生长年龄受试者胸椎后凸和腰椎前凸的角度计评估：一项效度研究。
Goniometer evaluation of thoracic kyphosis and lumbar lordosis in subjects during growth age: a validity study.
作者信息
Gravina Aristide R, Ferraro Claudio, Frizziero Antonio, Ferraro Marco, Masiero Stefano
机构信息
Rehabilitation Department, University of Padua, Hospital of Padua, Italy.
出版信息
Stud Health Technol Inform. 2012;176:247-51.
INTRODUCTION
The aim of the present study is to evaluate the validity of a pocket compass needle goniometer (IncliMed®, University of Padua) to measure the thoracic kyphosis and lumbar lordosis in children and adolescent.
MATERIAL AND METHODS
In a group of 128 adolescent the same clinician (FC) measured the thoracic kyphosis and lumbar lordosis according to the goniometer technique and the Cobb angle on lateral spinal radiographs. The linear regression analysis and the Bland and Altman criteria were used for the data analysis.
RESULTS
A strong concordance existed between radiological and goniometer evaluation of the thoracic kyphosis (linear regression coefficient: b=0.897;p=0.000), but poor concordance existed at the lumbar lordosis evaluation (b=0.526;p=0.000); so we introduced a modification of the original traditional Cobb method of measurement with improved the linear regression coefficient (b=0.820,p=0.000).
CONCLUSIONS
Our results confirm the clinical utility of goniometer assessment for the quantification of thoracic kyphosis and lumbar lordosis in children and adolescent.
引言
本研究的目的是评估一种袖珍罗盘指针式测角仪（IncliMed®，帕多瓦大学）在测量儿童和青少年胸椎后凸和腰椎前凸方面的有效性。
材料与方法
在一组128名青少年中，同一名临床医生（FC）根据测角仪技术和脊柱侧位X线片上的Cobb角测量胸椎后凸和腰椎前凸。数据分析采用线性回归分析以及布兰德和奥特曼标准。
结果
胸椎后凸的影像学评估与测角仪评估之间存在高度一致性（线性回归系数：b = 0.897；p = 0.000），但腰椎前凸评估的一致性较差（b = 0.526；p = 0.000）；因此，我们对原始传统的Cobb测量方法进行了改进，使线性回归系数提高（b = 0.820，p = 0.000）。
结论
我们的结果证实了测角仪评估在量化儿童和青少年胸椎后凸和腰椎前凸方面的临床实用性。
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