Validation of the manual inclinometer and flexicurve for the measurement of thoracic kyphosis.

Introduction: Physiotherapists commonly use the manual inclinometer and Flexicurve for the clinical measurement of thoracic spinal posture. The aim of this study is to examine the concurrent validity of the Flexicurve and manual inclinometer in relation to the radiographic Cobb angle for the measure...

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Publicado en:Physiotherapy Theory & Practice Vol. 34; no. 4; pp. 301 - 309
Autores principales: Barrett, Eva, Lenehan, Brian, O'sullivan, Kieran, Lewis, Jeremy, McCreesh, Karen
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2018
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2017.1394411
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        atl: Validation of the manual inclinometer and flexicurve for the measurement of thoracic kyphosis.
      aug:
        au:
          Barrett, Eva
          Lenehan, Brian
          O'sullivan, Kieran
          Lewis, Jeremy
          McCreesh, Karen
        affil: Department of Clinical Therapies, University of Limerick, Limerick, Ireland
      sug:
        subj:
          Kyphosis Diagnosis
          Spinal Curvatures
          Physical Therapy Equipment and Supplies
          Human
          Equipment and Supplies Utilization
          Validation Studies
          Concurrent Validity
          Cross Sectional Studies
          Data Analysis Software
          Spearman's Rank Correlation Coefficient
          Male
          Female
          Adolescence
          Adult
          Middle Age
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: Physiotherapists commonly use the manual inclinometer and Flexicurve for the clinical measurement of thoracic spinal posture. The aim of this study is to examine the concurrent validity of the Flexicurve and manual inclinometer in relation to the radiographic Cobb angle for the measurement of thoracic kyphosis. Methods: Eleven subjects (seven males, four females) underwent a sagittal plane spinal radiograph. Immediately following the radiograph, a physiotherapist measured thoracic kyphosis using the Flexicurve and manual inclinometer before the subjects moved from position. Cobb angles were subsequently measured from the radiographs by an independent examiner. Results: A strong correlation was demonstrated between both the Cobb angle and the Flexicurve angle (r = 0.96) and the Cobb angle and the manual inclinometer angle (r = 0.86). On observation of the Bland–Altman plots, the inclinometer showed good agreement with the Cobb angle (mean difference 4.8 ° ± 8.9 °). However, the Flexicurve angle was systematically smaller than the Cobb angle (mean difference 20.3 ° ± 6.1 °), which reduces its validity. Conclusion: The manual inclinometer is recommended as a valid instrument for measuring thoracic kyphosis, with good agreement with the gold standard. While the Flexicurve is highly correlated to the gold standard, they have poor agreement. Therefore, physiotherapists should take caution when interpreting its results.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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