Is the occiput-wall distance valid and reliable to determine the presence of thoracic hyperkyphosis?
| Autor: | Thiwabhorn Thaweewannakij, Patcharawan Suwannarat, Arpassanan Wiyanad, Pakwipa Chokphukiao, Pipatana Amatachaya, Chitanongk Gaogasigam, Sugalya Amatachaya, Pattra Wattanapan |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Radiography Concurrent validity Validity Physical Therapy Sports Therapy and Rehabilitation Thoracic Vertebrae Young Adult 03 medical and health sciences 0302 clinical medicine Reliability study Humans Medicine Kyphosis 030212 general & internal medicine Child Diagnostic Techniques and Procedures Reliability (statistics) Aged Aged 80 and over Cobb angle business.industry Reproducibility of Results Occiput Middle Aged medicine.anatomical_structure Physical therapy Female Observational study business 030217 neurology & neurosurgery |
| Zdroj: | Musculoskeletal Science and Practice. 38:63-68 |
| ISSN: | 2468-7812 |
| DOI: | 10.1016/j.msksp.2018.09.010 |
| Popis: | Hyperkyphosis may be frequently found nowadays due to the change in current lifestyles of sustained flexion postures and age-related system decline. The occiput-wall distance (OWD) is a practical measure that is commonly used to screen and monitor thoracic hyperkyphosis in epidemiologic studies. However, there was no clear evidence to support the clinical utility of the tool as compared to the data from direct standard measures.To investigate psychometric properties-including validity, reliability, and appropriate cut-off point-of the OWD to determine the presence of thoracic hyperkyphosis, as compared to a standard Cobb's method.Observational study.This study was conducted in ninety-nine participants, aged 10 years and above who had different degrees of thoracic hyperkyphosis from several communities. All participants were assessed for their severity of thoracic hyperkyphosis using the OWD, and 14 participants were involved in a reliability study. Within 7 days later, all participants were at a hospital to complete a radiographic examination.Outcomes from OWD had good concurrent validity with the Cobb angles (r = 0.683, P 0.001) and excellent rater reliability when assessed by well-trained health professionals (ICCs 0.9, P 0.001). The OWD of at least 6.5 cm had the best diagnostic properties to determine the presence of thoracic hyperkyphosis (sensitivity = 71.4%, specificity = 76.6%, and area under the curve = 0.846).The findings support validity and reliability of OWD, and offer a clear cut-off point to determine the presence of thoracic hyperkyphosis for clinical utility in various settings. |
| Databáze: | OpenAIRE |
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