Goniometric evaluation of the spinal sagittal curves in children and adolescents: A reliability study

Gravina, Aristide Roberto; Ferraro, Claudio; Poli, Patrizia; Barazzuol, Michele; Felice, Alessandra Del; Masiero, Stefano

doi:10.3233/bmr-160541

Cited by 4 publications

(8 citation statements)

References 17 publications

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“…The degrees of thoracic kyphosis and lumbar lordosis were measured on the sagittal plane by means of the IncliMed ® goniometer [11]. Following the validated procedure for this tool, we placed it on three palpatory back landmarks corresponding to the first thoracic vertebra (T1), the twelfth thoracic vertebra (T12) and the second sacral vertebra (S2) [11,12]. Thoracic kyphosis was calculated by adding the T1 and T12 measures (degrees), while lumbar lordosis resulted from the The main aim of this study was to compare dynamic sitting vs. conventional sitting as to trunk posture adaptations on the sagittal plane (thoracic kyphosis and lumbar lordosis) in healthy people.…”

Section: Evaluation Proceduresmentioning

confidence: 99%

“…Following the validated procedure for this tool, we placed it on three palpatory back landmarks corresponding to the first thoracic vertebra (T1), the twelfth thoracic vertebra (T12) and the second sacral vertebra (S2) [11,12]. Thoracic kyphosis was calculated by adding the T1 and T12 measures (degrees), while lumbar lordosis resulted from the addition of T12 and S2 measures (degrees) [11][12][13]. Thoracic kyphosis and lumbar lordosis were evaluated in three different conditions: standing posture (participants were instructed to stand relaxed "as you normally would"), conventional sitting posture (standard stool) and dynamic sitting posture ("EnergyBack" dynamic stool).…”

Section: Evaluation Proceduresmentioning

confidence: 99%

“…Sitting on the (standard and dynamic) stool was maintained for 2 min before evaluation in order to increase compliance. addition of T12 and S2 measures (degrees) [11][12][13]. Thoracic kyphosis and lumbar lordosis were evaluated in three different conditions: standing posture (participants were instructed to stand relaxed "as you normally would"), conventional sitting posture (standard stool) and dynamic sitting posture ("EnergyBack" dynamic stool).…”

Section: Evaluation Proceduresmentioning

confidence: 99%

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Trunk Posture Adaptations during Sitting on Dynamic Stool: A Validation Study

2020

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Back pain is a complex condition that results from multiple factors including sitting issues such as the chair type and spinal sitting posture. The physiological spinal curvature on the sagittal plane represents a typical feature of good body posture. Sitting postures matching the physiological shape of the spine on the sagittal plane during standing are deemed advantageous from a postural point of view. The aim of this study was to validate a novel dynamic stool by comparing trunk posture adaptations on the sagittal plane during dynamic sitting vs. conventional sitting (standard stool) in healthy people. In total, 100 healthy adults were included. Age, sex and body mass index were recorded. Thoracic kyphosis and lumbar lordosis were measured with the IncliMed® goniometer during standing posture, conventional sitting posture (standard stool) and dynamic sitting posture (novel dynamic stool). Sitting posture was maintained for 2 min before evaluation. Thoracic kyphosis and lumbar lordosis were significantly different between standing vs. sitting (dynamic and conventional) posture (p < 0.001) and between dynamic vs. conventional sitting posture (p < 0.001). Sitting on the novel dynamic stool tested in this study was shown to provide a greater match of thoracic kyphosis and lumbar lordosis with the physiological spinal curvature on the sagittal plane during standing than conventional sitting.

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Section: Evaluation Proceduresmentioning

confidence: 99%

Section: Evaluation Proceduresmentioning

confidence: 99%

Section: Evaluation Proceduresmentioning

confidence: 99%

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Trunk Posture Adaptations during Sitting on Dynamic Stool: A Validation Study

2020

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“…Este dispositivo funciona de manera similar a un "nivel", herramienta usada para verificar el nivel o inclinación a la que se encuentra el suelo cuando es puesto en el mismo. Para determinar el nivel de curvatura se coloca el goniómetro en la espalda del paciente, de manera que la parte central del mismo coincida con la columna, cuando esto pasa, si hay inclinación vertebral, el goniómetro moverá el indicador de ángulo de acuerdo con el nivel de curvatura (Gravina et al, 2017). Para complementar los datos obtenidos durante la prueba de Adams se realiza la toma de radiografías para determinar con mayor exactitud el ángulo de desviación que presenta el paciente y de esta forma proceder con el tratamiento más adecuado.…”

Section: Figura 6 Signos Principales De La Escoliosisunclassified

“…No obstante, debido a que el costo y el requerimiento de espacio para la instalación de estos últimos es elevado, la mayoría de los hospitales e instituciones médicas optan por utilizar los equipos tradicionales de radiografía (Zheng et al, 2018). De igual manera, esta metodología solo se usa en caso de que haya evidencia de empeoramiento de la curvatura y no puede exceder la frecuencia de una radiografía por año (debido a las razones expuestas anteriormente) (Gravina, et al, 2017). Ahora bien, como segunda alternativa para estimar el ángulo de Cobb se tiene el modelado en 3D de la columna mediante el uso del ultrasonido.…”

Section: Figura 6 Signos Principales De La Escoliosisunclassified

Diseño de un dispositivo ortopédico para la prevención del desarrollo progresivo de la escoliosis idiopática

Pedrozalage¹

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La escoliosis idiopática es un trastorno que afecta la vida del 3% de la población mundial. Recientemente se están empezando a revaluar los acercamientos tradicionales a este trastorno y se le está dando un enfoque prioritario a la prevención en lugar de a la corrección. El enfoque que se le da al desarrollo del proyecto está centrado en la prevención del avance de la curvatura. Para esto se propone un dispositivo cuyo principal objetivo es brindar un soporte progresivo al usuario, centrado en aumentar la resistencia del dispositivo a medida que el usuario se aleja de una postura neutra, tratando de mitigar las consecuencias de la escoliosis a largo plazo. Para determinar el diseño final, se realizan simulaciones cuasi-estáticas de dos movimientos básicos de la columna: Extensión y Flexión lateral. Para cada opción propuesta se midió el desempeño de acuerdo con el nivel de angulación alcanzada vs el rango de movimiento del usuario y la tensión máxima del material vs el límite elástico del mismo. Esto teniendo en cuenta incrementos de fuerza y caracterización de materiales. Una vez seleccionada la alternativa ideal, se continúa simulando su comportamiento con los demás movimientos base de la columna (flexión y rotación) bajo las mismas condiciones (incremento de fuerza/materiales) para finalmente registrar los hallazgos. Se concluye que, el diseño propuesto, gracias a su geometría, el cual emula el flujo y comportamiento natural de la columna, logra ofrecer el soporte progresivo que se requiere en la totalidad de los movimientos base de la columna.

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Reliability, Concurrent Validity, and Minimal Detectable Change of a Smartphone Application for Measuring Thoracic Kyphosis

ŞAHİNOĞLU,

ERGİN,

BAKIRHAN

et al. 2023

Clinical and Experimental Health Sciences

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Objective: To assess the intra- and inter-rater reliability and concurrent validity, and to estimate minimal detectable change of a smartphone application for measuring thoracic kyphosis angle. Methods: A total of 80 healthy university students were evaluated. Two raters measured the thoracic kyphosis angle using a digital inclinometer and the smartphone application. Intra- and inter-rater reliability were assessed using the intraclass correlation coefficient (ICC) with 95% confidence interval. The standard error of measurement (SEM) and the minimal detectable change at the 95% confidence level (MDC95) were also calculated. The concurrent validity between the digital inclinometer and the smartphone application was assessed by the linear regression analysis and Bland and Altman's 95% limits of agreement method. Results: The intra- and inter-rater reliability were excellent for the digital inclinometer and the smartphone application (ICC > 0.75). The SEM values for the digital inclinometer and the smartphone application were close together. The MDC95 values for the smartphone application were 5.11 and 6.30 degrees, and 9.02 degrees for intra- and inter-rater, respectively. The digital inclinometer and the smartphone application showed a positive correlation (R2 = 0.85). The Bland-Altman plot showed a good agreement between the instruments. Conclusion: The smartphone application used in this study is a cost-effective, practical, reliable, and valid instrument for measuring the thoracic kyphosis angle. More than 9 degrees in the value of the thoracic kyphosis angle measured by the smartphone application can be considered as a true change.

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Goniometric evaluation of the spinal sagittal curves in children and adolescents: A reliability study

Abstract: IncliMed® is a reliable, non-invasive tool to screen and monitor spinal curves in paediatric populations.

Cited by 4 publications

References 17 publications

Trunk Posture Adaptations during Sitting on Dynamic Stool: A Validation Study

Trunk Posture Adaptations during Sitting on Dynamic Stool: A Validation Study

Diseño de un dispositivo ortopédico para la prevención del desarrollo progresivo de la escoliosis idiopática

Reliability, Concurrent Validity, and Minimal Detectable Change of a Smartphone Application for Measuring Thoracic Kyphosis

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