Intra- and inter-examiner reliability of head alignment assessment in sitting and standing positions

Authors

  • Jonathan Luiz Paes Instituto de Ensino Superior da Grande Florianópolis. SC. Brasil
  • Lisiane Piazza Instituto de Ensino Superior da Grande Florianópolis. SC. Brasil
  • Luciana Tormen Instituto de Ensino Superior da Grande Florianópolis. SC. Brasil
  • Thiele de Cássia Libardoni Universidade de São Paulo. Faculdade de Medicina de Ribeirão Preto. FMRPUSP. SP.Brasil
  • Tuany Pasquali Universidade do Estado de Santa Catarina (Udesc) – Florianopólis (SC), Brasil
  • Gilmar Moraes Santos Universidade do Estado de Santa Catarina (Udesc) – Florianopólis (SC), Brasil

DOI:

https://doi.org/10.1590/1809-2950/15962824012017

Keywords:

Photogrammetry, Posture, Software, Evaluation

Abstract

To verify the intra- and inter-examiner reliability of the head anteriorization and inclination angles in the front and side views in sitting and standing positions and whether or not the measurements differ from the positions used. 78 people participated, aged 23.5±5.8 years old, 63.7 ± 10.3 kg of weight, and 166.5 ± 8.2cm of height. The people were photographed in standing and sitting positions, following the protocol of Postural Assessment Evaluation Software (PAES). The horizontal head alignment was analyzed in anterior and lateral views (HHA_A; HHA_L). The vertical head alignment was analyzed in lateral view (VHA_L). Three evaluators analyzed the images, repeating the analysis seven days later. Interclass Correlation Coefficient (ICC) and paired t-test were applied with significance level of p≤0.05. From the inter-examiner reliability analysis, 3 out of the 6 evaluated angles were rated as excellent, 1 as acceptable and 1 as unacceptable. Regarding the level of intra-examiner reliability, in 10 assessments the ICC was rated as excellent, in 6 as very good, in 1 as acceptable and in 1 as unacceptable. No differences were observed between sitting and standing positions in the assessments made. The evaluations of head anteriorization and inclination angles in anterior and lateral views in sitting and standing positions were reliable when made by different examiners or by the same examiner in different days. Additionally, it was confirmed that evaluation results do not depend on the position used.

Downloads

Download data is not yet available.

References

Kendall FP, McCreary EK, Provance PG, Rodgers MM, Romani

WA. Músculos: provas e funções. 5ª ed. Barueri, SP: Manole;

528 p.

Staes FF, Jansen L, Vilette A, Coveliers Y, Daniels K, Decoster

W. Physical Therapy as a means to optimize posture and

voice parameters in student classical singers: a case report. J

Voice. 2011;25(3):91-101. doi: 10.1016/j.jvoice.2009.10.012.

Penha PJ, Casarotto RA, Sacco ICN, Marques AP, João SMA.

Qualitative postural analysis among boys and girls of seven to

tem years of age. Rev Bras Fisioter. 2008;12(15):386-91. http://

dx.doi.org/10.1590/S1413-35552008000500008.

Amantéa DV, Novaes AP, Campolongo GD, Barros TP.

A importância da avaliação postural no paciente com

disfunção da articulação temporomandibular. Acta

Ortop Bras. 2004;12(3):155-9. http://dx.doi.org/10.1590/

S1413-78522004000300004.

Lau KT, Cheung KY, Chan KB, Chan MH, Lo KY, Chiu TTW.

Relationships between sagittal postures of thoracic and

cervical spine, presence of neck pain, neck pain severity

and disability. Man Ther. 2010;15(5):457-62. doi: 10.1016/j.

math.2010.03.009.

Szeto GPY, Straker L, Raine S. A field comparison of neck

and shoulder postures in symptomatic and asymptomatic

office workers. Appl Ergon. 2002;33(1):75-84. http://doi.

org/10.1016/S0003-6870(01)00043-6.

Ferrario VF, Sforza C, Tartaglia G, Barbini E, Michielon G. New

television technique for natural head and body posture analysis.

Cranio. 1995;13(4):247-55. . New television technique for natural

head and body posture analysis. http://dx.doi.org/10.1080/088

1995.11678076.

Van Maanen CJ, Zonnenberg AJ, Elvers JW, Oostendorp RA.

Intra/interrater reliability of measurements on body posture

photographs. Cranio. 1996;14(4):326-31. Intra/interrater

reliability of measurements on body posture photographs.

http://dx.doi.org/10.1080/08869634.1996.11745985.

Souza JA, Pasinato F, Basso D, Corrêa ECR, da Silva AMT.

Biofotogrametria confiabilidade das medidas do protocolo

do software para avaliação postural (SAPO). Rev Bras

Cineantropom Desempenho Hum. 2011;13(4):299-305. http://

dx.doi.org/10.5007/1980-0037.2011v13n4p299.

Corrêa ECR, Bérzin F. Efficacy of physical therapy on

cervical muscle activity and on body posture in schoolage

mouth breathing children. J Pediatr Otorhinolaryngol.

;71(10):1527-35. DOI: 10.1016/j.ijporl.2007.05.031.

Sanchez HM, Barreto RR, Baraúna MA, Canto RST, Morais EG.

Avaliação postural de indivíduos portadores de deficiência

visual através da biofotogrametria computadorizada. Fisioter

Mov. 2008;21(2):11-20.

Portney LG, Watkins MP. Foundations of clinical research:

applications to practice. 2ª ed. New Jersey: Prentice Hall

Health; 2000. 950 p.

Miller PJ. Assessment of joint motion. In: Rothstein JM.

Measurement in Physical Therapy. New York: Churchill

Livingstone; 1985. p. 103-35.

Ferreira EAG. Postura e controle postural: desenvolvimento

e aplicação de método quantitativo de avaliação postural

[tese de doutorado]. São Paulo: Universidade de São Paulo,

Faculdade de Medicina; 2005.

SAPO. Portal do Software para Avaliação Postural [Internet].

Santo André: Laboratório de Biomecânica e Controle Motor da

Universidade Federal do ABC; 2005. [acesso em 2015 fev 28].

Disponível em: http://sapo.incubadora.fapesp.br/

Braz RG, Goes FPC, Carvalho GA. Confiabilidade e validade

de medidas angulares por meio do Software para Avaliação

Postural. Fisioter Mov. 2008;21(3):117-26.

Cook, C, Richardson JK, Braga L, Menezes A, Soler X, Kume P,

et al. Cross-cultural adaptation and validation of the Brazilian

Portuguese version of the neck disability index and neck pain

and disability scale. Spine. 2006;31(14):1621-7. DOI: 10.1097/01.

brs.0000221989.53069.16.

Vernon H, Mior S. The Neck Disability Index: a study of reliability

and validity. J Manipulative Physiol Ther. 1991;14(7):409-15.

Tavares GM. Equilíbrio e postura em deficientes visuais

[dissertação de mestrado]. Florianópolis: Universidade do

Estado de Santa Catarina, Centro de Ciências da Saúde e do

Esporte; 2010.

Silva Filho JND, Costa, MVC, Aprigio ADC, Godoi Filho JRDM,

Ferreira RA. Softwares mais utilizados na fotogrametria

para avaliação da postura corporal nos estudos e periódicos

brasileiros. Colloquium Vitae. 2015;6(1):34-42. DOI: 10.5747/

cv.2014.v06.n1.v089.

Ferreira EAG, Duarte M, Maldonado EP, Burke TN, Marques

AP. Postural assessment software (PAS/SAPO): validation and

reliability. Clinics. 2010;65(7):675-81.

Iunes DH, Castro FA, Salgado HS, Moura IC, Oliveira AS,

Bevilaqua-Grossi D. Confiabilidade intra e interexaminadores

e repetibilidade da avaliação postural pela fotogrametria. Rev

Bras Fisioter. 2005;9(3):327-34.

Dunk NM, Chung YY, Compton DS, Callaghan JP. The reliability of

quantifying upright standing postures as a baseline diagnostic

clinical tool. J Manipulative Physiol Ther. 2004;27:91-6. DOI:

1016/j.jmpt.2003.12.003.

Carneiro PR, Teles, LCS, Cunha CM, Cardoso BS. Confiabilidade

intra e interexaminador da avaliação postural da cabeça por

fotogrametria computadorizada. Fisioter Pesqui. 2014;21(3):217-

http://dx.doi.org/10.1590/1809-2950/402210114.

Published

2017-04-04

Issue

Section

Original Research

How to Cite

Intra- and inter-examiner reliability of head alignment assessment in sitting and standing positions. (2017). Fisioterapia E Pesquisa, 24(1), 29-39. https://doi.org/10.1590/1809-2950/15962824012017