The validity of clinical examination in adolescent spinal deformities

C. Grosso; S. Negrini; A. Boniolo; A. Negrini

doi:10.3233/978-1-60750-935-6-123

The validity of clinical examination in adolescent spinal deformities

C. Grosso, S. Negrini, A. Boniolo, A. Negrini

Fondazione Don Carlo Gnocchi Onlus

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Abstract

Study Design: retrospective study on the accuracy and reliability of two clinical tests for scoliosis in young patients. Aim: to evaluate the inter-observer reliability of three non-invasive clinical measurements: hump height (HH), axial trunk rotation (ATR), and distance of the spinous process from the plumb line (DP) in standing; to compare these results with the corresponding radiographic measurements, the Cobb angles (CA). Population: 116 patients, 78 females and 38 males; 410 examinations have been performed (144 patients with brace and 266 without). Methods: a database was created using the measurements of different clinical parameters obtained from two examiners that measured them independently and in the same conditions. The Cobb method has been used as a gold standard. Results: our results show a very high inter-rater reliability for HH and ATR measurements. The DP shows a different inter-rater reliability for the thoracic (C7) and lumbar (L3) spine, in both cases lower than that in the frontal plane; the ICC of the thoracolumbar DP (D12) was very low. The correlation with the radiographic value was weak.

Original language	English
Title of host publication	Studies in Health Technology and Informatics
Pages	123-125
Number of pages	3
Volume	91
DOIs	https://doi.org/10.3233/978-1-60750-935-6-123
Publication status	Published - 2002
Event	4th Meeting of the International Research Society of Spinal Deformities, IRSSD 2002 - Athens, Greece Duration: May 24 2002 → May 27 2002

Other

Other	4th Meeting of the International Research Society of Spinal Deformities, IRSSD 2002
Country	Greece
City	Athens
Period	5/24/02 → 5/27/02

ASJC Scopus subject areas

Biomedical Engineering
Health Informatics
Health Information Management

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Grosso, C., Negrini, S., Boniolo, A., & Negrini, A. (2002). The validity of clinical examination in adolescent spinal deformities. In Studies in Health Technology and Informatics (Vol. 91, pp. 123-125) https://doi.org/10.3233/978-1-60750-935-6-123

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abstract = "Study Design: retrospective study on the accuracy and reliability of two clinical tests for scoliosis in young patients. Aim: to evaluate the inter-observer reliability of three non-invasive clinical measurements: hump height (HH), axial trunk rotation (ATR), and distance of the spinous process from the plumb line (DP) in standing; to compare these results with the corresponding radiographic measurements, the Cobb angles (CA). Population: 116 patients, 78 females and 38 males; 410 examinations have been performed (144 patients with brace and 266 without). Methods: a database was created using the measurements of different clinical parameters obtained from two examiners that measured them independently and in the same conditions. The Cobb method has been used as a gold standard. Results: our results show a very high inter-rater reliability for HH and ATR measurements. The DP shows a different inter-rater reliability for the thoracic (C7) and lumbar (L3) spine, in both cases lower than that in the frontal plane; the ICC of the thoracolumbar DP (D12) was very low. The correlation with the radiographic value was weak.",

author = "C. Grosso and S. Negrini and A. Boniolo and A. Negrini",

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AU - Boniolo, A.

AU - Negrini, A.

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N2 - Study Design: retrospective study on the accuracy and reliability of two clinical tests for scoliosis in young patients. Aim: to evaluate the inter-observer reliability of three non-invasive clinical measurements: hump height (HH), axial trunk rotation (ATR), and distance of the spinous process from the plumb line (DP) in standing; to compare these results with the corresponding radiographic measurements, the Cobb angles (CA). Population: 116 patients, 78 females and 38 males; 410 examinations have been performed (144 patients with brace and 266 without). Methods: a database was created using the measurements of different clinical parameters obtained from two examiners that measured them independently and in the same conditions. The Cobb method has been used as a gold standard. Results: our results show a very high inter-rater reliability for HH and ATR measurements. The DP shows a different inter-rater reliability for the thoracic (C7) and lumbar (L3) spine, in both cases lower than that in the frontal plane; the ICC of the thoracolumbar DP (D12) was very low. The correlation with the radiographic value was weak.

AB - Study Design: retrospective study on the accuracy and reliability of two clinical tests for scoliosis in young patients. Aim: to evaluate the inter-observer reliability of three non-invasive clinical measurements: hump height (HH), axial trunk rotation (ATR), and distance of the spinous process from the plumb line (DP) in standing; to compare these results with the corresponding radiographic measurements, the Cobb angles (CA). Population: 116 patients, 78 females and 38 males; 410 examinations have been performed (144 patients with brace and 266 without). Methods: a database was created using the measurements of different clinical parameters obtained from two examiners that measured them independently and in the same conditions. The Cobb method has been used as a gold standard. Results: our results show a very high inter-rater reliability for HH and ATR measurements. The DP shows a different inter-rater reliability for the thoracic (C7) and lumbar (L3) spine, in both cases lower than that in the frontal plane; the ICC of the thoracolumbar DP (D12) was very low. The correlation with the radiographic value was weak.

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