Algorithm for Schroth-Curve-Type Classification of Adolescent Idiopathic Scoliosis: An Intra- and Inter-Rater Reliability Study †.

Schroth exercises for scoliosis are prescribed based on curve types. This study aimed to determine the reliability of an algorithm for classifying Schroth curve types. Forty-four consecutive volunteers with adolescent idiopathic scoliosis, 10 to 18 years old, with curves 10° to 50°, were recruited f...

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Published in:Children Vol. 10; no. 3; pp. 523 - 534
Main Authors: Schreiber, Sanja, Parent, Eric C., Kawchuk, Gregory N., Hedden, Douglas M.
Format: algorithm pictorial research tables/charts Journal Article
Published: MDPI Mar2023
Online Access:View this record in EBSCOhost
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      dt: Mar2023
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      pub: MDPI
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        10.3390/children10030523
        162747387
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        atl: Algorithm for Schroth-Curve-Type Classification of Adolescent Idiopathic Scoliosis: An Intra- and Inter-Rater Reliability Study †.
      aug:
        au:
          Schreiber, Sanja
          Parent, Eric C.
          Kawchuk, Gregory N.
          Hedden, Douglas M.
        affil: Department of Physical Therapy, University of Alberta, 8205 114 Street, 2-50 Corbett Hall, Edmonton, AB T6G 2G4, Canada
      sug:
        subj:
          Scoliosis, Idiopathic, Adolescent Classification
          Back Exercises
          Algorithms
          Human
          Intrarater Reliability
          Interrater Reliability
          Child
          Adolescence
          Standing
          Posture
          Bending
          Videorecording
          Confidence Intervals
          Physical Examination
          Intraclass Correlation Coefficient
          Exercise Test
          Descriptive Statistics
          Funding Source
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Schroth exercises for scoliosis are prescribed based on curve types. This study aimed to determine the reliability of an algorithm for classifying Schroth curve types. Forty-four consecutive volunteers with adolescent idiopathic scoliosis, 10 to 18 years old, with curves 10° to 50°, were recruited from a scoliosis clinic. Their standing posture and Adam's bending test were videotaped. Ten consecutive Schroth therapist volunteers from an international registry independently classified the curve types using the proposed classification algorithm. Videos were rated twice at least seven days apart. Reliability was calculated using the Gwet's AC1 agreement coefficient for all the raters and for subgroups reporting full understanding (well-trained) and with prior algorithm experience. The intra-rater and weighted agreement coefficients for all the raters were 0.64 (95% CI: 0.53–0.73) and 0.75 (0.63–0.84), respectively. For the well-trained raters, they were 0.70 (0.60–0.78) and 0.82 (0.73–0.88), respectively; for the experienced raters, they were 0.81 (0.77–0.85) and 0.89 (0.80–0.94), respectively. The inter-rater versus weighted agreement coefficients for all the raters were 0.43 (0.28–0.58) versus 0.48 (0.29–0.67). For the well-trained raters, they were 0.50 (0.38–0.61) versus 0.61 (0.49–0.72), and for the experienced raters, they were 0.67 (0.50–0.85) versus 0.79 (0.64–0.94). Full understanding and experience led to higher reliability. Use of the algorithm can help standardize Schroth exercise treatment.
      pubtype: Academic Journal
      doctype:
        algorithm
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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