Valor del Test de Silfverskiöld para el diagnóstico de la fascitis plantar

  1. José Antonio García Vidal 1
  2. José Gregorio Piñero Palazón
  3. Aitor Baño Alcaraz 2
  4. María Piedad Sánchez Martínez 1
  5. Francesc Medina i Mirapeix
  1. 1 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  2. 2 Universidad de Sevilla
    info

    Universidad de Sevilla

    Sevilla, España

    ROR https://ror.org/03yxnpp24

Journal:
Revista Internacional de Ciencias Podológicas

ISSN: 1887-7249

Year of publication: 2019

Volume: 13

Issue: 1

Pages: 41-46

Type: Article

DOI: 10.5209/RICP.62343 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Revista Internacional de Ciencias Podológicas

Abstract

Background: Plantar fasciitis (PF) is described as the most common cause of heel pain. Although it is considered a multifactorial pathology, the limitation of dorsiflexion of the ankle is one of the most determining factors, predisposing to the development of pathologies in the lower limb. Objective: To determine the accuracy of the Silfverskiöld test as a diagnostic tool for PF, based on the analysis of several indicators (sensitivity, specificity, positive and negative predictive value, and positive and negative likelihood ratios). Method: A cross-sectional validity study was conducted in 16 subjects (9 women and 7 men) diagnosed with unilateral plantar fasciitis of at least 3 months evolution. A physiotherapist was responsible for assessing the deficit of dorsiflexion in both ankles by the Silfverskiöld test. Outcome: Those feet without mobility problems in ankle dorsiflexion were discarded, so finally 14 affected feet and 8 healthy ones were analyzed. the indicators of diagnostic efficacy of the Silfverskiöld test in PF. When determining the efficacy of the Silfverskiöld test as a predictor of PF, we found a sensitivity of 93.7%, specificity of 75%, positive predictive value (PPV) of 86.6% and negative predictive value (NPV) of 85.7%. The positive likelihood ratio (LR+) was 3.74, while the negative (LR-) ratio was 12.5. Conclusion: The Silfverskiöld test can be considered an effective test for the diagnosis of PF. There is an important association between limitation in dorsiflexion of the ankle due to restriction of twins and the probability of suffering PF.

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