Reliability and Validity of Analiz Sistem in Plantar Pressure Assessment for Unilateral Chronic Ankle Instability

Abstract

Aim: Pedobarography is a valuable tool for understanding lower limb biomechanics and identifying deviations in plantar pressure distribution, particularly in individuals with chronic ankle instability (CAI). Accurate assessment is essential for tailoring effective rehabilitation programs. This study aims to evaluate the concurrent validity and test-retest reliability of Analiz Sistem and Sensor Medica pedobarographic devices in assessing plantar pressure distribution under static postural conditions in individuals with CAI. Method: A total of 64 participants with unilateral CAI were included, with diagnoses confirmed via a Cumberland Ankle Instability Tool (CAIT) score of ≤24. Static postural assessments focused on surface area and impulse parameters for rearfoot, midfoot, and forefoot regions. Measurements from both systems were analyzed for agreement using Intraclass Correlation Coefficient (ICC), standard error of measurement (SEM), paired t-tests, and Bland-Altman plots. Results: ICC values ranged from 0.80 to 0.99, demonstrating good to excellent reliability. Rearfoot metrics showed the highest reliability, with ICC values exceeding 0.94. SEM values were consistently low (<1.5 for most metrics), indicating high measurement precision. Paired t-tests revealed no significant differences between the two systems (p>0.05). Bland-Altman plots confirmed narrow limits of agreement and minimal mean bias across all metrics. Conclusion: Analiz Sistem and Sensor Medica offer accurate and reliable measurements of plantar pressure distribution under static conditions. Their portability and cost-effectiveness make them suitable for clinical and field-based environments. Future research should focus on integrating advanced technologies like artificial intelligence to enhance their utility further.

Keywords

• Pedobarography
• chronic ankle instability
• plantar pressure
• Analiz Sistem
• Sensor Medica

Tek Taraflı Kronik Ayak Bileği İnstabilitesinde Plantar Basınç Değerlendirmesinde Analiz Sistem’in Güvenilirliği ve Geçerliliği

Abstract

Amaç: Pedobarografi, alt ekstremite biyomekaniğini anlamak ve plantar basınç dağılımındaki sapmaları tespit etmek için değerli bir araçtır, özellikle kronik ayak bileği instabilitesi (CAI) olan bireylerde. Doğru değerlendirme, etkili rehabilitasyon programlarının oluşturulmasında kritik bir öneme sahiptir. Bu çalışma, Analiz Sistem ve Sensor Medica pedobarografi cihazlarının statik postüral koşullarda plantar basınç dağılımını değerlendirmedeki eşzamanlı geçerliliğini ve test-tekrar test güvenilirliğini incelemeyi amaçlamaktadır. Yöntem: Tek taraflı CAI tanısı almış 64 katılımcı çalışmaya dahil edilmiştir ve tanılar Cumberland Ayak Bileği İnstabilite Aracı (CAIT) skorunun ≤24 olmasıyla doğrulanmıştır. Statik postüral değerlendirmeler, arka ayak, orta ayak ve ön ayak bölgeleri için yüzey alanı ve impuls parametrelerine odaklanmıştır. Her iki sistemden elde edilen ölçümler, Intraclass Correlation Coefficient (ICC), ölçüm hatası standart sapması (SEM), eşleştirilmiş t-testi ve Bland-Altman grafikleri kullanılarak analiz edilmiştir. Bulgular: ICC değerleri 0,80 ile 0,99 arasında değişmiş ve iyi ile mükemmel güvenilirlik sağlamıştır. Arka ayak metrikleri, 0.94’ün üzerinde ICC değerleri ile en yüksek güvenilirliği göstermiştir. SEM değerleri sürekli olarak düşük bulunmuş (<1,5), bu da ölçümlerin yüksek doğruluğunu göstermiştir. Eşleştirilmiş t-testleri, iki sistem arasında anlamlı bir fark olmadığını göstermiştir (p> 0,05). Bland-Altman grafikleri, tüm metriklerde dar uyum sınırları ve minimal ortalama yanlılık doğrulamıştır. Sonuç: Analiz Sistem ve Sensor Medica, statik koşullarda plantar basınç dağılımını değerlendirmede doğru ve güvenilir ölçümler sunmaktadır. Taşınabilirlikleri ve maliyet etkinlikleri, bu cihazları klinik ve saha ortamları için uygun hale getirmektedir. Gelecekteki araştırmalar, yapay zeka gibi ileri teknolojilerin entegrasyonuna odaklanarak bu cihazların işlevselliğini daha da artırmalıdır.

Keywords

• Pedobarografi
• kronik ayak bileği instabilitesi
• plantar basınç
• Analiz Sistem
• Sensor Medica

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