ÖZNUR BÜYÜKTURAN, BUKET BÜYÜKTURAN, MEHMET YETİŞ, Aysu YETİŞ

Yaşlı bireylerde cilt yüzeyi üzerinden torasikkifoz ve lumballordoz açılarının değerlendirilmesi: Spinal Mouse geçerliliği ve güvenilirliği

Amaç: Bu çalışma, sağlıklı yaşlı bireylerde, eksternal ve non-invaziv olarak spinal hareketliliği değerlendiren spinalmouse (SM) cihazının, geçerliliğini ve güvenilirliğini test etmek amacıyla yapılmıştır. Öz Yöntemler: Ayakta durma esnasında, hem SM cihazıyla, hem de Cobb açısı yöntemiyle radyolojik olarak olguların torakalkifoz ve lumballordoz eğrilikleri değerlendirilmiştir. SM cihazı ile üç farklı araştırmacı tarafından ölçüm yapılmıştır. Kullanıcı-içi ve kullanıcılar arası geçerlilik ve güvenilirlik için sınıf içi korelasyon katsayısı (SKK) ve standart hata ölçüm (SHÖ) yöntemi kullanılmıştır.Bulgular: Çalışmaya yaş ortalaması 68,12±2,67 yıl olan 46 yaşlı birey (29 kadın, 17 erkek) dahil edilmiştir. Kullanıcılar arası SKK 0,80-0,89 ve kullanıcı-içi SKK 0,88-0,91 arasında bulunmuştur. SM ile yapılan tüm ölçümlerde SHÖ değeri 2,01° ile 4,26° arasında tespit edilmiştir. Ayrıca tüm araştırmacıların SM ile ölçtüğü spinal eğrilik dereceleri ile, radyolojik olarak ölçülen spinal eğrilik dereceleri arasında anlamlı korelasyon bulunmuştur (p

Assessment of thoracic kyphosis and lumbar lordosis on skin-surface in older adults: Spinal Mouse validity and reliability

Objective: This study was conducted to test the reliability and validity of spinal mouse (SM) device evaluating spinal mobility external and non-invasively in healthy older adults. Methods: In uprigth position, the thoracic kyphosis and lumbar lordosis curvatures of the cases were assessed both with the SM device and radiologically by the Cobb angle method. The assesment were made by three different researchers with SM device. Intraclass correlation coefficients (ICC) and standard errors of measurement (SEM) were used to investigate intrarater and interrater validity and reliability. Results: Fourty-six older adult individuals (29 females, 17 males) with a mean age of 68,12 ± 2,67 years were included in the study. The interrater ICC ranged from 0.80 to 0.89, and intrarater ICC ranged from 0.88 to 0.91 were found. The SEM value was detected to be between 2,01° and 4,26° in all measurements with SM. In addition, significant correlation was found between the spinal curvature degrees measured by all researchers with SM and the radiologically measured spinal curvature degrees (p

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Ripani M, Di Cesare A, Giombini A, et al. Spinal curvature: comparison of frontal measurements with the Spinal Mouse and radiographic assessment. J Sports Med Phys Fitness. 2008; 48:488–94.
Brenner DJ, Hall EJ. Computed Tomography-An Increasing Source of Radiation Exposure. N Engl J Med. 2007; 357:2277-84
Vanasse A, Dagenais P, Niyonsenga T, et al. Bone mineral density measurement and osteoporosis treatment after a fragility fracture in older adults: regional variation and determinants of use in Quebec. BMC Musculoskelet Disord. 2005; 6:33.
Barrett E, McCreesh K, Lewis J. Reliability and validity of non-radiographic methods of thoracic kyphosis measurement: a systematic review. Man Ther. 2014: 19:10-7.
Shih RA, Glass TA, Bandeen-Roche K, et al. Environmental lead exposure and cognitive function in community-dwelling older adults. Neurology. 2006; 67:1556-62.
de Gonzalez AB, Darby S. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. The Lancet. 2004; 363(9406):345-51.
Winter RB, Lonstein JE, Denis F. Sagittal spinal alignment: the true measurement, norms, and description of correction for thoracic kyphosis. J Spinal Disord Tech. 2009; 22:311-4.
Lee CS, Chung SS, Kang KC, Park SJ, Shin SK. Normal patterns of sagittal alignment of the spine in young adults radiological analysis in a Korean population. Spine. 2011; 36:1648-54.
Aktürk Z, Acemoğlu H. Tıbbi araştırmalarda güvenilirlik ve geçerlilik. Dicle Tıp Derg. 2012; 39:316-9.
Fortin C, Ehrmann Feldman D, Cheriet F, Labelle H. Clinical methods for quantifying body segment posture: a literature review. Disabil Rehabil. 2011; 33:367-83.
Livanelioglu A, Kaya F, Nabiyev V, Demirkiran G, Fırat T. The validity and reliability of “Spinal Mouse” assessment of spinal curvatures in the frontal plane in pediatric adolescent idiopathic thoraco-lumbar curves. Eur Spine J. 2016; 25:476-82.
Topalidou A, Tzagarakis G, Souvatzis X, Kontakis G, Katonis P. Evaluation of the reliability of a new non-invasive method for assessing the functionality and mobility of the spine. Acta Bioeng Biomech. 2014; 16:117-24.
Harrison DE, Harrison DD, Cailliet R, Janik TJ, Holland B. Radiographic analysis of lumbar lordosis: centroid, Cobb, TRALL, and Harrison posterior tangent methods. Spine. 2001; 26:235-42.
Briggs AM, Wrigley TV, Tully EA, et al. Radiographic measures of thoracic kyphosis in osteoporosis: Cobb and vertebral centroid angles. Skeletal Radiol. 2007; 36:761-7.
Kellis E, Adamou G, Tzilios G, Emmanouilidou M. Reliability of spinal range of motion in healthy boys using a skin-surface device. J Manipulative Physiol Ther. 2008; 31:570-6.
Kanasi E, Ayilavarapu S, Jones J. The aging population: demographics and the biology of aging. Periodontol 2000. 2016; 72:13-8.
Mannion AF, Knecht K, Balaban G, et al. A new skin-surface device for measuring the curvature and global and segmental ranges of motion of the spine: reliability of measurements and comparison with data reviewed from the literature. Eur Spine J. 2004; 13:122-36.
Kachingwe AF, Phillips BJ. Inter- and intrarater reliability of a back range of motion instrument. Arch Phys Med Rehabil. 2005; 86:2347-53.
Morin Doody M, Lonstein JE, Stovall M, et al. Breast cancer mortality after diagnostic radiography: findings from the US Scoliosis Cohort Study. Spine. 2000; 25:2052-63.
Kasukawa Y, Miyakoshi N, Hongo M, et al. Relationships between falls, spinal curvature, spinal mobility and back extensor strength in elderly people. J Bone Miner Metab. 2010; 28:82-7.
Imagama S, Hasegawa Y, Matsuyama Y, et al. Influence of sagittal balance and physical ability associated with exercise on quality of life in middle-aged and elderly people. Arch Osteoporos. 2011; 6:13-20.
Ramiro S, van Tubergen A, Stolwijk C, van der Heijde D, Royston P, Landewé R. Reference intervals of spinal mobility measures in normal individuals: the MOBILITY study. Ann Rheum Dis. 2015; 74:1218-24.
Kuo YL, Tully EA, Galea MP. Sagittal spinal posture after Pilates-based exercise in healthy older adults. Spine. 2009; 34:1046-51.
Kuo YL, Tully EA, Galea MP. Video analysis of sagittal spinal posture in healthy young and older adults. J Manipulative Physiol Ther. 2009; 32:210-5.
Hedden T, Gabrieli JD. Insights into the ageing mind: a view from cognitive neuroscience. Nat Rev Neurosci. 2004; 5:87-96
Hughes VA, Frontera WR, Wood M, et al. Longitudinal muscle strength changes in older adults: influence of muscle mass, physical activity, and health. J Gerontol A Biol Sci Med Sci. 2001; 56:209-17.