Inclinometric measurement of kyphotic curvature: Description and clinimetric properties

Devaney, Laurie; Bohannon, Richard W.; Rizzo, Jon; Capetta, Maryclaire; Vigneault, Jeremy; Deveire, Katherine Van

doi:10.1080/09593985.2017.1354950

Cited by 6 publications

(3 citation statements)

References 24 publications

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“…The inclinometric kyphosis measure is a reliable and valid clinical measure of posture with excellent intrarater reliability (ICC = 0.94 [95% CI, 0.89-0.96]; minimal detectable change [MDC] = 8°), excellent interrater reliability (ICC 2,1 = 0.98 [95% CI, 0.94-0.99]; P < .001; SEM = 1.28°; MDC = 3.55°), and construct validity with other postures ( r = 0.72 [95% CI, 0.36-1.08]; P = .001). 13…”

Section: Methodsmentioning

confidence: 99%

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Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow Injuries, Pain, and Disability in College Baseball Pitchers

Devaney

Denegar

Thigpen

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Shoulder and elbow injuries in baseball pitchers, which can lead to significant pain and disability, have been on the rise at all levels of play for 3 decades. Despite anatomic and neurophysiological relationships, neck mobility has not been explored as a contributor to shoulder and elbow injuries in baseball pitchers. Hypothesis: Impaired neck mobility will increase the risk of shoulder and elbow injuries in college baseball pitchers. Study Design: Cohort study; Level of evidence, 2. Methods: Posture, neck mobility, and shoulder passive range of motion were measured in healthy college baseball pitchers during the 2018 preseason. Time loss (days lost because of shoulder or elbow injuries) and patient-reported disability via Functional Arm Scale for Throwers (FAST) scores were used to dichotomize pitchers into injured and uninjured groups. Receiver operating characteristic curves were generated, and accuracy values and risk ratios (RRs) were calculated to assess the diagnostic utility of the physical measures. Time-to-injury analysis was conducted to assess the timing of injuries. Results: A total of 49 pitchers (mean age, 19.92 ± 1.48 years; mean height, 187.04 ± 6.02 cm; mean weight, 89.14 ± 12.08 kg) completed the study. There were 10 pitchers (20.4%) who sustained a time-loss injury >7 days because of a shoulder or elbow injury. A Cervical Flexion-Rotation Test (CFRT) finding on the dominant side of ≤39° resulted in over 9 times the increased risk of time-loss injuries (RR, 9.38 [95% CI, 1.28-68.49]). Time-to-injury analysis demonstrated differences between the 2 groups (χ2 = 7.667; P = .01). Pitchers with a >39.25° finding on the CFRT played a mean 109.4 of 112 days (95% CI, 105-114) before the injury, while pitchers with ≤39.25° only played 83.6 of 112 days (95% CI, 68-99). A CFRT finding of ≤38° (RR, 3.91 [95% CI, 1.23-12.39]), cervical flexion range of motion of ≤64° (RR, 10.56 [95% CI, 1.50-74.34]), and weight of >86.9 kg (RR, 10.42 [95% CI, 1.14-213.70]) were also associated with an increased risk of patient-reported pain and disability on the FAST pitcher module. Conclusion: College baseball pitchers with less neck mobility during the preseason had an increased risk of time loss and shoulder and elbow disability during the season. The predictive value of these measures as part of a risk screening profile should be further explored.

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Section: Methodsmentioning

confidence: 99%

“…Each pitcher was measured in both the usual posture (relaxed) and best posture (cued) using the MicroFET3 digital inclinometer (Hoggan Scientific) as outlined by Devaney et al 13 A total of 2 trials were performed, and the mean measurement was recorded (Figure 1, A and B).…”

Section: Methodsmentioning

confidence: 99%

Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow Injuries, Pain, and Disability in College Baseball Pitchers

Devaney

Denegar

Thigpen

et al. 2020

Orthopaedic Journal of Sports Medicine

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“…There is limited research reporting reliability and validity of the tools used to quantify these movements because most studies focus on quantifying the passive thoracic kyphotic curvature [6][7][8][9] and few studies focus on active thoracic spine rotation [1][2][3]10]. Tools such as the universal goniometer, bubble inclinometer and smartphones are often used to quantify range of motion [11].…”

Section: Introductionmentioning

confidence: 99%

Reliability and Validity of a Smartphone Device and Clinical Tools for Thoracic Spine Mobility Assessments

van Baalen,

Vanwanseele,

Venter

2023

Sensors

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Quantifying thoracic spine mobility with reliable and valid tools is a challenge for clinicians in practice. The aim of this study is to determine the reliability and validity of a smartphone device, bubble inclinometer and universal goniometer to quantify the static kyphotic curve and active range of motion of the thoracic spine. A total of 17 participants (mean age = 23.7 ± 2.3 years) underwent repeated measurements with three raters, on three separate days performing the lumbar-locked trunk rotation, standing full extension, standing full flexion, standing relaxed curve and seated trunk rotation assessments. Mostly “Good” to “Excellent” intra-rater (ICC ranging from 0.624 to 0.981) and inter-reliability (ICC ranging from 0.671 to 0.968) was achieved with the smartphone and clinical tools. “Excellent” validity (ICC ranging from 0.903 to 0.947) with the smartphone was achieved during lumbar-locked trunk rotation and standing relaxed curve assessment. “Good” validity (ICC ranging from 0.836 to 0.867) of the smartphone was achieved during the seated trunk rotation. The Samsung s9+ smartphone with the iSetSquare mobile application is a reliable and valid tool to use for clinical assessments assessing thoracic spine mobility.

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Forward flexed posture: reliability and determinants of tragus-to-wall measurement

Tudini

Myers

Bohannon

2020

Physiotherapy Theory and Practice

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Inclinometric measurement of kyphotic curvature: Description and clinimetric properties

Abstract: The IKM is a simple, reliable, responsive, and valid method for assessing posture in patients with musculoskeletal conditions.

Cited by 6 publications

References 24 publications

Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow Injuries, Pain, and Disability in College Baseball Pitchers

Preseason Neck Mobility Is Associated With Throwing-Related Shoulder and Elbow Injuries, Pain, and Disability in College Baseball Pitchers

Reliability and Validity of a Smartphone Device and Clinical Tools for Thoracic Spine Mobility Assessments

Forward flexed posture: reliability and determinants of tragus-to-wall measurement

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