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无名骨倾斜度测量的测试者内及测试者间信度与效度

Intratester and intertester reliability and validity of measures of innominate bone inclination.

作者信息

Crowell R D, Cummings G S, Walker J R, Tillman L J

机构信息

Department of Physical Therapy, College of St. Scholastica, Duluth, MN 55811.

出版信息

J Orthop Sports Phys Ther. 1994 Aug;20(2):88-97. doi: 10.2519/jospt.1994.20.2.88.

Abstract

Determination of innominate bone inclination in standing is frequently assessed in postural analysis of subjects. Currently, no goniometer for objective assessment of innominate bone inclination in standing is commercially available. The purpose of this study was to determine the intratester and intertester reliability and validity of measures taken with a pelvic inclinometer. The intraclass correlation coefficient (ICC) for repeated measures of the pelvic inclinometer fixed to a mechanical model was 0.99. The intertester reliability of using the hand-held pelvic inclinometer to determine inclination on a mechanical model was ICC = 0.99. In measures of 20 male subjects by three testers, the ICC for intertester reliability was 0.95 and the range of ICCs for intratester measures was 0.92-0.96. Measures by the inclinometer had a high degree of reliability compared with the criterion roentgenographic measure, ICC = 0.93. Measurement of the inclination of both left and right innominate bones of a subject required only 2 minutes, indicating clinical applicability.

摘要

在对受试者进行姿势分析时,经常会评估站立位时无名骨的倾斜度。目前,市面上没有可用于客观评估站立位无名骨倾斜度的测角仪。本研究的目的是确定使用骨盆倾角仪测量的测试者内和测试者间的可靠性及有效性。固定在机械模型上的骨盆倾角仪重复测量的组内相关系数(ICC)为0.99。使用手持式骨盆倾角仪在机械模型上确定倾斜度的测试者间可靠性的ICC为0.99。在由三名测试者对20名男性受试者进行测量时,测试者间可靠性的ICC为0.95,测试者内测量的ICC范围为0.92 - 0.96。与标准X线测量相比,倾角仪测量具有高度可靠性,ICC = 0.93。测量一名受试者左右无名骨的倾斜度仅需2分钟,表明其具有临床适用性。

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