Measuring the sacral inclination angle in clinical practice: is there an alternative to radiographs?

BACKGROUND: In patients with low back pain (LBP) the position of the pelvis is often a focus of physical or manual therapy. The 'gold standard' to determine sacral inclination is by radiograph, but methods to measure sacral inclination externally with an inclinometer have also been introduced. OBJEC...

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Publicado en:Journal of Manipulative & Physiological Therapeutics Vol. 24; no. 8; pp. 505 - 509
Autores principales: Bierma-Zeinstra SMA, van Gool JJC, Bernsen RMD, Njoo KH
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Oct2001
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2001
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        atl: Measuring the sacral inclination angle in clinical practice: is there an alternative to radiographs?
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        au:
          Bierma-Zeinstra SMA
          van Gool JJC
          Bernsen RMD
          Njoo KH
        affil: Dept of General Practice, Room Ff320, Erasmus University Rotterdam, Postbox 1738, 3000 DR Rotterdam, The Netherlands; bierma@hag.fgg.eur.nl
      sug:
        subj:
          Low Back Pain Diagnosis
          Lordosis Diagnosis
          Pelvis Radiography
          Chiropractic Assessment
          Adult
          Middle Age
          Female
          Male
          Regression
          P-Value
          Descriptive Statistics
          Confidence Intervals
          Lordosis Radiography
          Low Back Pain Radiography
          Reliability
          Validity
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: In patients with low back pain (LBP) the position of the pelvis is often a focus of physical or manual therapy. The 'gold standard' to determine sacral inclination is by radiograph, but methods to measure sacral inclination externally with an inclinometer have also been introduced. OBJECTIVE: To determine the validity of the inclinometer in measuring the sacral inclination in patients with LBP. SUBJECTS: Adult patients with LBP who were referred by the general practitioner to the hospital for radiograph examination of the lumbosacral spine were included. METHODS: Measurement of sacral inclination acquired with the inclinometer, simultaneous with the x-ray exposure, was compared with the 'gold standard' measurement of sacral inclination on the radiograph. Regression analysis was used to define the measurement error. RESULTS: Of 50 consecutive patients with LBP, radiographs of 41 patients were useful for the required measurements on the radiograph. The mean difference between the radiographic and inclinometer method was 23.12 degrees. The measurement error was 8.26 degrees. Regression analyses showed poor correlation between both methods (r = 0.28). CONCLUSIONS: The method we used to measure sacral inclination with an inclinometer proved to be invalid.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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