The Reliability of Standing Sagittal Measurements of Spinal Curvature and Range of Motion in Older Women With and Without Hyperkyphosis Using a Skin-Surface Device

Roghani, Tayebeh; Zavieh, Minoo Khalkhali; Rahimi, Abbas; Talebian, Saeed; Manshadi, Farideh Dehghan; Baghban, Alireza Akbarzadeh; M.King, Nicole; Katzman, Wendy B.

doi:10.1016/j.jmpt.2017.07.008

Cited by 17 publications

(14 citation statements)

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“…Our findings revealed a perfect correlation for all COM measurements with ICC > 0.9 (CI = 95%) and a likely variation of SEM less than 1°(0.15°≤ SEM ≥ 0.452°), along with a small MDC (0.424°≤ MDC ≥ 1.254°), demonstrating good repeatability of DP measures. These results support previous research indicating that DP is highly consistent and reliable in the clinical detection of postural patterns (29)(30)(31)(32). Our results are very close to what Ashnagar et al reported when studying the reliability of DP for assessing lower extremity alignment in individuals with flatfeet and normal feet types (1.25 -2.78) (33).…”

Section: Discussionsupporting

confidence: 92%

Reliability and Convergent Validity of Digital Photography in Assessing Postural Orientation of Children with Cerebral Palsy: A Methodological Study

et al. 2022

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Background: This study aimed to assess the test-retest intra-rater reliability and convergent validity of digital photography (DP) in detecting the postural orientation of children with cerebral palsy (CP). Methods: The study recruited children with various types of CP with the Gross Motor Function Classification System level I or II and spasticity < 2 on the Ashworth Scale, without any visual or cognitive impairments. Children who had undergone any surgical intervention or received a botulinum toxin injection within the previous six months were excluded. A digital camera was fixed at 1.5 meters from the participants at the height of 90 cm. Non-reflective markers were attached to eight anatomical landmarks to localize the upper and lower center of mass on both sides. The same examiner took three digital photos to detect intra-rater reliability using the intraclass correlation coefficient (ICC). Pearson's correlation and linear regression analysis were used to assess the convergent validity of the DP method compared with the Pediatric Balance Scale (PBS) scores. Results: Thirty children (7.44 ± 2.38 years) were assessed to test the reliability of DP, and 55 others (8.06 ± 2.19 years) participated in the convergent validity study. Intra-rater reliability was found to be perfect (ICC > 0.995) and there was a strong significant negative correlation between DP measures and PBS scores (Pearson's correlation > 0.75) with high adjusted R2 (R2 > 0.567), indicating goodness of fit between the measures. Conclusions: Digital photography (DP) is a reliable and valid method for assessing postural orientation in children with various types of CP.

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Section: Discussionsupporting

confidence: 92%

Reliability and Convergent Validity of Digital Photography in Assessing Postural Orientation of Children with Cerebral Palsy: A Methodological Study

et al. 2022

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“…Secondly, assessment of spinal posture and mobility by SpinalMouse ® provides only surfacebased measures of the curvature of the spine in the frontal and sagittal plane, but it has proven to be reliable [13], feasible, and responsive [27] and is non-invasive. Measurements in the transverse plane of the spine regarding trunk rotations would have made a valuable contribution as it is an important factor in maintaining normal gait patterns [5].…”

Section: Resultsmentioning

confidence: 99%

“…Spinal posture and mobility were assessed using a SpinalMouse ® (Idiag, Fehraltorf, Switzerland), comprising a hand-held inclinometer connected wirelessly to a computer. The SpinalMouse ® was rolled paravertebrally along the spine from the 7th cervical to the 3rd sacral vertebra (rima ani) while the patient was standing barefoot and holding the arms crossed in front of the chest: first with the spine in a neutral upright position, then maximally flexed and, finally, maximally extended; with emphasis on end-range positions of the spine and hips (knees extended) [13]. The SpinalMouse ® software provides a table with inclination angles at each vertebral segment.…”

Section: Spinal Posture and Mobilitymentioning

confidence: 99%

“…Although the mobility measured at the level of the sacral spine is mainly hip induced, for the sake of readability, the measurements obtained from the sacral spine are called as such (figure-1). The SpinalMouse ® has proven to be a reliable tool for regional assessment of spinal posture and mobility (intra-observer reliability ICC=0.89-0.99, SEM=1.15º-2.05º) [13] and correlates well with Rx (r=.73-.76) [15].…”

Section: Spinal Posture and Mobilitymentioning

confidence: 99%

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Trunk inclination and hip extension mobility, but not thoracic kyphosis angle, are related to 3D-accelerometry based gait alterations and increased fall-risk in older persons

et al. 2019

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“…The minimally clinical important difference or MCID for changes in spinal curvatures is 10°, [27,28,61] which implies that only changes greater than 10⁰ should be interpreted as a clinically meaningful change. Changes smaller than 10° can be explained by the posture of the patient while taking the X-ray, [62,63] or by the associated measurement error of determining spinal curvature angles. [61] Declaration.…”

Section: Discussionmentioning

confidence: 99%

A narrative review on spinal deformities in people with cerebral palsy: Measurement, norm values, incidence, risk factors and treatment

2020

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The earliest description of cerebral palsy (CP) was made by William J. Little in the mid-1800s. In a series of lectures, entitled 'Deformities of the human frame' , Little included a description of cerebral paralysis. Although his main focus emphasised musculoskeletal complications, such as joint contractures and deformities as a result of chronic spasticity and paralysis, he specifically noted that the spasticity and paralysis was as a result of brain damage during infancy which resulted from preterm birth or perinatal asphyxia. [1] CP was therefore initially referred to as Little's disease. [2] William Osler (1889) and Sigmund Freud (1893) both further contributed to the field of CP. [3,4] In his article 'Cerebral Palsies of Children' Osler documented 151 cases which he classified as 'cerebral palsies' based on neuroanatomical pathology distribution into three main groups: infantile hemiplegia, bilateral spastic hemiplegia (i.e. spastic diplegia) and spastic paraplegia. [3] Freud had contrasting ideas to both Little's and Osler's work, and suggested classifying CP using clinical findings only. He recognised that the pathological findings resulted from both the initial lesion as well as the repair process and, in addition, he noted differences in clinical manifestations in patients with similar neuropathology. Freud further suggested that rather than perinatal asphyxia being the cause of CP, the aetiology of the brain damage present in CP could be multifactorial. He identified three major groups of causal factors: (i) maternal and idiopathic congenital; (ii) perinatal; and (iii) postnatal factors. [4] It is worth noting that Freud's ideas and work still form part of our modern-day definition of CP. [2] The primary condition of CP is non-progressive over time in the neurological sense. [2] However, secondary conditions of CP develop over time as a result of the primary conditions. [5] Manifestations can be grouped into primary and secondary manifestations. Primary manifestations include abnormal tone, loss of motor control, impaired balance, spasticity, hypotonia and dyskinesia. Secondary manifestations are growth and spasticity related and include contractures (initially dynamic and progress to static over time), upper extremity deformities, hip subluxations and dislocations, foot deformities, gait disorders and fractures, and spinal deformities. [6] Spinal deformities are more commonly seen in people with CP and range from a scoliosis to increased thoracic kyphosis, increased lumbar lordosis, spondylolysis and spondylolisthesis. [7] The preferred method of measuring a spinal curvature, is with an X-ray in standing position (if possible). The curvature is described in relation to the body's anatomical planes: coronal (frontal), sagittal (lateral) and horizontal (axial or transverse). [8] The most common spinal abnormalities are a scoliosis, a hyperkyphosis, a hyperlordosis and a spondylolysis and/or spondylolisthesis. Objectives To provide a scientific overview of how spinal curvatures should be measured, what t...

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The Reliability of Standing Sagittal Measurements of Spinal Curvature and Range of Motion in Older Women With and Without Hyperkyphosis Using a Skin-Surface Device

Abstract: Our results indicated that the Spinal Mouse has excellent intrarater reliability for the measurement of sagittal thoracic and lumbar curvature and mobility of the spine in older women.

Cited by 17 publications

References 34 publications

Reliability and Convergent Validity of Digital Photography in Assessing Postural Orientation of Children with Cerebral Palsy: A Methodological Study

Reliability and Convergent Validity of Digital Photography in Assessing Postural Orientation of Children with Cerebral Palsy: A Methodological Study

Trunk inclination and hip extension mobility, but not thoracic kyphosis angle, are related to 3D-accelerometry based gait alterations and increased fall-risk in older persons

A narrative review on spinal deformities in people with cerebral palsy: Measurement, norm values, incidence, risk factors and treatment

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