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A comparison of two techniques for ankle Jerk assessment in elderly subjects
Abstract
The reported prevalence of absent ankle jerks in elderly people varies greatly. This variation may be due to differences in the method of testing. Eight physicians examined 12 patients for the presence of ankle jerks using two techniques: plantar strike and tendon strike. Both intra-observer agreement (kappa 0.47 vs 0.20; p = 0.01) and inter-observer agreement (0.57 vs 0.21; p < 0.001) were greater with plantar strike. Reliability of ankle jerk assessment was greater for more experienced examiners. Differences in technique may explain some of the discrepancy between studies examining the prevalence of absent ankle jerks in elderly people.
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Research works printed but not linked: 5
- Critchley, 1931, Neurology of old age, Lancet, i, 1119, 10.1016/S0140-6736(00)90705-0 · DOI
- Impallomeni, 1984, The elderly and their ankle jerks, Lancet, i, 670, 10.1016/S0140-6736(84)92181-0 · DOI
- Bartko, 1976, On the methods and theory of reliability, J Nerv Ment Dis, 163, 307, 10.1097/00005053-197611000-00003 · DOI
- Van Gjin, 1977, Interpretation of plantar reflexes: biasing effects of other symptoms and signs, J Neurol Neurosurg Psychiatry, 40, 787, 10.1136/jnnp.40.8.787 · DOI
- Vogel, 1992, Influence of additional information on interrater reliability in the neurologic examination, Neurology, 42, 2076, 10.1212/WNL.42.11.2076 · DOI
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Metadata
- Authors
- O'Keeffe, S. T., Smith, T., Valacio, R., Jack, C. I. A., Playfer, J. R., & Lye, M.
- Affiliations
- Royal Liverpool University Hospital (GB)
- ORCID
- Lye, M.
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1994-12
- Volume
- 344
- Issue
- 8937
- Pages
- 1619-1620
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2082415722
- Cited by
- 45
- References
- 0
- Citations by year
- 2025: 2 · 2021: 1 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 1 · 2014: 1 · 2012: 3
- FWCI
- 1.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Reliability and Agreement in Measurement
- Health Sciences › Medicine › Clinical Neurology › Peripheral Nerve Disorders
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Foot and Ankle Surgery
- Keywords
- ankle jerk, older adults, examiner reliability, interobserver agreement, intraobserver agreement, examiner experience
- MeSH terms
- Aged, Aged, 80 and over, Ankle, Female, Humans, Male, Reflex, Stretch, Geriatric Assessment
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