Is There Agreement Between Supine & Prone Leg-Length Inequality Checking?
- RRS Education
Do you check leg lengths for your patients, and if so, how? Many clinicians assess for leg length inequality (LLI) by looking at the relative, baseline position of the feet in either a supine or prone position and often use this information to inform them on the optimal site for spinal manipulation. However, current literature shows varying levels of reliability and validity for supine and prone LLI assessment procedures and there are few studies looking at the influence of the information supplied by LLI assessment on clinical outcomes. It may also be important for clinical use to differentiate between anatomic LLI (LLIa), where the legs are measurably of different lengths, and functional LLI (LLIf), where the legs are equal in length and one has been drawn cephalad in some manner, as this discrimination may have an impact on treatment selection and/or clinical outcomes. The purpose of this study (published in the Journal of Chiropractic Medicine - 2017) was to determine the inter-method reliability of supine and prone LLI assessments and to see if the degree of assessor confidence impacted the degree of inter-method agreement...LOG IN OR SUBSCRIBE TO ACCESS THE FULL REVIEW.