Dimitriadis Zacharias, Parintas Ioannis, Karamitanis Georgios, Abdelmesseh Kiven, Koumantakis George A, Kastrinis Alexandros
Health and Quality of Life Assessment Research Lab, Physiotherapy Department, University of Thessaly, 35132 Lamia, Greece.
Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica (UNIWA), 12243 Athens, Greece.
Healthcare (Basel). 2022 Dec 29;11(1):105. doi: 10.3390/healthcare11010105.
The study was aimed at examining the reliability of the Double Inclinometer (DI) method for the assessment of thoracolumbar Range of Movement (ROM) and Joint Position Sense (JPS) in patients with a recent history of Low Back Pain (LBP). Twenty patients with a history of LBP in the last three months participated. The thoracolumbar ROM and JPS were examined from a standing position by using both the DI and the tape measure method. The DI method was found to have moderate to good intra-rater (ICC = 0.68-0.79, SEM = 2.20-2.77°, SDD = 6.09-7.67°), moderate inter-rater (ICC = 0.59-0.62, SEM = 2.96-3.35°, SDD = 8.19-9.27°) and poor test-retest reliability (ICC = 0.13-0.17, SEM = 3.98-4.32°, SDD = 11.02-11.96°) for the assessment of thoracolumbar JPS. For the assessment of thoracolumbar ROM, the DI method was found to have good to excellent intra-rater (ICC = 0.88-0.94, SEM = 4.25-6.20°, SDD = 11.77-17.17°), excellent inter-rater (ICC = 0.90-0.91, SEM = 7.26-7.74°, SDD = 20.11-21.43°) and excellent test-retest reliability (ICC = 0.91-0.93, SEM = 6.03-6.87°, SDD = 16.70-19.02°). The concurrent validity of the DI method with the tape measure method was found to be very weak for the assessment of thoracolumbar JPS (r = 0.02, = 0.93) and strong for the assessment of thoracolumbar ROM (r = 0.66, = 0.001). The DI method seems to be a very reliable method for the assessment of thoracolumbar ROM in individuals with a recent history of LBP.
本研究旨在检验双倾角仪（DI）法评估近期有腰痛（LBP）病史患者胸腰椎活动范围（ROM）和关节位置觉（JPS）的可靠性。二十名在过去三个月内有LBP病史的患者参与了研究。通过使用DI法和卷尺法从站立位检查胸腰椎ROM和JPS。结果发现，对于胸腰椎JPS的评估，DI法的评估者内信度为中度到良好（组内相关系数ICC = 0.68 - 0.79，标准误SEM = 2.20 - 2.77°，最小可检测差值SDD = 6.09 - 7.67°），评估者间信度为中度（ICC = 0.59 - 0.62，SEM = 2.96 - 3.35°，SDD = 8.19 - 9.27°），重测信度较差（ICC = 0.13 - 0.17，SEM = 3.98 - 4.32°，SDD = 11.02 - 11.96°）。对于胸腰椎ROM的评估，DI法的评估者内信度为良好到优秀（ICC = 0.88 - 0.94，SEM = 4.25 - 6.20°，SDD = 11.77 - 17.17°），评估者间信度为优秀（ICC = 0.90 - 0.91，SEM = 7.26 - 7.74°，SDD = 20.11 - 21.43°），重测信度为优秀（ICC = 0.91 - 0.93，SEM = 6.03 - 6.87°，SDD = 16.70 - 19.02°）。对于胸腰椎JPS的评估，发现DI法与卷尺法的同时效度非常弱（r = 0.02，P = 0.93），而对于胸腰椎ROM的评估则很强（r = 0.66，P = 0.001）。DI法似乎是评估近期有LBP病史个体胸腰椎ROM的一种非常可靠的方法。
