Cardiopulmonary Physiotherapy Laboratory, Physiotherapy Department, Federal University of Sao Carlos, Sao Paulo, Brazil.
Physical Education and Health Department, University of Santa Cruz do Sul, Rio Grande do Sul, Brazil.
Physiother Res Int. 2020 Jul;25(3):e1837. doi: 10.1002/pri.1837. Epub 2020 Mar 5.
The evaluation of thoracoabdominal mobility is a tool extensively used in the physiotherapy practice in different populations. Photogrammetry may be a simple tool to analyse thoracoabdominal mobility; however, it is unclear whether this assessment can be a reliable method.
To test the reliability intra-examinator by photogrammetry in asthmatic patients and in health controls.
Twenty-six asthmatic patients (29 ± 9 years) and 14 healthy matched controls (27 ± 8 years) were assessed by thoracoabdominal mobility. Photographs during rest, during inspiration and expiration maximum were used to calculate latero-lateral and antero-posterior diameters of the thorax (at axillary and xiphoid levels) and umbilical by markers positioned in osseous structures. An evaluator obtained the same measurements in an 8-day interval.
We found a moderate reliability for axillary, xiphoid and umbilical mobility (average intraclass correlation coefficient [ICC] respectively [0.68, 0.55 and 0.73]) for asthmatic group. In addition, for control group, we found a moderate reliability for axillary mobility (average ICC respectively [0.68] and a good reliability for xiphoid and umbilical mobility) (average ICC 0.81 and 0.70). Bland-Altman plots showed goods limit of agreement in photos 1 and 2 in both groups.
The photogrammetric analysis of thoracoabdominal mobility presented itself as a reliable method and may be used in clinical practice in asthmatic patients and in controls.
胸腹部活动度评估是物理治疗实践中在不同人群中广泛使用的一种工具。摄影测量可能是分析胸腹部活动度的一种简单工具；然而，尚不清楚这种评估是否可以成为一种可靠的方法。
通过摄影测量法测试哮喘患者和健康对照者的评估者内可靠性。
26 例哮喘患者（29±9 岁）和 14 例健康匹配对照者（27±8 岁）通过胸腹部活动度进行评估。在休息时、最大吸气和呼气时使用照片来计算胸部的侧向和前后直径（在腋窝和剑突水平）以及通过定位在骨骼结构上的标记物计算脐部直径。评估者在 8 天的间隔内获得相同的测量值。
我们发现哮喘组的腋窝、剑突和脐部活动度具有中度可靠性（平均组内相关系数[ICC]分别为[0.68、0.55 和 0.73]）。此外，对于对照组，我们发现腋窝活动度具有中度可靠性（平均 ICC 分别为[0.68]，而剑突和脐部活动度具有良好可靠性）（平均 ICC 分别为 0.81 和 0.70）。Bland-Altman 图显示两组照片 1 和 2 的良好一致性界限。
胸腹部活动度的摄影测量分析表现出可靠的方法，可在哮喘患者和对照组的临床实践中使用。
