{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:19:48Z","timestamp":1760955588119},"reference-count":39,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,9,25]],"date-time":"2015-09-25T00:00:00Z","timestamp":1443139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01AG026569"],"award-info":[{"award-number":["R01AG026569"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2016,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In prior work, laboratory\u2010based measures of hip motor function and ankle proprioceptive precision were critical to maintaining unipedal stance and fall\/fall\u2010related injury risk. However, the optimal clinical evaluation techniques for predicting these measures are unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the diagnostic accuracy of common clinical maneuvers in predicting laboratory\u2010based measures of frontal plane hip rate of torque development (Hip<jats:sup>RTD<\/jats:sup>) and ankle proprioceptive thresholds (Ank<jats:sub>PRO<\/jats:sub>) associated with increased fall risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective, observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Biomechanical research laboratory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>A total of 41 older subjects (aged 69.1 \u00b1 8.3 years), 25 with varying degrees of diabetic distal symmetric polyneuropathy and 16 without.<\/jats:p><\/jats:sec><jats:sec><jats:title>Assessments<\/jats:title><jats:p>Clinical hip strength was evaluated by manual muscle testing (MMT) and lateral plank time, defined as the number of seconds that the laterally lying subject could lift the hips from the support surface. Foot\/ankle evaluation included Achilles reflex and vibratory, proprioceptive, monofilament, and pinprick sensations at the great toe.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Hip<jats:sup>RTD<\/jats:sup>, abduction and adduction, using a custom whole\u2010body dynamometer. Ank<jats:sub>PRO<\/jats:sub> determined with subjects standing using a foot cradle system and a staircase series of 100 frontal plane rotational stimuli.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pearson correlation coefficients (r) and receiver operator characteristic (ROC) curves revealed that LPT correlated more strongly with Hip<jats:sup>RTD<\/jats:sup> (r\/<jats:italic>P<\/jats:italic> = 0.61\/&lt;.001 and 0.67\/&lt;.001, for abductor\/adductor, respectively) than did hip abductor MMT (r<jats:italic>\/P<\/jats:italic> = 0.31\/.044). Subjects with greater vibratory and proprioceptive sensation, and intact Achilles reflexes, monofilament, and pin sensation had more precise Ank<jats:sub>PRO<\/jats:sub>. LPT of &lt;12 seconds yielded a sensitivity\/specificity of 91%\/80% for identifying Hip<jats:sup>RTD<\/jats:sup> &lt; 0.25 (body size in Newton\u2010meters), and vibratory perception of &lt;8 seconds yielded a sensitivity\/specificity of 94%\/80% for the identification of Ank<jats:sub>PRO<\/jats:sub> &gt;1.0\u00b0.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>LPT is a more effective measure of Hip<jats:sup>RTD<\/jats:sup> than MMT. Similarly, clinical vibratory sense and monofilament testing are effective measures of Ank<jats:sub>PRO<\/jats:sub>, whereas clinical proprioceptive sense is not.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.pmrj.2015.08.017","type":"journal-article","created":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T04:17:44Z","timestamp":1443241064000},"page":"331-339","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Accuracy of Clinical Techniques for Evaluating Lower Limb Sensorimotor Functions Associated With Increased Fall Risk"],"prefix":"10.1002","volume":"8","author":[{"given":"Alex","family":"Donaghy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trina","family":"DeMott","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lara","family":"Allet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hogene","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Ashton\u2010Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James K.","family":"Richardson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,25]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199908263410904"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.14.1703"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(00)90039-X"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/64.7.1067"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50503.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(93)90027-C"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9290(00)00101-9"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2008.01.023"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.24134"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01623439"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.21194"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.22325"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(03)00016-9"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(95)80551-6"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.7.1072"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3100646"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr873oa"},{"key":"e_1_2_6_19_2","first-page":"454","article-title":"Strength testing with a portable dynamometer: Reliability for upper and lower extremities","volume":"68","author":"Agre J.C.","year":"1987","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_6_20_2","volume-title":"Physical Medicine and Rehabilitation","author":"Braddom R.L.","year":"2010"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001670100208"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.23618"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410310114"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.17.11.1281"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)90411-1"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.4158\/EP.13.1.5"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-0884-4.10001-1"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9290(81)90060-9"},{"key":"e_1_2_6_29_2","doi-asserted-by":"crossref","unstructured":"McConville JT Churchill TD Caleps I Clauser CE Cuzzi J. 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