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

Gold standard for spine deformities assessment is X rays, but the procedure bears a risk of exposure. To investigate intra-rater and inter-rater reliability of a pocket compass needle goniometer (IncliMed®, University of Padua) to non-invasively evaluate spine curves in children and adolescents. Pro...

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Bibliographic Details
Published in:Journal of back and musculoskeletal rehabilitation 2017-01, Vol.30 (2), p.325-331
Main Authors: Gravina, Aristide, Ferraro, Claudio, Poli, Patrizia, Barazzuol, Michele, Del Felice, Alessandra, Masiero, Stefano
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Child
Children
Female
Humans
Kyphosis
Kyphosis - diagnosis
Male
Observer Variation
Pediatrics
Physical Examination
Population studies
Posture
Prospective Studies
Reproducibility of Results
Scoliosis
Scoliosis - diagnosis
Seveso Accidental Release
Spine
Spine - abnormalities
Teenagers
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Summary:Gold standard for spine deformities assessment is X rays, but the procedure bears a risk of exposure. To investigate intra-rater and inter-rater reliability of a pocket compass needle goniometer (IncliMed®, University of Padua) to non-invasively evaluate spine curves in children and adolescents. Prospective reliability study in a paediatric population (mean age 12.5 years ± 2.5). Children with spine deformities (Scheuermann's or postural kyphosis, idiopathic scoliosis) and healthy controls were included. Two physician measured spinal curves with the surface goniometer IncliMed® within a temporal range of 10 minutes. Participants were re-tested after a mean of 28 days for the intra-rater study. Agreement limit and coefficient of repeatability were calculated according to the linear regression analysis; the Bland and Altman method was applied to obtain average of differences and standard error of the mean of the differences. One hundred and thirty-nine subjects participated to the inter-rater reliability assessment; 30 to the intra-rater reliability assessment. Inter-observer variability for IncliMed® measurements was ± 11° both for kyphosis and for lordosis. The intra-observer variability for kyphosis and lordosis measurements was ± 11° and ± 12°. IncliMed® is a reliable, non-invasive tool to screen and monitor spinal curves in paediatric populations.
ISSN:1053-8127
1878-6324
DOI:10.3233/BMR-160541