Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: The reliability of toe systolic pressure and the toe brachial index in patients with diabetes. | Romanos et al. Journal of Foot and Ankle Research 2010 3 31 http content 3 1 31 JOURNAL OF FOOT AND ANKLE RESEARCH RESEARCH Open Access The reliability of toe systolic pressure and the toe brachial index in patients with diabetes Mary T Romanos1 Anita Raspovic1t Byron M Perrin2t Abstract Background The Ankle Brachial Index is a useful clinical test for establishing blood supply to the foot. However there are limitations to this method when conducted on people with diabetes. As an alternative to the Ankle Brachial Index measuring Toe Systolic Pressures and the Toe Brachial Index have been recommended to assess the arterial blood supply to the foot. This study aimed to determine the intra and inter-rater reliability of the measurement of Toe Systolic Pressure and the Toe Brachial Index in patients with diabetes using a manual measurement system. Methods This was a repeated measures reliability study. Three raters measured Toe Systolic Pressure and the Toe Brachial Index in thirty participants with diabetes. Measurement sessions occurred on two occasions one week apart using a manual photoplethysmography unit Hadeco Smartdop 45 and a standardised measurement protocol. Results The mean intra-class correlation for intra-rater reliability for toe systolic pressures was 95 LOA to mmHg and the mean intra-class correlation for Toe Brachial Indices was 95 LOA to . The intra-class correlation for inter-rater reliability was for toe systolic pressures 95 LOA to and for Toe Brachial Indices 95 LOA to . Conclusion Despite the reasonable intra-class correlation results the range of error 95 LOA was broad. This raises questions regarding the reliability of using a manual sphygmomanometer and PPG for the Toe Systolic Pressure and Toe Brachial Indice. Background The prevalence of diabetes is increasing with peripheral arterial collusive disease PAOD being a common condition in this .
