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Inter-rater reliability of the Foot Posture Index (FPI-6) in the assessment of the paediatric foot

, 1 , 1

Journal of Foot and Ankle Research

BioMed Central

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      Abstract

      Background

      Reliability is an integral component of clinical assessment and necessary for establishing baseline data, monitoring treatment outcomes and providing robust research findings. In the podiatric literature traditional measures of foot assessment have been shown to be largely unreliable. The Foot Posture Index (FPI-6) is a clinical tool used in the assessment of foot and to date, there is limited research published which evaluates the reliability of this tool in children and adolescents.

      Method

      Thirty participants aged 5 - 16 years were recruited for the research. Two raters independently recorded the FPI-6 score for each participant.

      Results

      Almost perfect agreement between the two raters was identified following weighted kappa analysis (Kw = 0.86).

      Conclusion

      The FPI-6 is a quick, simple and reliable clinical tool which has demonstrated excellent inter-rater reliability when used in the assessment of the paediatric foot.

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      Most cited references 17

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      The measurement of observer agreement for categorical data.

       G Koch,  J R Landis (1977)
      This paper presents a general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies. The procedure essentially involves the construction of functions of the observed proportions which are directed at the extent to which the observers agree among themselves and the construction of test statistics for hypotheses involving these functions. Tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interobserver agreement are developed as generalized kappa-type statistics. These procedures are illustrated with a clinical diagnosis example from the epidemiological literature.
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        The measurement of observer agreement for categorical data

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          • Record: found
          • Abstract: not found
          • Article: not found

          The measurement of observer agreement for categorical data

           JR Landis,  GG Koch (1977)
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            Author and article information

            Affiliations
            [1 ]The University of East London, Stratford Campus, Water Lane, London, E15 4LZ, UK
            Contributors
            Journal
            J Foot Ankle Res
            Journal of Foot and Ankle Research
            BioMed Central
            1757-1146
            2009
            21 October 2009
            : 2
            : 26
            2770503
            1757-1146-2-26
            19845961
            10.1186/1757-1146-2-26
            Copyright © 2009 Morrison and Ferrari; licensee BioMed Central Ltd.

            This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

            Categories
            Research

            Orthopedics

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