Healthy Clinical Trial
Official title:
Reliability and Normative Value of Single Heel-rise Test in School-going Children
Background:
Single heel-rise test (SHRT) is a method of assessing the strength and endurance of
plantar-flexors manually. Single heel-rise test also known as calf rise test, is a method of
assessing the strength of plantar-flexor. The test was first done to determine the integrity
of calf muscle. There are few studies which has established the reliability and normative
value of heel-rise test in adults. But till date, there is no documented evidence of
normative value of heel-rise test in children.
Aim:
The study is focused to derive reliability and normative value of single heel-rise test in
children of age group 8-12 years.
Methods:
The study will recruit healthy school-going children of 8-12 years age. Any pathology which
can limit or interfere with the test outcome will be excluded. The samples will be collected
by stratified sampling technique. Procedure of test will be demonstrated prior to the test.
Heel raising and lowering will be performed until child feels fatigue. Test will be performed
on both the lower extremities individually.
Data analysis:
Test will be assessed on both the heel individually. Three sessions will be conducted by the
same rater on same child for intra-rater and test-retest reliability, and another rater will
assess the test on same individual for establishing inter-rater reliability. Normative value
of the test will be determined by deriving the mean of test-values for each age group.
1. Introduction:
Plantar flexors play a crucial role in gait cycle, during foot clearance. It assists in
forward propulsion, and is also responsible for maintaining the static and dynamic
balances. Single heel-rise test is a physical examination which evaluates the strength
of plantar-flexors. This study aims to assess the intra-rater and inter-rater
reliability and normative value of single heel-rise test in healthy school-going
children of age group 8-12 years.
1.1.Problem Statement: The documented evidences does not have normative value for single
heel-rise test in children. The normative value is provided only for adults. Therefore,
there is an absolute need of deriving normative value for this test in children.
1.2.Purpose of the study: The purpose of this study is to derive the normative value of
single-heel rise test along with reliability.
1.3.Objectives of the study: 1.3.1.To establish inter-rater and intra-rater and
test-retest reliability of single heel-rise test 1.3.2.To derive normative value of
single heel-rise test
2. Procedure:
The study will be a cross-sectional study. The study protocol has been approved from the
Institutional Ethics Committee of Maharishi Markandeshwar (Deemed to be University).
All the anthropometrics of the children will be taken prior to the test which includes
height, weight, calf muscle girth and length. The maximum number of heel-rises will be
performed by the child in single limb stance until maximal exertion will be recorded. The
test will be repeated in standing position on both the sides. For balancing, 2-finger support
on wall will be allowed.
Reliability testing: For inter-rater, 2 raters will assess on two different sessions on same
day. For intra-rater, same rater will assess the test twice on same day, and after 24 hours
for test-retest reliability.
Normative value: The mean of all the test-values for each age group will be normative value
for that particular age group.
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