La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Fisioterapia e Pesquisa |
Texto Completo: | https://www.revistas.usp.br/fpusp/article/view/168326 |
Resumo: | | Scoliosis is defined as a deformity with lateral deviation of the spine in the coronal plane, torsion of the spine and trunk, and disturbances in the sagittal profile. This postural alteration is evaluated by anteroposterior incidence radiography using the Cobb method. The objective of this study was to verify the influence of evaluator experience on inter- and intra-rater reliability of the Cobb angle of scoliosis curvatures in children. In total, 39 patients aged 7 to 18 years with idiopathic scoliosis were included in this study. The exams were evaluated by two physical therapists, a chiropractor and a physical therapy student. Each evaluator rated each exam twice and the second evaluation occurred after seven days, characterizing the intra-rater reliability. Furthermore, the first evaluations provided the inter-rater reliability. Statistical analysis was performed with intraclass correlation coefficient (ICC), Bland-Altman analysis, descriptive analysis of mean absolute deviation, standard error of measurement, and minimum detectable chance. Correlations ranged from good (ICC>0.5) for intra-rater reliability among professionals to weak (ICC=0.4) for the inexperienced evaluator. The inter-rater reliability of the professional’s evaluations was good (ICC=0.6) and the same analysis with the presence of an inexperienced evaluator was weak (ICC=0.3). Evaluations among professionals showed less variability of measurements and standard deviation values compared to the inexperienced evaluator. The measurement of the angles of the scoliosis through the Cobb method carried out by experienced professionals showed better agreement as well as intra- and inter-rater reliability, lower standard deviation, and variability among the measurements. |
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La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de CobbThe importance of clinical experience for the measurement of scoliosis curve in children by Cobb techniqueImportância da experiência clínica para a mensuração da curva escoliótica de crianças pela técnica de CobbSpineX-RaysReproducibility of ResultsColumna VertebralRayos XReproducibilidad de los ResultadosColuna VertebralRaios XReprodutibilidade dos Testes| Scoliosis is defined as a deformity with lateral deviation of the spine in the coronal plane, torsion of the spine and trunk, and disturbances in the sagittal profile. This postural alteration is evaluated by anteroposterior incidence radiography using the Cobb method. The objective of this study was to verify the influence of evaluator experience on inter- and intra-rater reliability of the Cobb angle of scoliosis curvatures in children. In total, 39 patients aged 7 to 18 years with idiopathic scoliosis were included in this study. The exams were evaluated by two physical therapists, a chiropractor and a physical therapy student. Each evaluator rated each exam twice and the second evaluation occurred after seven days, characterizing the intra-rater reliability. Furthermore, the first evaluations provided the inter-rater reliability. Statistical analysis was performed with intraclass correlation coefficient (ICC), Bland-Altman analysis, descriptive analysis of mean absolute deviation, standard error of measurement, and minimum detectable chance. Correlations ranged from good (ICC>0.5) for intra-rater reliability among professionals to weak (ICC=0.4) for the inexperienced evaluator. The inter-rater reliability of the professional’s evaluations was good (ICC=0.6) and the same analysis with the presence of an inexperienced evaluator was weak (ICC=0.3). Evaluations among professionals showed less variability of measurements and standard deviation values compared to the inexperienced evaluator. The measurement of the angles of the scoliosis through the Cobb method carried out by experienced professionals showed better agreement as well as intra- and inter-rater reliability, lower standard deviation, and variability among the measurements.La escoliosis se define como una alteración con curvatura lateral de la columna vertebral en el plano coronal, torsión de la columna vertebral y del tronco y trastorno en el perfil sagital. Esta alteración postural se evalúa mediante radiografía anteroposterior, utilizando el método de Cobb. El presente estudio tiene como objetivo verificar la influencia de la experiencia del evaluador para la fiabilidad intraexaminador e interexaminador del ángulo de Cobb en las curvaturas escolióticas de los niños. El estudio incluyó a 39 niños con escoliosis idiopática entre 7 y 18 años de edad. Los exámenes fueron evaluados por dos fisioterapeutas, un quiropráctico y un estudiante de fisioterapia, siendo que cada uno evaluó cada examen dos veces. Tras siete días, ocurrió una segunda evaluación para la fiabilidad intraexaminador. Además, las primeras evaluaciones proporcionaron datos para la fiabilidad interexaminador. El análisis estadístico se realizó con el coeficiente de correlación intraclase (ICC), con el análisis de Bland y Altman y con el análisis descriptivo de la desviación media absoluta, del error estándar de medición y del cambio mínimo detectable. Se observó una alta fiabilidad (ICC>0,5) en los análisis intraexaminadores entre los profesionales, y una baja fiabilidad (ICC=0,4) en los de evaluadores inexpertos. La fiabilidad interexaminador de los profesionales fue buena (ICC=0,6), y la presencia del evaluador inexperto fue baja (ICC=0,3). Las evaluaciones entre los profesionales mostraron una menor variabilidad de las medidas y valores de desviación estándar en comparación con los del evaluador inexperto. La medición de los ángulos de escoliosis utilizando el método de Cobb que había sido realizada por profesionales con experiencia mostró mejores índices de concordancia y fiabilidad intra e interexaminadores y una menor desviación estándar y variabilidad entre las mediciones.A escoliose é definida como uma deformidade com desvio lateral da coluna no plano coronal, torsão da coluna e do tronco e distúrbio no perfil sagital. Essa alteração postural é avaliada por meio de radiografia de incidência anteroposterior, utilizando-se o método de Cobb. O objetivo do estudo é verificar a influência da experiência do avaliador sobre a confiabilidade intraexaminador e interexaminador do ângulo Cobb em curvaturas escolióticas de crianças. Foram incluídas na pesquisa 39 crianças portadoras de escoliose idiopática, com idade entre 7 e 18 anos. Os exames foram avaliados por dois fisioterapeutas, um quiropraxista e um estudante de fisioterapia – cada um avaliando duas vezes cada exame. A segunda avaliação ocorreu após sete dias, para confiabilidade intraexaminador. Ademais, as primeiras avaliações forneceram dados para confiabilidade interexaminador. A análise estatística foi realizada com coeficiente de correlação intraclasse (CCI), análise de Bland e Altman e análise descritiva do desvio absoluto médio, erro-padrão de medição e mínima mudança detectável. Observou-se boa confiabilidade (CCI>0,5) para as análises intraexaminadores entre os profissionais, e confiabilidade fraca (CCI=0,4) para o avaliador inexperiente. A confiabilidade interexaminador dos profissionais foi boa (CCI=0,6), e com a presença do avaliador inexperiente foi fraca (CCI=0,3). As avaliações entre os profissionais apresentaram menor variabilidade das medidas e valores de desvio-padrão quando comparadas com as do avaliador inexperiente. A mensuração dos ângulos da escoliose por meio do método de Cobb realizada por profissionais experientes apresentou melhores índices de concordância e de confiabilidade intra e interexaminadores e menor desvio-padrão e variabilidade entre as medidas.Universidade de São Paulo. Faculdade de Medicina2019-03-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/fpusp/article/view/16832610.1590/1809-2950/18001826032019Fisioterapia e Pesquisa; Vol. 26 No. 3 (2019); 241-246Fisioterapia e Pesquisa; Vol. 26 Núm. 3 (2019); 241-246Fisioterapia e Pesquisa; v. 26 n. 3 (2019); 241-2462316-91171809-2950reponame:Fisioterapia e Pesquisainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/fpusp/article/view/168326/160094https://www.revistas.usp.br/fpusp/article/view/168326/160095Copyright (c) 2019 Fisioterapia e Pesquisahttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessMarchetti, Bárbara VendraminiRaupp, EduardoSedrez, Juliana AdamiRibeiro, Rafael PaivaCandotti, Cláudia Tarragô2023-05-26T13:25:11Zoai:revistas.usp.br:article/168326Revistahttp://www.revistas.usp.br/fpuspPUBhttps://www.revistas.usp.br/fpusp/oai||revfisio@usp.br2316-91171809-2950opendoar:2023-05-26T13:25:11Fisioterapia e Pesquisa - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb The importance of clinical experience for the measurement of scoliosis curve in children by Cobb technique Importância da experiência clínica para a mensuração da curva escoliótica de crianças pela técnica de Cobb |
title |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb |
spellingShingle |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb Marchetti, Bárbara Vendramini Spine X-Rays Reproducibility of Results Columna Vertebral Rayos X Reproducibilidad de los Resultados Coluna Vertebral Raios X Reprodutibilidade dos Testes |
title_short |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb |
title_full |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb |
title_fullStr |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb |
title_full_unstemmed |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb |
title_sort |
La importancia de la experiencia clínica en la medición de la curva escoliótica de niños mediante la técnica de Cobb |
author |
Marchetti, Bárbara Vendramini |
author_facet |
Marchetti, Bárbara Vendramini Raupp, Eduardo Sedrez, Juliana Adami Ribeiro, Rafael Paiva Candotti, Cláudia Tarragô |
author_role |
author |
author2 |
Raupp, Eduardo Sedrez, Juliana Adami Ribeiro, Rafael Paiva Candotti, Cláudia Tarragô |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Marchetti, Bárbara Vendramini Raupp, Eduardo Sedrez, Juliana Adami Ribeiro, Rafael Paiva Candotti, Cláudia Tarragô |
dc.subject.por.fl_str_mv |
Spine X-Rays Reproducibility of Results Columna Vertebral Rayos X Reproducibilidad de los Resultados Coluna Vertebral Raios X Reprodutibilidade dos Testes |
topic |
Spine X-Rays Reproducibility of Results Columna Vertebral Rayos X Reproducibilidad de los Resultados Coluna Vertebral Raios X Reprodutibilidade dos Testes |
description |
| Scoliosis is defined as a deformity with lateral deviation of the spine in the coronal plane, torsion of the spine and trunk, and disturbances in the sagittal profile. This postural alteration is evaluated by anteroposterior incidence radiography using the Cobb method. The objective of this study was to verify the influence of evaluator experience on inter- and intra-rater reliability of the Cobb angle of scoliosis curvatures in children. In total, 39 patients aged 7 to 18 years with idiopathic scoliosis were included in this study. The exams were evaluated by two physical therapists, a chiropractor and a physical therapy student. Each evaluator rated each exam twice and the second evaluation occurred after seven days, characterizing the intra-rater reliability. Furthermore, the first evaluations provided the inter-rater reliability. Statistical analysis was performed with intraclass correlation coefficient (ICC), Bland-Altman analysis, descriptive analysis of mean absolute deviation, standard error of measurement, and minimum detectable chance. Correlations ranged from good (ICC>0.5) for intra-rater reliability among professionals to weak (ICC=0.4) for the inexperienced evaluator. The inter-rater reliability of the professional’s evaluations was good (ICC=0.6) and the same analysis with the presence of an inexperienced evaluator was weak (ICC=0.3). Evaluations among professionals showed less variability of measurements and standard deviation values compared to the inexperienced evaluator. The measurement of the angles of the scoliosis through the Cobb method carried out by experienced professionals showed better agreement as well as intra- and inter-rater reliability, lower standard deviation, and variability among the measurements. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-03-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/168326 10.1590/1809-2950/18001826032019 |
url |
https://www.revistas.usp.br/fpusp/article/view/168326 |
identifier_str_mv |
10.1590/1809-2950/18001826032019 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/fpusp/article/view/168326/160094 https://www.revistas.usp.br/fpusp/article/view/168326/160095 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Fisioterapia e Pesquisa https://creativecommons.org/licenses/by-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Fisioterapia e Pesquisa https://creativecommons.org/licenses/by-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Medicina |
dc.source.none.fl_str_mv |
Fisioterapia e Pesquisa; Vol. 26 No. 3 (2019); 241-246 Fisioterapia e Pesquisa; Vol. 26 Núm. 3 (2019); 241-246 Fisioterapia e Pesquisa; v. 26 n. 3 (2019); 241-246 2316-9117 1809-2950 reponame:Fisioterapia e Pesquisa instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Fisioterapia e Pesquisa |
collection |
Fisioterapia e Pesquisa |
repository.name.fl_str_mv |
Fisioterapia e Pesquisa - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||revfisio@usp.br |
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1787713739705810944 |