Validity and Absolute Reliability of the Cobb Angle in Idiopathic Scoliosis with TraumaMeter Software.

Autor:	Hurtado-Avilés J; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain., Santonja-Medina F; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain.; Department of Orthopaedic Surgery and Traumatology, Hospital Clínico Universitario Virgen de la Arrixaca, 30120 Murcia, Spain.; Department of Surgery, Pediatrics and Obstetrics & Gynecology, Faculty of Medicine, University of Murcia, 30100 Murcia, Spain., León-Muñoz VJ; Department of Orthopaedic Surgery and Traumatology, Hospital General Universitario Reina Sofía, 30003 Murcia, Spain., Sainz de Baranda P; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain.; Department of Physical Activity and Sport, Faculty of Sport Sciences, Regional Campus of International Excellence 'Campus Mare Nostrum', University of Murcia, 30100 Murcia, Spain., Collazo-Diéguez M; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain.; Department of Rehabilitation Sciences and Physiotherapy, Albacete University Hospital Complex, 02006 Albacete, Spain., Cabañero-Castillo M; Department of Rehabilitation Sciences and Physiotherapy, General Hospital, Almansa, 02640 Albacete, Spain., Ponce-Garrido AB; Department of Rehabilitation Sciences and Physiotherapy, General Hospital, Almansa, 02640 Albacete, Spain., Fuentes-Santos VE; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain.; Department of Rehabilitation Sciences and Physiotherapy, Albacete University Hospital Complex, 02006 Albacete, Spain., Santonja-Renedo F; 'La Vega Lorenzo Guirao' Hospital, 30530 Cieza, Spain., González-Ballester M; Medicine Faculty, University of Murcia, 30100 Murcia, Spain., Sánchez-Martínez FJ; Medicine Faculty, University of Murcia, 30100 Murcia, Spain., Fiorita PG; Medicine Faculty, University of Murcia, 30100 Murcia, Spain., Sanz-Mengibar JM; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain.; Centre for Neuromuscular Diseases, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, London WC1N 3BG, UK., Alcaraz-Belzunces J; Medicine Faculty, University of Murcia, 30100 Murcia, Spain., Ferrer-López V; Department of Physiotherapy, Faculty of Medicine, University of Murcia, 30100 Murcia, Spain., Andújar-Ortuño P; Sports & Musculoskeletal System Research Group (RAQUIS), University of Murcia, 30100 Murcia, Spain.; Department of Rehabilitation Sciences and Physiotherapy, Albacete University Hospital Complex, 02006 Albacete, Spain.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Apr 12; Vol. 19 (8). Date of Electronic Publication: 2022 Apr 12.
DOI:	10.3390/ijerph19084655
Abstrakt:	The Cobb angle value is a critical parameter for evaluating adolescent idiopathic scoliosis (AIS) patients. This study aimed to evaluate a software’s validity and absolute reliability to determine the Cobb angle in AIS digital X-rays, with two different degrees of experienced observers. Four experts and four novice evaluators measured 35 scoliotic curves with the software on three separate occasions, one month apart. The observers re-measured the same radiographic studies on three separate occasions three months later but on conventional X-ray films. The differences between the mean bias errors (MBE) within the experience groups were statistically significant between the experts (software) and novices (manual) (p < 0.001) and between the novices (software) and novices (manual) (p = 0.005). When measured with the software, the intra-group error in the expert group was MBE = 1.71 ± 0.61° and the intraclass correlation coefficient (ICC (2,1)) = 0.986, and in the novice group, MBE = 1.9 ± 0.67° and ICC (2,1) = 0.97. There was almost a perfect concordance among the two measurement methods, ICC (2,1) = 0.998 and minimum detectable change (MCD95) < 0.4°. Control of the intrinsic error sources enabled obtaining inter- and intra-observer MDC95 < 0.5° in the two experience groups and with the two measurement methods. The computer-aided software TraumaMeter increases the validity and reliability of Cobb angle measurements concerning manual measurement.
Databáze:	MEDLINE
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