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Hirosawa A, Kakizaki F, Komuro N, Homma Y, Omotehara T, Kawata S, Nagahori K, Yakura T, Li ZL, Itoh M. Relationship between the bilateral ratios of the thoracic shape and electromyographic activity of the thoracic and lumbar iliocostalis muscles during thoracic lateral translation. J Phys Ther Sci 2023; 35:185-192. [PMID: 36866015 PMCID: PMC9974312 DOI: 10.1589/jpts.35.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 12/01/2022] [Indexed: 03/04/2023] Open
Abstract
[Purpose] This study aimed to determine the relationship between thoracic lateral deviation, the bilateral ratio of the thoracic shape, and the bilateral ratio of the thoracic and lumbar iliocostalis muscles during resting sitting and thoracic lateral translation. [Participants and Methods] We included 23 healthy adult males in the study. The measurement tasks were resting sitting and thoracic lateral translation relative to the pelvis. The thoracic lateral deviation and bilateral ratio of the upper and lower thoracic shapes were measured using three-dimensional motion capture. The bilateral ratio of the thoracic and lumbar iliocostalis muscles were measured using the surface electromyographic recording. [Results] The bilateral ratio of the lower thoracic shape was significantly positively correlated with the thoracic translation distance and the bilateral ratio of the thoracic and iliocostalis muscles. In addition, the bilateral ratio of the thoracic iliocostalis muscles was significantly negatively correlated with the bilateral ratios of the lower thoracic shape and lumbar iliocostalis muscles. [Conclusion] Our findings showed that the asymmetry of the lower thoracic shape is associated with left lateral deviation of the thorax at rest and thoracic translation distance. In addition, the thoracic and lumbar iliocostalis muscle activity differed between the left and right translations.
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Affiliation(s)
- Akira Hirosawa
- Department of Anatomy, Tokyo Medical University,
Japan, Department of Rehabilitation, Takashimadaira Chuo General
Hospital, Japan
| | - Fujiyasu Kakizaki
- Department of Physical Therapy, Faculty of Health Science
Technology, Bunkyo Gakuin University: 1196 Kamekubo, Fujimino-shi, Saitama 356-8533,
Japan,Corresponding author. Fujiyasu Kakizaki (E-mail: )
| | - Naruyoshi Komuro
- Department of Anatomy, Tokyo Medical University,
Japan, Department of Physical Therapy, Faculty of Health Science
Technology, Bunkyo Gakuin University: 1196 Kamekubo, Fujimino-shi, Saitama 356-8533,
Japan
| | - Yuuki Homma
- Department of Physical Therapy, Faculty of Health Science
Technology, Bunkyo Gakuin University: 1196 Kamekubo, Fujimino-shi, Saitama 356-8533,
Japan
| | | | | | | | - Tomiko Yakura
- Department of Anatomy, Tokyo Medical University,
Japan
| | - Zhong-Lian Li
- Department of Anatomy, Tokyo Medical University,
Japan
| | - Masahiro Itoh
- Department of Anatomy, Tokyo Medical University,
Japan
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Randomized Feasibility Pilot Trial of Adding a New Three-Dimensional Adjustable Posture-Corrective Orthotic to a Multi-Modal Program for the Treatment of Nonspecific Neck Pain. J Clin Med 2022; 11:jcm11237028. [PMID: 36498603 PMCID: PMC9737469 DOI: 10.3390/jcm11237028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 11/19/2022] [Accepted: 11/21/2022] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to investigate the feasibility and effect of a multimodal program for the management of chronic nonspecific neck pain CNSNP with the addition of a 3D adjustable posture corrective orthotic (PCO), with a focus on patient recruitment and retention. This report describes a prospective, randomized controlled pilot study with twenty-four participants with CNSNP and definite 3D postural deviations who were randomly assigned to control and study groups. Both groups received the same multimodal program; additionally, the study group received a 3D PCO to perform mirror image® therapy for 20−30 min while the patient was walking on a treadmill 2−3 times per week for 10 weeks. Primary outcomes included feasibility, recruitment, adherence, safety, and sample size calculation. Secondary outcomes included neck pain intensity by numeric pain rating scale (NPRS), neck disability index (NDI), active cervical ROM, and 3D posture parameters of the head in relation to the thoracic region. Measures were assessed at baseline and after 10 weeks of intervention. Overall, 54 participants were screened for eligibility, and 24 (100%) were enrolled for study participation. Three participants (12.5%) were lost to reassessment before finishing 10 weeks of treatment. The between-group mean differences in change scores indicated greater improvements in the study group receiving the new PCO intervention. Using an effect size of 0.797, α > 0.05, β = 80% between-group improvements for NDI identified that 42 participants were required for a full-scale RCT. This pilot study demonstrated the feasibility of recruitment, compliance, and safety for the treatment of CNSNP using a 3D PCO to a multimodal program to positively affect CNSNP management.
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Woldendorp KH, Kleinbergen JFE, Boonstra AM, de Schipper AW, Arendzen JH, Reneman MF. Quality and usability of clinical assessments of static standing and sitting posture: A systematic review. J Back Musculoskelet Rehabil 2022; 35:223-238. [PMID: 34366318 DOI: 10.3233/bmr-200073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND A validated method to assess sitting and standing posture in a clinical setting is needed to guide diagnosis, treatment and evaluation of these postures. At present, no systematic overview of assessment methods, their clinimetric properties, and usability is available. OBJECTIVE The objective of this study was to provide such an overview and to interpret the results for clinical practice. METHODS A systematic literature review was performed according to international guidelines. Two independent reviewers assessed risk of bias, clinimetric values of the assessment methods, and their usability. Quality of evidence and strength of recommendations were determined according to the Grading of Recommendations Assessment, Development and Evaluation working group (GRADE). RESULTS Out of 27,680 records, 41 eligible studies were included. Thirty-two assessment instruments were identified, clustered into five categories. The methodological quality of 27 (66%) of the articles was moderate to good. Reliability was most frequently studied. Little information was found about validity and none about responsiveness. CONCLUSIONS Based on a moderate level of evidence, a tentative recommendation can be made to use a direct visual observation method with global posture recorded by a trained observer applying a rating scale.
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Affiliation(s)
- Kees H Woldendorp
- Rehabilitation Expertise Center for Music and Dance, Revalidatie Friesland, Center for Rehabilitation, Beetsterzwaag, The Netherlands
| | - Jonas F E Kleinbergen
- Rehabilitation Expertise Center for Music and Dance, Revalidatie Friesland, Center for Rehabilitation, Beetsterzwaag, The Netherlands
| | - Anne M Boonstra
- Rehabilitation Expertise Center for Music and Dance, Revalidatie Friesland, Center for Rehabilitation, Beetsterzwaag, The Netherlands
| | | | - J Hans Arendzen
- Department of Rehabilitation Medicine, Leiden University Medical Center, Leiden, The Netherlands
| | - Michiel F Reneman
- Center for Rehabilitation and Department of Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Youssef ASA, Xia N, Emara STE, Moustafa IM, Huang X. Addition of a new three-dimensional adjustable cervical thoracic orthosis to a multi-modal program in the treatment of nonspecific neck pain: study protocol for a randomised pilot trial. Trials 2019; 20:248. [PMID: 31036033 PMCID: PMC6489278 DOI: 10.1186/s13063-019-3337-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 03/30/2019] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND Nonspecific neck pain (NSNP) is one of the most common musculoskeletal problems treated by orthopaedic physicians and physiotherapists. Posture has emerged as one of the major risk factors associated with NSNP, but most previous studies ignored correct posturing as an effective treatment. Therefore, one of the major challenges faced by clinicians is how to incorporate 3D posture findings into the treatment plane. The present study will evaluate the feasibility of conducting a larger randomized trial. This pilot study is designed to investigate the hypothesis that a multimodal programme supplemented with the addition of a 3D adjustable cervico thoracic posture corrective orthotic (CTPCO) will yield short- and long-term improvement on NSNP management outcomes. METHODS/DESIGN This pilot, single-blind, randomized controlled trial will divide 24 patients into two groups (study and control) using block randomization. Both groups will receive conventional treatment consisting of a moist hot pack, soft tissue mobilization, manual therapy and therapeutic exercise. The study group will undergo ambulatory mirror-image functional re-training wearing a 3D adjustable CTPCO. The primary outcome is feasibility, including recruitment (e.g., time to complete enrolment, recruitment rate), patient retention and adherence to treatment allocation (e.g., session attendance, home practice, use of non-study treatments). The secondary outcomes used to assess the effectiveness of the treatment will include neck pain (measures using the visual analogue scale (VAS)) and neck disability (measures using the neck disability index (NDI)), among other outcome measures, compared between the experimental and control groups. Three-dimensional posture parameters of head measurements will be provided by a Global Posture System (GPS). The outcome measures for determining the treatment effect will be assessed at three intervals: pre-treatment, after 10 weeks of intervention and after 3 months at follow-up. DISCUSSION This randomized controlled pilot trial will inform the design of a future full-scale trial. The outcomes will provide some resources for the incorporation of ambulatory mirror-image functional re-training intervention compared to a control group intervention for neck pain, disability and 3D posture parameters. TRIAL REGISTRATION Prospectively registered at ClinicalTrials.gov, NCT03331120 . Registered on 22 October 2017.
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Affiliation(s)
- Ahmed S A Youssef
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Avenue, Wuhan, 430030, Hubei, China
- Basic science department, Faculty of Physical Therapy, Beni-Suef University, Beni-Suef, Egypt
| | - Nan Xia
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Avenue, Wuhan, 430030, Hubei, China
| | | | - Ibrahim M Moustafa
- Basic science department, Faculty of Physical Therapy, Cairo University, 7-Mohamed Hassan El-Gamel st, Naser City, Cairo, 002, Egypt.
- Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, UAE.
| | - Xiaolin Huang
- Department of Rehabilitation Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095#, Jiefang Avenue, Wuhan, 430030, Hubei, China.
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Heitz PH, Aubin-Fournier JF, Parent É, Fortin C. Test-retest reliability of posture measurements in adolescents with idiopathic scoliosis. Spine J 2018; 18:2247-2258. [PMID: 29746961 DOI: 10.1016/j.spinee.2018.05.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2017] [Revised: 04/16/2018] [Accepted: 05/01/2018] [Indexed: 02/03/2023]
Abstract
BACKGROUND CONTEXT Posture changes are a major consequence of idiopathic scoliosis (IS). Posture changes can lead to psychosocial and physical impairments in adolescents with IS. Therefore, it is important to assess posture, but the test-retest reliability of posture measurements still remains unknown in this population. PURPOSE The primary objective of the present study was to determine the test-retest reliability of 25 head and trunk posture indices using the Clinical Photographic Postural Assessment Tool (CPPAT) in adolescents with IS. The secondary objective was to determine the standard error of measurement and the minimal detectable change. STUDY DESIGN/SETTING This is a prospective test-retest reliability study carried out at two tertiary university hospital centers. PATIENTS SAMPLE Forty-one adolescents with IS, aged 10-16 years old with curves 10°-45° and treated by medical intervention, were recruited. METHODS Two posture assessments were done using the CPPAT 5-10 days apart following a standardized procedure. Photographs were analyzed with the CPPAT software by digitizing reference landmarks placed on the participant by a physiotherapist evaluator. Generalizability theory was used to obtain a coefficient of dependability, standard error of measurement, and the minimal detectable change at 90% confidence interval. RESULTS Fourteen of 25 posture indices had a good reliability (ϕ≥0.78), 10 had moderate reliability (ϕ=0.55-0.74), and 1 had poor reliability (ϕ=0.45). The most reliable posture indices were waist angle asymmetry (ϕ=0.93), right waist angle (ϕ=0.91), and frontal trunk list (ϕ=0.92). Right sagittal trunk list was the least reliable posture index (ϕ=0.45). The MDC90 values ranged from 2.6 to 10.3° for angular measurements and from 8.4 to 35.1 mm for linear measurements. CONCLUSIONS The present study demonstrates that most posture indices, especially the trunk posture indices, are reproducible in time among adolescents with IS and provides reference values. Clinicians and researchers can use these reference values to assess change in posture over time attributable to treatment effectiveness.
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Affiliation(s)
- Pierre-Henri Heitz
- École de réadaptation, Faculté de médecine, Université de Montréal, 6128, succursale Centre-ville, Montréal, Québec, Canada H3C 3J7
| | - Jean-François Aubin-Fournier
- Centre de réadaptation Marie-Enfant du CHU Sainte-Justine, 5200, rue Bélanger Est, Montréal, Québec, Canada H1T 1C9
| | - Éric Parent
- Department of Physical Therapy, University of Alberta, 8205 114St, Edmonton, Alberta, Canada T6G 2G4
| | - Carole Fortin
- École de réadaptation, Faculté de médecine, Université de Montréal, 6128, succursale Centre-ville, Montréal, Québec, Canada H3C 3J7; Centre de réadaptation Marie-Enfant du CHU Sainte-Justine, 5200, rue Bélanger Est, Montréal, Québec, Canada H1T 1C9; Centre de recherche du CHU Sainte-Justine, 3175, chemin de la Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5.
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Özyürek S, Bayraktar D, Genç A. Are the alterations in body posture related to decreased trunk muscle endurance in healthy young adults? J Back Musculoskelet Rehabil 2018; 31:431-436. [PMID: 28946524 DOI: 10.3233/bmr-169685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND Trunk muscle endurance exercises are commonly used for correcting the postural alterations. However, there is no study investigating the relationship between postural alignment and trunk muscle endurance in healthy young adults. OBJECTIVE The aim of this study was to examine whether the three-dimensional (3D) body posture is related to trunk muscle endurance in healthy young adults. METHODS Forty-two healthy young adults enrolled in this study. For 3D evaluation of the body posture, an internet-based postural assessment system was used. Alterations in posture (head, ribcage, and pelvis) were evaluated by using the Posture Index which represents the total score of postural displacements. The higher Posture Index scores indicate more severe displacements in the posture. Trunk muscle endurance measurements included side bridge, trunk flexors and trunk extensors endurance tests. Spearman's rho was used to evaluate the associations between measured parameters. RESULTS The median age of the participants were 22 (IQR: 21.0-23.0) years. The only significant correlation was detected between the side bridge endurance test and the total Posture Index score (rho =-0.402, p= 0.008). CONCLUSIONS These results indicated that the alterations of the body posture was significantly related to lower lateral trunk muscle endurance scores. These findings support the importance of trunk muscles, especially lateral trunk musculature to have a better body posture.
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Antoniolli A, Candotti CT, Gelain GM, Schmit EFD, Ducatti LMA, Melo MDO, Loss JF. Influence of feet position on static postural assessment by means of photogrammetry: a comparative study. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2018. [DOI: 10.1080/21679169.2018.1435719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Arthur Antoniolli
- Escola de EducaçãoFísica, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Cláudia Tarragô Candotti
- Escola de EducaçãoFísica, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Grazielle Martins Gelain
- Escola de EducaçãoFísica, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | | | - Mônica de Oliveira Melo
- Núcleo de Pesquisa em Ciências e Artes do Movimento Humano, Universidade de Caxias do Sul, Caxias do Sul, Brazil
| | - Jefferson Fagundes Loss
- Escola de EducaçãoFísica, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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Özyürek S, Genç A, Kul Karaali H, Algun ZC. Three-dimensional evaluation of pelvic posture in adolescents with and without a history of low back pain. Turk J Med Sci 2017; 47:1885-1893. [PMID: 29306254 DOI: 10.3906/sag-1607-12] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Background/aim: This study aimed to evaluate the three-dimensional (3D) profile of pelvic posture and postural displacements of the pelvis in adolescents with and without a history of low back pain (LBP). Materials and methods: Thirty-two adolescents participated in this study. Participants were asked if they had ever suffered LBP at some point in their lives. Participants were divided into two groups: with a history of LBP (LBP group) and without a history of LBP (control group). For 3D evaluation of pelvic posture, the PosturePrint system was used. Three digital photographs were obtained in an upright stance (anteroposterior, left-right lateral) and analyzed. Postural displacements of the pelvis were calculated as rotations in degrees and translations in millimeters. The posture index, which is the total postural displacements score, was recorded. Results: Overall, 40.6% of the participants reported a history of LBP, while 59.4% of the participants did not. Although the 3D profile of pelvic posture, postural displacements of pelvis, and posture index score were similar between groups, the majority of participants in both groups had altered pelvic and total body posture. Conclusion: The findings suggest that adolescents with LBP have a profile of pelvic posture similar to those of healthy adolescents without a history of LBP.
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Stolinski L, Kozinoga M, Czaprowski D, Tyrakowski M, Cerny P, Suzuki N, Kotwicki T. Two-dimensional digital photography for child body posture evaluation: standardized technique, reliable parameters and normative data for age 7-10 years. SCOLIOSIS AND SPINAL DISORDERS 2017; 12:38. [PMID: 29276784 PMCID: PMC5738151 DOI: 10.1186/s13013-017-0146-7] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2017] [Accepted: 12/04/2017] [Indexed: 12/13/2022]
Abstract
BACKGROUND Digital photogrammetry provides measurements of body angles or distances which allow for quantitative posture assessment with or without the use of external markers. It is becoming an increasingly popular tool for the assessment of the musculoskeletal system. The aim of this paper is to present a structured method for the analysis of posture and its changes using a standardized digital photography technique. MATERIAL AND METHODS The purpose of the study was twofold. The first one comprised 91 children (44 girls and 47 boys) aged 7-10 (8.2 ± 1.0), i.e., students of primary school, and its aim was to develop the photographic method, choose the quantitative parameters, and determine the intraobserver reliability (repeatability) along with the interobserver reliability (reproducibility) measurements in sagittal plane using digital photography, as well as to compare the Rippstein plurimeter and digital photography measurements. The second one involved 7782 children (3804 girls, 3978 boys) aged 7-10 (8.4 ± 0.5), who underwent digital photography postural screening. The methods consisted in measuring and calculating selected parameters, establishing the normal ranges of photographic parameters, presenting percentile charts, as well as noticing common pitfalls and possible sources of errors in digital photography. RESULTS A standardized procedure for the photographic evaluation of child body posture was presented. The photographic measurements revealed very good intra- and inter-rater reliability regarding the five sagittal parameters and good reliability performed against Rippstein plurimeter measurements. The parameters displayed insignificant variability over time. Normative data were calculated based on photographic assessment, while the percentile charts were provided to serve as reference values. The technical errors observed during photogrammetry are carefully discussed in this article. CONCLUSIONS Technical developments are allowed for the regular use of digital photogrammetry in body posture assessment. Specific child positioning (described above) enables us to avoid incidentally modified posture. Image registration is simple, quick, harmless, and cost-effective. The semi-automatic image analysis, together with the normal values and percentile charts, makes the technique reliable in terms of child's posture documentation and corrective therapy effects' monitoring.
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Affiliation(s)
- L. Stolinski
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 28 Czerwca 1956r. no. 135/147, 61-545 Poznan, Poland
- Rehasport Clinic, Poznan, Poland
- Rehasport Clinic Licensed Rehabilitation Center, Skierniewice, Poland
| | - M. Kozinoga
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 28 Czerwca 1956r. no. 135/147, 61-545 Poznan, Poland
- Rehasport Clinic, Poznan, Poland
| | - D. Czaprowski
- Department of Physiotherapy, Józef Rusiecki University College, Olsztyn, Poland
- Center of Body Posture, Olsztyn, Poland
| | - M. Tyrakowski
- Department of Orthopaedics, Pediatric Orthopaedics and Traumatology, The Centre of Postgraduate Medical Education in Warsaw, Otwock, Poland
| | - P. Cerny
- Faculty of Health Studies, University of West Bohemia, Pilsen, Czech Republic
- Faculty of Physical Education and Sport, Charles University, Prague, Czech Republic
- ORTOTIKA, s. r. o, Faculty at Motol University Hospital, Prague, Czech Republic
| | - N. Suzuki
- Scoliosis Center, Medical Scanning Tokyo, Tokyo, Japan
| | - T. Kotwicki
- Department of Spine Disorders and Pediatric Orthopedics, University of Medical Sciences, 28 Czerwca 1956r. no. 135/147, 61-545 Poznan, Poland
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Furlanetto TS, Candotti CT, Sedrez JA, Noll M, Loss JF. Evaluation of the precision and accuracy of the DIPA software postural assessment protocol. EUROPEAN JOURNAL OF PHYSIOTHERAPY 2017. [DOI: 10.1080/21679169.2017.1312516] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Affiliation(s)
- Tássia Silveira Furlanetto
- Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Cláudia Tarragô Candotti
- Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Juliana Adami Sedrez
- Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Matias Noll
- Department of Public Health, Federal Institute of Goias, Ceres, Goias, Brazil
| | - Jefferson Fagundes Loss
- Escola de Educação Física, Fisioterapia e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
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Marques AP, Marcolan JNO, Prado JNN, Burke TN, Ferreira EAG. Inter- and intra-rater reliability of computerized photogrammetry and universal goniometer in the measurement of hip flexion and abduction. FISIOTERAPIA E PESQUISA 2017. [DOI: 10.1590/1809-2950/15886624012017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT The universal goniometer (UG) is the most frequently used tool for measuring range of motion (ROM), with demonstrated reliability. Computerized photogrammetry (CP) is widely used for postural assessment, but its role in the measurement of ROM of hip flexion and abduction has not yet been fully explored. This study aimed to test inter- and intra-rater reliability for measuring ROM of hip flexion and abduction using UG and CP, as well as the reliability between the instruments. Our sample consisted of 40 healthy volunteers (aged from 18 to 28 years). Measurements of ROM were conducted by two independent raters, 15 minutes apart, using UG and CP to assess inter-rater reliability. The procedures were repeated one week later by the first rater (intra-rater reliability). Using UG, inter-rater reliability was excellent for flexion and abduction (ICC=0.92 and 0.91, respectively); using CP, it was rated as very good (ICC=0.77 and 0.80, respectively). Intra-rater reliability using UG was excellent for flexion and abduction (ICC=0.95 and 0.92), and very good using CP (ICC= 0.81 and 0.89). The correlation between the instruments was excellent for flexion and very good for abduction (r=0.92 and r=0.82). Future investigations should seek a more diversified sample and symptomatic patients. Inter- and intra-rater reliability is high when measuring range of motion of hip flexion and abduction using both UG and CP, and the correlation between instruments is excellent for flexion and very good for abduction, meaning that both are valid.
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Helmya NA, El-Sayyadb MM, Kattabeib OM. Intra-rater and inter-rater reliability of Surgimap Spine software for measuring spinal postural angles from digital photographs. BULLETIN OF FACULTY OF PHYSICAL THERAPY 2016. [DOI: 10.4103/1110-6611.174719] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Langwierige Sprunggelenksverletzungen und Beckendysfunktionen. MANUELLE MEDIZIN 2014. [DOI: 10.1007/s00337-013-1088-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Carneiro PR, Cardoso BDS, Cunha CMD, Teles LCDS. Reliability intra-and inter-examiner of the head postural assessment by computerized photogrammetry. FISIOTERAPIA E PESQUISA 2014. [DOI: 10.1590/1809-2950/402210114] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Scientific articles about reliability of photogrammetry for cervical spine posture evaluation are infrequent. The aim of the present investigation is to verify intra-and inter-examiner reliability of the computerized photogrammetry method for head postural evaluation in lateral view. Twenty-five young women, between 20 and 30 years old, were positioned seated in an upright position and photographed in lateral view. The photographs were imported to Corel Draw X13 program for postural evaluation by computerized photogrammetry. Analyses of intra-and inter-examiner reliability were performed for the angles: condyle-acromion (ACA), menton-sternum (AME) and Frankfurt (AF). The photogrammetry was performed by two examiners: EA and EB. For intra-examiner analyses, EA assessed the pictures twice (A1 and A2) for the same angles within 3 months. For the inter-examiner analyses, EB performed the photogrammetry for the same angles (B1) in order to compare with the data from EA. Using the interclass correlation coefficient (ICC) we observed an excellent correlation in the intra-examiner analysis (A1 and A2) for the angles: ACA and AME (both with ICC=1.0); and AF (ICC=0.78). For the inter-examiner analyses between A1 and B1, it was observed: ACA (ICC=0.24), AME (ICC=0.26) and AF (ICC=0.00). For the comparison between A2 and B1, the ICC values were: 0.23; 0.27 and 0.00, respectively for ACA, AME and AF, classified as weak correlations. In conclusion, the photogrammetry is reliable when performed by the same examiner. The inter-examiner assess showed low reliability, what could have been compromised by the reduced experience of the EB in applying the method.
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Triano JJ, Budgell B, Bagnulo A, Roffey B, Bergmann T, Cooperstein R, Gleberzon B, Good C, Perron J, Tepe R. Review of methods used by chiropractors to determine the site for applying manipulation. Chiropr Man Therap 2013; 21:36. [PMID: 24499598 PMCID: PMC4028787 DOI: 10.1186/2045-709x-21-36] [Citation(s) in RCA: 80] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2013] [Accepted: 08/29/2013] [Indexed: 01/13/2023] Open
Abstract
Background With the development of increasing evidence for the use of manipulation in the management of musculoskeletal conditions, there is growing interest in identifying the appropriate indications for care. Recently, attempts have been made to develop clinical prediction rules, however the validity of these clinical prediction rules remains unclear and their impact on care delivery has yet to be established. The current study was designed to evaluate the literature on the validity and reliability of the more common methods used by doctors of chiropractic to inform the choice of the site at which to apply spinal manipulation. Methods Structured searches were conducted in Medline, PubMed, CINAHL and ICL, supported by hand searches of archives, to identify studies of the diagnostic reliability and validity of common methods used to identify the site of treatment application. To be included, studies were to present original data from studies of human subjects and be designed to address the region or location of care delivery. Only English language manuscripts from peer-reviewed journals were included. The quality of evidence was ranked using QUADAS for validity and QAREL for reliability, as appropriate. Data were extracted and synthesized, and were evaluated in terms of strength of evidence and the degree to which the evidence was favourable for clinical use of the method under investigation. Results A total of 2594 titles were screened from which 201 articles met all inclusion criteria. The spectrum of manuscript quality was quite broad, as was the degree to which the evidence favoured clinical application of the diagnostic methods reviewed. The most convincing favourable evidence was for methods which confirmed or provoked pain at a specific spinal segmental level or region. There was also high quality evidence supporting the use, with limitations, of static and motion palpation, and measures of leg length inequality. Evidence of mixed quality supported the use, with limitations, of postural evaluation. The evidence was unclear on the applicability of measures of stiffness and the use of spinal x-rays. The evidence was of mixed quality, but unfavourable for the use of manual muscle testing, skin conductance, surface electromyography and skin temperature measurement. Conclusions A considerable range of methods is in use for determining where in the spine to administer spinal manipulation. The currently published evidence falls across a spectrum ranging from strongly favourable to strongly unfavourable in regard to using these methods. In general, the stronger and more favourable evidence is for those procedures which take a direct measure of the presumptive site of care– methods involving pain provocation upon palpation or localized tissue examination. Procedures which involve some indirect assessment for identifying the manipulable lesion of the spine–such as skin conductance or thermography–tend not to be supported by the available evidence.
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Affiliation(s)
- John J Triano
- Canadian Memorial Chiropractic College, 6100 Leslie St., Toronto, Ontario, Canada
| | - Brian Budgell
- Canadian Memorial Chiropractic College, 6100 Leslie St., Toronto, Ontario, Canada
| | | | | | - Thomas Bergmann
- Northwestern Health Sciences University, Bloomington, MN, USA
| | | | - Brian Gleberzon
- Canadian Memorial Chiropractic College, 6100 Leslie St., Toronto, Ontario, Canada
| | - Christopher Good
- University of Bridgeport College of Chiropractic, Bridgeport, CT, USA
| | | | - Rodger Tepe
- Logan College of Chiropractic, Chesterfield, MO, USA
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Lee JU, Kim JH, Lee LK, Kim MY, Yang SM, Lee TH, Kim J. Posture Analysis of Various Types of Crutch Gait of Healthy Volunteers. J Phys Ther Sci 2013. [DOI: 10.1589/jpts.25.453] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Affiliation(s)
- Jeong-Uk Lee
- Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University
| | - Ju-Hyun Kim
- Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University
| | - Lim-Kyu Lee
- Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University
| | - Mee-Young Kim
- Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University
| | - Seung-Min Yang
- Laboratory of Health Science and Nanophysiotherapy, Department of Physical Therapy, Graduate School, Yongin University
| | - Tae-Hyun Lee
- Department of Combative Martial Arts Training, College of Martial Arts, Yongin University
| | - Junghwan Kim
- Department of Physical Therapy, College of Public Health and Welfare, Yongin University: Yongin 449-714, Korea
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Dolphens M, Cagnie B, Vleeming A, Vanderstraeten G, Coorevits P, Danneels L. A clinical postural model of sagittal alignment in young adolescents before age at peak height velocity. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2012; 21:2188-97. [PMID: 22763558 DOI: 10.1007/s00586-012-2416-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2011] [Revised: 05/13/2012] [Accepted: 06/17/2012] [Indexed: 11/25/2022]
Abstract
INTRODUCTION From a clinical point of view, knowledge of customary standing positions among healthy young adolescents is of primary importance. The purpose of this study was to document the correlations between sagittal standing posture parameters in a pre-peak height velocity (pre-PHV) cohort. MATERIALS AND METHODS This cohort study included 639 pre-PHV boys (age 12.6 [SD, 0.54] years) and 557 pre-PHV girls (age 10.6 [SD, 0.47] years). Gross body segment orientations and spinopelvic orientation/shape indexes were quantified using a clinical screening protocol. Pearson's correlation coefficients were determined for all sagittal standing plane alignment parameters, and a postural model was used to analyze the correlations between parameters. RESULTS Both at the gross body segment and spinopelvic level, an interdependence was found between postural parameters. No correlations were observed between 'global' parameters related to the pelvis, trunk or body anteroposterior translation postures and 'local' spinopelvic geometries. A similar pattern and strength of correlations was obtained in pre-PHV boys and girls, except for the reciprocal relationships between the craniovertebral angle and adjacent anatomic segment characteristics and between thoraco-lumbar geometries. CONCLUSIONS Although the correlation schemes do not imply a causal relationship, the proposed postural model allows conjecture about standing posture to be organized slightly differently in pre-PHV boys and girls. Whereas the standing posture in pre-PHV boys might be organized predominantly according to an ascending mode, bottom-up and top-down organizations appear to coexist in pre-PHV girls.
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Affiliation(s)
- Mieke Dolphens
- Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Ghent University, Artevelde University College, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium.
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Fortin C, Feldman DE, Tanaka C, Houde M, Labelle H. Inter-rater reliability of the evaluation of muscular chains associated with posture alterations in scoliosis. BMC Musculoskelet Disord 2012; 13:80. [PMID: 22639838 PMCID: PMC3487929 DOI: 10.1186/1471-2474-13-80] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2011] [Accepted: 04/30/2012] [Indexed: 01/22/2023] Open
Abstract
BACKGROUND In the Global postural re-education (GPR) evaluation, posture alterations are associated with anterior or posterior muscular chain impairments. Our goal was to assess the reliability of the GPR muscular chain evaluation. METHODS DESIGN Inter-rater reliability study. Fifty physical therapists (PTs) and two experts trained in GPR assessed the standing posture from photographs of five youths with idiopathic scoliosis using a posture analysis grid with 23 posture indices (PI). The PTs and experts indicated the muscular chain associated with posture alterations. The PTs were also divided into three groups according to their experience in GPR. Experts' results (after consensus) were used to verify agreement between PTs and experts for muscular chain and posture assessments. We used Kappa coefficients (K) and the percentage of agreement (%A) to assess inter-rater reliability and intra-class coefficients (ICC) for determining agreement between PTs and experts. RESULTS For the muscular chain evaluation, reliability was moderate to substantial for 12 PI for the PTs (%A: 56 to 82; K: 0.42 to 0.76) and perfect for 19 PI for the experts. For posture assessment, reliability was moderate to substantial for 12 PI for the PTs (%A > 60%; K: 0.42 to 0.75) and moderate to perfect for 18 PI for the experts (%A: 80 to 100; K: 0.55 to 1.00). The agreement between PTs and experts was good for most muscular chain evaluations (18 PI; ICC: 0.82 to 0.99) and PI (19 PI; ICC: 0.78 to 1.00). CONCLUSIONS The GPR muscular chain evaluation has good reliability for most posture indices. GPR evaluation should help guide physical therapists in targeting affected muscles for treatment of abnormal posture patterns.
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Affiliation(s)
- Carole Fortin
- Centre de recherche du CHU Sainte-Justine, Montréal, Québec, Canada
- Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
| | - Debbie Ehrmann Feldman
- École de réadaptation, Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
- Groupe de Recherche Interdisciplinaire en Santé, Montréal, Québec, Canada
| | - Clarice Tanaka
- Department of Physiotherapy, Communication Science & Disorders and Occupational Therapy, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
| | - Michelle Houde
- Institut de recherche du Centre universitaire de santé McGill, Montréal, Québec, Canada
| | - Hubert Labelle
- Centre de recherche du CHU Sainte-Justine, Montréal, Québec, Canada
- Faculté de médecine, Université de Montréal, Montréal, Québec, Canada
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Fortin C, Ehrmann Feldman D, Cheriet F, Labelle H. Clinical methods for quantifying body segment posture: a literature review. Disabil Rehabil 2011; 33:367-83. [DOI: 10.3109/09638288.2010.492066] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Ferreira EA, Duarte M, Maldonado EP, Bersanetti AA, Marques AP. Quantitative Assessment of Postural Alignment in Young Adults Based on Photographs of Anterior, Posterior, and Lateral Views. J Manipulative Physiol Ther 2011; 34:371-80. [DOI: 10.1016/j.jmpt.2011.05.018] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2011] [Revised: 04/08/2011] [Accepted: 05/12/2011] [Indexed: 11/29/2022]
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Brink Y, Louw Q, Grimmer-Somers K. The quality of evidence of psychometric properties of three-dimensional spinal posture-measuring instruments. BMC Musculoskelet Disord 2011; 12:93. [PMID: 21569486 PMCID: PMC3107179 DOI: 10.1186/1471-2474-12-93] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2010] [Accepted: 05/13/2011] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Psychometric properties include validity, reliability and sensitivity to change. Establishing the psychometric properties of an instrument which measures three-dimensional human posture are essential prior to applying it in clinical practice or research. METHODS This paper reports the findings of a systematic literature review which aimed to 1) identify non-invasive three-dimensional (3D) human posture-measuring instruments; and 2) assess the quality of reporting of the methodological procedures undertaken to establish their psychometric properties, using a purpose-build critical appraisal tool. RESULTS Seventeen instruments were identified, of which nine were supported by research into psychometric properties. Eleven and six papers respectively, reported on validity and reliability testing. Rater qualification and reference standards were generally poorly addressed, and there was variable quality reporting of rater blinding and statistical analysis. CONCLUSIONS There is a lack of current research to establish the psychometric properties of non-invasive 3D human posture-measuring instruments.
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Affiliation(s)
- Yolandi Brink
- Division of Physiotherapy, Department of Interdisciplinary Health Sciences, Stellenbosch University, South Africa, PO Box 19063, Tygerberg 7505, South Africa
| | - Quinette Louw
- Division of Physiotherapy, Department of Interdisciplinary Health Sciences, Stellenbosch University, South Africa, PO Box 19063, Tygerberg 7505, South Africa
| | - Karen Grimmer-Somers
- Division of Health Sciences, University of South Australia, GPO Box 2471, Adelaide, SA, 5000, Australia
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Silva AG, Punt TD, Johnson MI. Variability of angular measurements of head posture within a session, within a day, and over a 7-day period in healthy participants. Physiother Theory Pract 2011; 27:503-11. [DOI: 10.3109/09593985.2010.524976] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Fortin C, Feldman DE, Cheriet F, Gravel D, Gauthier F, Labelle H. Reliability of a quantitative clinical posture assessment tool among persons with idiopathic scoliosis. Physiotherapy 2011; 98:64-75. [PMID: 22265387 DOI: 10.1016/j.physio.2010.12.006] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2009] [Accepted: 12/28/2010] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To determine overall, test-retest and inter-rater reliability of posture indices among persons with idiopathic scoliosis. DESIGN A reliability study using two raters and two test sessions. SETTING Tertiary care paediatric centre. PARTICIPANTS Seventy participants aged between 10 and 20 years with different types of idiopathic scoliosis (Cobb angle 15 to 60°) were recruited from the scoliosis clinic. MAIN OUTCOME MEASURES Based on the XY co-ordinates of natural reference points (e.g., eyes) as well as markers placed on several anatomical landmarks, 32 angular and linear posture indices taken from digital photographs in the standing position were calculated from a specially developed software program. Generalisability theory served to estimate the reliability and standard error of measurement (SEM) for the overall, test-retest and inter-rater designs. Bland and Altman's method was also used to document agreement between sessions and raters. RESULTS In the random design, dependability coefficients demonstrated a moderate level of reliability for six posture indices (ϕ=0.51 to 0.72) and a good level of reliability for 26 posture indices out of 32 (ϕ≥0.79). Error attributable to marker placement was negligible for most indices. Limits of agreement and SEM values were larger for shoulder protraction, trunk list, Q angle, cervical lordosis and scoliosis angles. The most reproducible indices were waist angles and knee valgus and varus. CONCLUSIONS Posture can be assessed in a global fashion from photographs in persons with idiopathic scoliosis. Despite the good reliability of marker placement, other studies are needed to minimise measurement errors in order to provide a suitable tool for monitoring change in posture over time.
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Affiliation(s)
- Carole Fortin
- Centre de Recherche, Centre Hospitalier Universitaire Sainte-Justine, 3175, Côte-Sainte-Catherine, Montréal, Quebec, Canada.
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Abstract
STUDY DESIGN Concurrent validity between postural indices obtained from digital photographs (two-dimensional [2D]), surface topography imaging (three-dimensional [3D]), and radiographs. OBJECTIVE To assess the validity of a quantitative clinical postural assessment tool of the trunk based on photographs (2D) as compared to a surface topography system (3D) as well as indices calculated from radiographs. SUMMARY OF BACKGROUND DATA To monitor progression of scoliosis or change in posture over time in young persons with idiopathic scoliosis (IS), noninvasive and nonionizing methods are recommended. In a clinical setting, posture can be quite easily assessed by calculating key postural indices from photographs. METHODS Quantitative postural indices of 70 subjects aged 10 to 20 years old with IS (Cobb angle, 15 degrees -60 degrees) were measured from photographs and from 3D trunk surface images taken in the standing position. Shoulder, scapula, trunk list, pelvis, scoliosis, and waist angles indices were calculated with specially designed software. Frontal and sagittal Cobb angles and trunk list were also calculated on radiographs. The Pearson correlation coefficients (r) was used to estimate concurrent validity of the 2D clinical postural tool of the trunk with indices extracted from the 3D system and with those obtained from radiographs. RESULTS The correlation between 2D and 3D indices was good to excellent for shoulder, pelvis, trunk list, and thoracic scoliosis (0.81>r<0.97; P<0.01) but fair to moderate for thoracic kyphosis, lumbar lordosis, and thoracolumbar or lumbar scoliosis (0.30>r<0.56; P<0.05). The correlation between 2D and radiograph spinal indices was fair to good (-0.33 to -0.80 with Cobb angles and 0.76 for trunk list; P<0.05). CONCLUSION This tool will facilitate clinical practice by monitoring trunk posture among persons with IS. Further, it may contribute to a reduction in the use of radiographs to monitor scoliosis progression.
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Ferreira EAG, Duarte M, Maldonado EP, Burke TN, Marques AP. Postural assessment software (PAS/SAPO): Validation and reliabiliy. Clinics (Sao Paulo) 2010; 65:675-81. [PMID: 20668624 PMCID: PMC2910855 DOI: 10.1590/s1807-59322010000700005] [Citation(s) in RCA: 162] [Impact Index Per Article: 11.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2010] [Revised: 02/24/2010] [Accepted: 04/12/2010] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE This study was designed to estimate the accuracy of the postural assessment software (PAS/SAPO) for measurement of corporal angles and distances as well as the inter- and intra-rater reliabilities. INTRODUCTION Postural assessment software was developed as a subsidiary tool for postural assessment. It is easy to use and available in the public domain. Nonetheless, validation studies are lacking. METHODS The study sample consisted of 88 pictures from 22 subjects, and each subject was assessed twice (1 week interval) by 5 blinded raters. Inter- and intra-rater reliabilities were estimated using the intraclass correlation coefficient. To estimate the accuracy of the software, an inanimate object was marked with hallmarks using pre-established parameters. Pictures of the object were rated, and values were checked against the known parameters. RESULTS Inter-rater reliability was excellent for 41% of the variables and very good for 35%. Ten percent of the variables had acceptable reliability, and 14% were defined as non-acceptable. For intra-rater reliability, 44.8% of the measurements were considered to be excellent, 23.5% were very good, 12.4% were acceptable and 19.3% were considered non-acceptable. Angular measurements had a mean error analisys of 0.11 degrees , and the mean error analisys for distance was 1.8 mm. DISCUSSION Unacceptable intraclass correlation coefficient values typically used the vertical line as a reference, and this may have increased the inaccuracy of the estimates. Increased accuracies were obtained by younger raters with more sophisticated computer skills, suggesting that past experience influenced results. CONCLUSION The postural assessment software was accurate for measuring corporal angles and distances and should be considered as a reliable tool for postural assessment.
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Affiliation(s)
- Elizabeth Alves G Ferreira
- Department of Physical Therapy, Communication Science & Disorders, Universidade de São Paulo, SP, Brazil.
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Paušić J, Pedišić Ž, Dizdar D. Reliability of a Photographic Method for Assessing Standing Posture of Elementary School Students. J Manipulative Physiol Ther 2010; 33:425-31. [DOI: 10.1016/j.jmpt.2010.06.002] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2009] [Revised: 02/27/2010] [Accepted: 03/29/2010] [Indexed: 10/19/2022]
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Strimpakos N. The assessment of the cervical spine. Part 1: Range of motion and proprioception. J Bodyw Mov Ther 2009; 15:114-24. [PMID: 21147427 DOI: 10.1016/j.jbmt.2009.06.003] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2009] [Revised: 05/29/2009] [Accepted: 06/05/2009] [Indexed: 02/02/2023]
Abstract
Neck pain and headache of cervical origin are complaints affecting an increasing number of the general population. Mechanical factors such as sustained neck postures or movements and long-term "abnormal" physiologic loads on the neck are believed to affect the cervical structures and compromise neck function. A comprehensive assessment of neck function requires evaluation of its physical parameters such as range of motion, proprioception, strength and endurance/fatigue. The complicated structure of the cervical spine however, makes it difficult for any clinician to obtain reliable and valid results. The aim of the first part of this systematic critical review is to identify the factors influencing the assessment of range of motion and proprioception of the cervical spine.
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Affiliation(s)
- Nikolaos Strimpakos
- Department of Physiotherapy, TEI Lamias, 3rd Km Old National Road Lamia-Athens, Lamia 35100, Greece.
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