Protocolo de valoración de las diferencias de longitud de los miembros inferiores

• Gómez-Aguilar, Estela ; Reina Bueno, María ^[1] ; Lafuente-Sotillos, Guillermo ; Montes-Salas, Rubén ; Castillo-López, José Manuel
  1. [1] Universidad de Sevilla

     Universidad de Sevilla

     Sevilla, España

     
• Localización: EJPOD: European Journal of Podiatry = Revista europea de podología, ISSN-e 2445-1835, Vol. 3, Nº. 1, 2017, págs. 18-25
• Idioma: español
• DOI: 10.17979/ejpod.2017.3.1.1565
• Títulos paralelos:
  • Clinical protocol of leg length inequality
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivos: Proponer un protocolo clínico de exploración válido y fiable para el estudio de las diferencias de longitud de miembro inferior (en adelante DLMI).Material y método: Revisión bibliográfica en bases de datos científicas, y estudio descriptivo sobre con una muestra total de 115 participantes: estudio de los diferentes métodos de determinación y medición de las DLMI.Resultados: No existe consenso en cuanto a la fiabilidad y validez de los métodos e instrumentos de medida existentes en la bibliografía consultada. Se ha comprobado la fiabilidad del protocolo propuesto, según los resultados de otros autores y por los datos obtenidos en nuestro estudio.Conclusiones: Se propone la maniobra Weber-Barstow, estudio con cinta métrica, PALM® y compensación con tablillas y nivel pélvico para la determinación clínica de las DLMI. La telemetría anteroposterior de miembros inferiores en carga como prueba complementaria, y el Foot Posture Index (en adelante, FPI) y Navicular Drop Test (en adelante, NDT)  para el análisis de la posición del pie.

  • English

     Objectives: To propose a clinical protocol valid and reliable for the study of the differences in length of lower limb (hereinafter DLMI) scan.Materials and Methods: Literature review in scientific databases, and descriptive study with a total sample of 115 participants: study of different methods of determination and measurement of DLMI.Results: There is no consensus as to the reliability and validity of methods and measurement instruments existing in the literature. It has been proven the reliability of the proposed protocol, according to the results of other authors and the data obtained in our study.Conclusions: The Weber-Barstow maneuver, study with tape measure, PALM® and tablets and pelvic compensation level for clinical determination of DLMI is proposed. The anteroposterior telemetry lower limb load as a complementary

• Referencias bibliográficas
  • Argimón-Pallás JM, Jiménez-Villa J. Métodos de investigación clínica y epidemiológica. Barcelona: Elsevier; 2013.
  • Weber-Barstow manoeuvre test | definition of Weber-Barstow manoeuvre test by Medical dictionary [Internet]. [consultado el 24 de Mayo de 2016]....
  • Friberg O, Nurminen M, Korhonen K, Soininen E, Mänttäri T. Accuracy and precision of clinical estimation of leg length inequality and lumbar...
  • Beattie P, Isaacson K, Riddle DL, Rothstein JM. Validity of derived measurements of leg-length differences obtained by use of a tape measure....
  • Gogia PP, Braatz JH. Validity and reliability of leg length measurements. J Orthop Sports Phys Ther. 1986;8(4):185–8.
  • Hoyle DA, Latour M, Bohannon RW. Intraexaminer, interexaminer, and interdevice comparability of leg length measurements obtained with measuring...
  • Jamaluddin S, Sulaiman AR, Imran MK, Juhara H, Ezane MA, Nordin S. Reliability and accuracy of the tape measurement method with a nearest...
  • Hagins M, Brown M, Cook C, Gstalder K, Kam M, Kominer G et al. Intratester and intertester reliability of the palpation meter (PALM) in measuring...
  • Petrone MR, Guinn J, Reddin A, Sutlive TG, Flynn TW, Garber MP. The accuracy of the Palpation Meter (PALM) for measuring pelvic crest height...
  • Woerman AL, Binder-Macleod SA. Leg length discrepancy assessment: accuracv and precision in five clinical methods of evaluation. J Orthop...
  • Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture...
  • Mueller MJ, Host J V, Norton BJ. Navicular drop as a composite measure of excessive pronation. J Am Podiatr Med Assoc. 1993;83(4):198–202.
  • Gómez E, Domínguez A, Peña C CJ. DMG (maleolli distance-ground): a new clinical method to measure leg length discrepancy. J Am Pod Med Assoc....
  • Doyle AJ, Winsor S. Magnetic resonance imaging (MRI) lower limb length measurement. J Med Imaging Radiat Oncol. 2011;55(2011):191–4.
  • Terry MA, Winell JJ, Green DW, Schneider R, Peterson M, Marx RG, et al. Measurement variance in limb length discrepancy: clinical and radiographic...
  • Guenoun B, Zadegan F, Aim F, Hannouche D, Nizard R. Reliability of a new method for lower-extremity measurements based on stereoradiographic...
  • Wiangkham T, Chidnok W, Janejai P, Choprateep M. Intrarater reliability of leg length measurement , palpation, and special test of sacroiliac...
  • Gross MT, Burns CB, Chapman SW, Hudson CJ, Curtis HS, Lehmann JR, et al. Reliability and validity of rigid lift and pelvic leveling device...
  • Allen MK, Glasoe WM. Metrecom measurement of navicular drop in subjects with anterior cruciate ligament injury. J Athl Train. 2000;35(4):403–6.
  • Sabharwal S, Kumar A. Methods for assessing leg length discrepancy. Clin Orthop Relat Res. 2008;466(12):2910–22.
  • Blake RL, Ferguson HJ. Correlation between limb length discrepancy and asymmetrical rearfoot position. J Am Podiatr Med Assoc. 1993;83(11):625–33.
  • Blustein SM, D’Amico JC. Limb length discrepancy. Identification, clinical significance, and management. J Am Podiatr Med Assoc. 1985;75(4):200–6.
  • Rothbart B a. Relationship of functional leg-length discrepancy to abnormal pronation. J Am Podiatr Med Assoc. 2006;96(6):499–504; discussion...