• 1

    Petersen EJ, Irish SM, Lyons CL, et al: Reliability of water volumetry and the figure of eight method on subjects with ankle joint swelling. .J Orthop Sports Phys Ther 29::609. ,1999. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2

    Humble CA: Lymphedema: incidence, pathophysiology, management, and nursing care. .Oncol Nurs Forum 22::1503. ,1995. .

  • 3

    Labs K, Tschoepl M, Gamba G, et al: The reliability of leg circumference assessment: a comparison of spring tape measurements and optoelectronic volumetry. .Vasc Med 5::69. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Stanton AWB, Badger C, Sitzia J: Non-invasive assessment of the lymphedematous limb. .Lymphology 33::122. ,2000. .

  • 5

    Tierney S, Aslam M, Rennie K, et al: Infrared opotoelectronic volumetry, the ideal way to measure limb volume. .Eur J Vasc Endovasc Surg 12::421. ,1996. .

  • 6

    Brijker F, Heijdra YF, van den Elshout FJJ, et al: Volumetric measurements of peripheral oedema in clinical conditions. .Clin Physiol 20::56. ,2000. .

  • 7

    Tatro-Adams D, McGann SF, Carbone W: Reliability of the figure-of-eight method of ankle measurement. .J Orthop Sports Phys Ther 22::161. ,1995. .

  • 8

    Pollio V: The Ten Books on Architecture, trans by MH Morgan, Dover Publications, New York. ,1960. .

    • PubMed
    • Export Citation
  • 9

    Jones PRM, Pearson J: Anthropometric determination of leg fat and muscle plus bone volumes in young male and female adults. .J Physiol 204::63. ,1969. .

  • 10

    Katch V, Michael ED Jr, Amuchie FA: The use of body weight and girth measurements in predicting segmental leg volume of females. .Hum Biol 45::293. ,1973. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Pellecchia GL: Figure-of-eight method of measuring hand size: reliability and concurrent validity. .J Hand Ther 16::300. ,2003. .

  • 12

    Maihafer GC, Llewellyn MA, Pillar WJ, et al: A comparison of the figure-of-eight method and water volumetry in measurement of hand and wrist size. .J Hand Ther 16::305. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Mawdsley RH, Hoy DK, Erwin PM: Criterion-related validity of the figure-of-eight method of measuring ankle edema. .J Orthop Sports Phys Ther 30::149. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14

    Bednarczyk JH, Hershler C, Cooper DG: Development and clinical evaluation of a computerized limb volume measurement system (CLEMS). .Arch Phys Med Rehabil 73::60. ,1992. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Lemaire E: A CAD analysis program for prosthetics and orthotics. .Prosthet Orthot Int 18::112. ,1994. .

  • 16

    Stanton AWB, Northfield JW, Holroyd B, et al: Validation of an optoelectric limb volumeter (Perometer). .Lymphology 30::77. ,1997. .

  • 17

    Mayrovitz HN, Sims N, Macdonald J: Assessment of limb volume by manual and automated methods in patients with limb edema or lymphedema. .Adv Skin Wound Care 14::272. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Man IOW, Elsabagh SM, Morrissey MC: The effect of different knee angles on knee volume measured with the Perometer device in uninjured subjects. .Clin Physiol Funct Imaging 23::114. ,2003. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Van Herp G, Al Shatti T: Ankle size measurements with the foot in a free hanging position. .SA J Physiother 54::14. ,1998. .

  • 20

    Shrout PE, Fleiss J: Intraclass correlations: uses in assessing rater reliability. .Psychol Bull 86::420. ,1979. .

  • 21

    Gerber LH, Augustine E, McGarvey CL, et al: “Preserving and Restoring Function in Breast Cancer Survivors,” in Diseases of the Breast, 3rd Ed, ed by JR Harris, ME Lippman, M Morrow, et al, p 1405, Lippincott Williams & Wilkins, Philadelphia. ,2004. .

    • PubMed
    • Export Citation

A Comparison of Different Assessment Techniques for Measuring Foot and Ankle Volume in Healthy Adults

John Friends Rehabilitation Services, Providence St. Vincent Medical Center, Portland, OR.

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Elizabeth Augustine Physical Therapy Assistant Program, Pima Medical Institute, Tucson, AZ. Dr. Augustine is now with Tucson Medical Center, Tuscon, AZ.

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Jerome Danoff Exercise Science, George Washington University, Washington, DC; Physical Therapy Section, National Institutes of Health, Bethesda, MD.

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Background: Foot and ankle volume may be an important measurement for conditions such as lower-extremity trauma or pathologic abnormalities. Water volumetry, often used for this measure, is accurate but not always convenient. We used figure-of-eight tape measurement, prism approximation, foot size measurement (Brannock device), and optoelectric measurement (Perometer) with the standard of water volumetry to compare foot and ankle volumes.

Methods: All five techniques were used to measure both the feet and ankles of ten asymptomatic men and women. Reliability was determined by repeating several trials, and validity was determined by comparing all of the techniques with water volumetry (the established standard). Regression equations were found that related each technique to water volumetry.

Results: All of the techniques were reliable (intraclass correlation coefficient[3,1] = 0.96–0.99). The figure-of-eight technique showed the highest agreement with water volumetry (R2 = 0.96), and the prism method, the lowest (R2 = 0.73).

Conclusions: Although any of these techniques should be acceptable for monitoring foot and ankle volume in normal limbs, the figure-of-eight method comes closest to reproducing the results of water volumetry. We believe that this technique would also be best in the presence of foot deformities, but this remains to be studied. (J Am Podiatr Med Assoc 98(2): 85–94, 2008)

Corresponding author: Jerome Danoff, PT, PhD, National Institutes of Health, Rehabilitation Medicine Department, Bldg 10-CRC, Room 1-1469, 10 Center Dr, MSC-1604, Bethesda, MD 20892. (E-mail: jdanoff@nih.gov)
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