Contribution of lumbar spine and hip movement during the palms to floor test in individuals with diagnosed hypermobility syndrome

Corben, Tiggy; Lewis, Jeremy; Petty, Nicola J.

doi:10.1080/09593980701686708

Cited by 11 publications

(13 citation statements)

References 28 publications

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“…It is acknowledged that no study has previously examined the repeatability of the FB task performed in this study. However, the reliability of digital photography to measure lumbar flexion using a different standardised FB task was also slightly lower than that reported here (Corben et al 2008). This, in addition to the fact that the device displays greater reliability during the sitting task compared to digital photography (Pownall et al 2008), implies that the device itself may be more reliable than digital photography.…”

Section: Discussioncontrasting

confidence: 62%

The between-day and inter-rater reliability of a novel wireless system to analyse lumbar spine posture

et al. 2010

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Peter(2011) 'The between-day and inter-rater reliability of a novel wireless system to analyse lumbar spine posture ', Ergonomics, 54: 1,[82][83][84][85][86][87][88][89][90] To link to this Article: DOI: 10.1080/00140139.2010.535020 URL: http://dx.doi.org/10.1080/00140139.2010.535020Full terms and conditions of use: http://www.informaworld.com/terms-and-conditions-of-access.pdf This article may be used for research, teaching and private study purposes. Any substantial or systematic reproduction, re-distribution, re-selling, loan or sub-licensing, systematic supply or distribution in any form to anyone is expressly forbidden.The publisher does not give any warranty express or implied or make any representation that the contents will be complete or accurate or up to date. The accuracy of any instructions, formulae and drug doses should be independently verified with primary sources. The publisher shall not be liable for any loss, actions, claims, proceedings, demand or costs or damages whatsoever or howsoever caused arising directly or indirectly in connection with or arising out of the use of this material.The between-day and inter-rater reliability of a novel wireless system to analyse lumbar spine posture Lumbar posture is commonly assessed in non-specific chronic low back pain (NSCLBP), although quantitative measures have mostly been limited to laboratory environments. The BodyGuard TM is a spinal position monitoring device that can monitor posture in real time, both inside and outside the laboratory. The reliability of this wireless device was examined in 18 healthy participants during usual sitting and forward bending, two tasks that are commonly provocative in NSCLBP. Reliability was determined using intraclass correlation coefficients (ICC), the standard error of measurement (SEM), the mean difference and the minimal detectable change (MDC90). Betweenday ICC values ranged from 0.84 to 0.87, with small SEM (5%), mean difference (59%) and MDC90 (514%) values. Inter-rater ICC values ranged from 0.91 to 0.94, with small SEM (4%), mean difference (6%) and MDC90 (9%) values. Between-day and inter-rater reliability are essential requirements for clinical utility and were excellent in this study. Further studies into the validity of this device and its application in clinical trials in occupational settings are required. Statement of Relevance:A novel device that can analyse spinal posture exposure in occupational settings in a minimally invasive manner has been developed. This study established that the device has excellent between-day and inter-rater reliability in healthy pain-free subjects. Further studies in people with low back pain are planned.

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Section: Discussioncontrasting

confidence: 62%

The between-day and inter-rater reliability of a novel wireless system to analyse lumbar spine posture

et al. 2010

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“…It is interesting that the lumbar spine was considerably less hypermobile, particularly in boys. This may be explained by the fact that the majority of lumbar flexion is a combination of hamstring extension and actual vertebral flexion (32), and short hamstrings have been associated with reduced lumbar flexion in men (33). It is possible that short hamstrings may have contributed to a perceived reduction in lumbar flexion, and could explain the low prevalence of lumbar hypermobility among boys in our study.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: A population‐based evaluation

Clinch

Deere

Sayers

et al. 2011

Arthritis & Rheumatism

144

158

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Although diagnostic criteria for generalised ligamentous laxity (hypermobility) in children are widely used, they may have limited validity as robust descriptive epidemiology of this condition is lacking. We used a large population-based birth cohort to describe the point prevalence and pattern of hypermobility in children aged 14 years. We performed a cross-sectional analysis of the Avon Longitudinal Study of Parents and Children (ALSPAC). Hyperrmobility was measured at aged 14 years using the Beighton scoring system. Objective measures of physical activity were collected by accelerometry. Data were collected on other variables including puberty and socio-economic status. Simple prevalence was calculated. Chi-squared tests and logistic regression were used to assess associations between variables and hypermobility. 6022 children were evaluated. Using a cut-off of ≥4, the prevalence of hypermobilty in girls and boys aged 13.8 years was 27.5% and 10.6% respectively. 45% of girls and 29% of boys had hypermobile fingers. There was a suggestion of a positive association between hypermobility in girls and variables including physical activity, body mass index and maternal education. No associations were seen in boys. We have shown that the prevalence of hypermobility in UK children is high; possibly suggesting that the Beighton cut off is too low or that the score is not appropriate in a developing musculoskeletal system. These results give a platform to evaluate the relationships between the Beighton criteria and key clinical features (including pain), thereby testing the clinical validity of this score in the childhood population.

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“…During the SLR test, the subject's contralateral knee was stabilised by one of the two examiners in an attempt to reduce spinal movement. Three inclinometer readings, representing SLR, were taken by placing the apparatus over the marker [17]. The end point of the SLR movement was determined when the subject reported the first onset of either stretch or discomfort.…”

Section: Methodsmentioning

confidence: 99%

“…Since its inception in the late 1960's, inclinometry has received widespread attention by many authors who advocate its use in measuring both spinal posture [10][11][12][13][14][15] and SLR [16,17]. Non-invasive measurement devices such as the inclinometer may help improve diagnostic accuracy and aid the clinician in determining a patient's progress more efficiently [11].…”

Section: Introductionmentioning

confidence: 99%

“…The fact that there have been negligible efforts to investigate the reliability of thoracic kyphosis, lumbar lordosis and SLR measurements using this tool in a clinical setting may result in a lack of validity of the outcome measures obtained from its use. Previous inclinometer studies have used small samples sizes [10,17] and less robust reliability statistics [18]. Therefore, an investigation using a larger sample size, supported by appropriate reliability statistics is required.…”

Section: Introductionmentioning

confidence: 99%

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Reliability of Measuring Thoracic Kyphosis Angle, Lumbar Lordosis Angle and Straight Leg Raise with an Inclinometer

Blommestein¹

2012

TOSPINEJ

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Purpose: Several non-invasive measurement methods have been described in the literature for recording thoracic kyphosis, lumbar lordosis and straight leg raise (SLR). However, attempts to quantify the reliability of the inclinometer in these measurements are scarce. In addition, existing reliability studies within the literature were found to use small sample sizes. The aim of this investigation was to examine the intra-rater reliability of the chief investigator (SM), in order to provide clinicians with data that will allow them to better measure sagittal spinal posture and SLR. A blinded test-retest design was performed to determine the intra-rater reliability of thoracic kyphosis, lumbar lordosis and SLR when assessed using an Isomed inclinometer in normals. Methods. Thirty asymptomatic subjects were assessed on two occasions separated by a time interval of 1 hour to reduce investigator memory bias. Thoracic and lumbar measurements were recorded in a relaxed standing position using an inclinometer; SLR of the dominant leg was assessed with subjects in the supine position. Intraclass correlation coefficients (ICC), 95% confidence intervals (CI), and standard errors of measurement (SEM) were analysed to determine measurement reliability. Results. The chief investigator demonstrated excellent intra-rater reliability in the measurements of thoracic kyphosis, lumbar lordosis and SLR. ICC (2,3) values for all three variables exceeded the 0.90 threshold suggesting that the reliability of these measures are acceptable for clinical application. Conclusions. The inclinometer technique employed in this study to record thoracic kyphosis, lumbar lordosis and SLR is a reliable measurement method.

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Contribution of lumbar spine and hip movement during the palms to floor test in individuals with diagnosed hypermobility syndrome

Cited by 11 publications

References 28 publications

The between-day and inter-rater reliability of a novel wireless system to analyse lumbar spine posture

The between-day and inter-rater reliability of a novel wireless system to analyse lumbar spine posture

Epidemiology of generalized joint laxity (hypermobility) in fourteen‐year‐old children from the UK: A population‐based evaluation

Reliability of Measuring Thoracic Kyphosis Angle, Lumbar Lordosis Angle and Straight Leg Raise with an Inclinometer

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