CHU Sainte-Justine/Université de Montréal, Centre de recherche, 3175 Côte-Sainte-Catherine, Montreal, Quebec, H3T 1C5 Canada.
Disabil Rehabil. 2011;33(5):367-83. doi: 10.3109/09638288.2010.492066. Epub 2010 Jun 23.
Clinicians commonly assess posture in persons with musculoskeletal disorders and tend to do so subjectively. Evidence-based practice requires the use of valid, reliable and sensitive tools to monitor treatment effectiveness. The purpose of this article was to determine which methods were used to assess posture quantitatively in a clinical setting and to identify psychometric properties of posture indices measured from these methods or tools.
We conducted a comprehensive literature review. Pertinent databases were used to search for articles on quantitative clinical assessment of posture. Searching keywords were related to posture and assessment, scoliosis, back pain, reliability, validity and different body segments.
We identified 65 articles with angle and distance posture indices that corresponded to our search criteria. Several studies showed good intra- and inter-rater reliability for measurements taken directly on the persons (e.g., goniometer, inclinometer, flexible curve and tape measurement) or from photographs, but the validity of these measurements was not always demonstrated.
Taking measurements of all body angles directly on the person is a lengthy process and may affect the reliability of the measurements. Measurement of body angles from photographs may be the most accurate and rapid way to assess global posture quantitatively in a clinical setting.
临床医生通常会评估骨骼肌肉疾病患者的姿势，并倾向于进行主观评估。循证实践需要使用有效、可靠和敏感的工具来监测治疗效果。本文的目的是确定在临床环境中使用哪些方法来定量评估姿势，并确定从这些方法或工具中测量的姿势指标的心理测量特性。
我们进行了全面的文献综述。使用相关数据库搜索与姿势和评估、脊柱侧凸、腰痛、可靠性、有效性以及不同身体部位有关的文章。
我们确定了 65 篇与我们的搜索标准相对应的角度和距离姿势指数的文章。一些研究表明，直接在患者身上（例如，关节角度计、倾斜计、柔性曲线和胶带测量）或从照片上进行的测量具有良好的内部和内部可靠性，但这些测量的有效性并不总是得到证明。
直接在患者身上测量所有身体角度是一个漫长的过程，可能会影响测量的可靠性。从照片上测量身体角度可能是在临床环境中定量评估整体姿势最准确和快速的方法。
