Bonagamba Guilherme H, Coelho Daniel M, Oliveira Anamaria S de
Course Physical Therapy, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.
Rev Bras Fisioter. 2010 Sep-Oct;14(5):432-8. Epub 2010 Oct 29.
the scoliometer was developed to analyze the axial rotation of the trunk in patients with idiopathic scoliosis. However, there is controversy regarding the reliability of the measures obtained with this device.
to test the intra-rater and inter-rater reliability of the scoliometer in patients with scoliosis.
24 volunteers of both sex with idiopathic scoliosis diagnostic (18 ± 4 years-old) and curvatures with mean and standard deviation of 24.8 ± 12.7º Cobb. The measurement procedure was accomplished in one day by two trained examiners. The palpation and determination of each spinal level was accomplished by just one examiner. Each examiner obtained one measure with the device for each vertebra from the thoracic and lumbar levels in each evaluation. For statistical analysis the measurements were divided by spinal levels into upper thorax, medium thorax, lower thorax and lumbar segments. The Intraclass Correlation Coefficient type 1,1 (ICC1,1) was used to determine the intra-rater reliability while the ICC3,1 was used to determine the inter-rater reliability.
the observed intra-rater reliability values for the medium and lower thorax and lumbar segments of the subjects ranged from very good to excellent. The inter-rater reliability of the measures of axial trunk rotations was considered good to the upper thorax and excellent for the medium and lower thorax and lumbar spine.
the scoliometer is a device that has intra-rater reliability estimates ranging from very good to excellent. The inter-rater reliability for the upper and low thorax and for the lumbar spine is relatively lower than the intra-rater values for the same spinal segments, even when the errors from palpation and positioning of the instrument were eliminated.
脊柱侧凸测量仪是为分析特发性脊柱侧凸患者躯干的轴向旋转而研发的。然而，使用该设备所获测量结果的可靠性存在争议。
测试脊柱侧凸测量仪在脊柱侧凸患者中的测量者内和测量者间可靠性。
24名患有特发性脊柱侧凸的志愿者（年龄18±4岁），Cobb角平均为24.8±12.7°，标准差为该值。测量过程由两名经过培训的检查者在一天内完成。每个脊柱节段的触诊和确定仅由一名检查者完成。在每次评估中，每位检查者使用该设备对胸椎和腰椎水平的每个椎体各进行一次测量。为进行统计分析，测量结果按脊柱节段分为上胸部、中胸部、下胸部和腰部节段。使用1,1型组内相关系数（ICC1,1）确定测量者内可靠性，而使用ICC3,1确定测量者间可靠性。
受试者中胸部、下胸部和腰部节段观察到的测量者内可靠性值范围从非常好到优秀。躯干轴向旋转测量的测量者间可靠性对上胸部被认为良好，对中胸部、下胸部和腰椎则为优秀。
脊柱侧凸测量仪是一种测量者内可靠性估计范围从非常好到优秀的设备。即使消除了仪器触诊和定位的误差，上胸部和下胸部以及腰椎的测量者间可靠性相对低于相同脊柱节段的测量者内值。
