of support Preferred stance Photogrammetry Feet position
Background
Photogrammetry is often used to evaluate standing static postural alignment. Patients are often instructed to self-select a natural feet position but it's unclear whether this position can be consistently replicated across repeated assessments.
Objective
To determine whether people can replicate a self-selected natural feet position in upright standing across three sessions on different days.
Design
Between days test-retest reliability.
Setting
University laboratory.
Methods
Three variables – Base of Support (BoS), Foot Width (FW), Feet Opening Angle (FOA) – were measured from foot tracings of 150 participants (18–30 years) using established procedures. BoS data were assessed for systematic bias (Analysis of Variance), and absolute (Coefficient of Variation - CV%) and relative (Intraclass Correlation Coefficient - ICC) reliability.
Results
There was systematic bias in the BoS data across the three testing sessions. The CV% for the BoS data was 15.2%. The ICC (95% CI) for the BoS data was 0.84 (0.79–0.87). There were moderate-large correlations between the BoS and both FOA and FW respectively within each session.
Conclusion
If clinicians want to allow patients to use their self-selected natural feet position for repeated photogrammetric assessment of their static postural alignment it would be better to standardise the position of the feet, for example, by creating a tracing of a patient's self-selected natural feet position.
Details
Title
An investigation of the reproducibility of a self-selected natural feet position when standing: Implications for the assessment of upright standing posture
Authors/Creators
Lee Daffin - Murdoch University, School of Allied Health
Stanley Innes - University of Lancashire
Max C Stuelcken - University of the Sunshine Coast