Fidedignidade nas medidas derivadas do método de palpação de um software para avaliação postural: a experiência clínica importa?

Almeida, Isabella da Silva; Barreto, Larissa Pitanga; Andrade, Letícia de Souza; Sousa, Caio Victor; Mota, Yomara Lima

doi:10.5007/1980-0037.2018v20n6p515

Cited by 4 publications

(2 citation statements)

References 18 publications

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“…The observation of anatomical points is a commonly used method, easily applicable to any ergonomic or clinical study where the qualitative assessment of static posture is the main objective. This technique allows the mapping of postural deviations in various degrees and levels of severity [28,29].…”

Section: Plos Onementioning

confidence: 99%

Intra and inter-rater reproducibility of the Remote Static Posture Assessment (ARPE) protocol’s Postural Checklist

Pilling,

Candotti,

Silva

et al. 2024

PLoS ONE

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With the enforcement of social distancing due to the pandemic, a need to conduct postural assessments through remote care arose. So, this study aimed to assess the intra- and inter-rater reproducibility of the Remote Static Posture Assessment (ARPE) protocol’s Postural Checklist. The study involved 51 participants, with the postural assessment conducted by two researchers. For intra-rater reproducibility assessment, one rater administered the ARPE protocol twice, with an interval of 7–days between assessments (test–retest). A second independent rater assessed inter-rater reproducibility. Kappa statistics (k) and percentage agreement (%C) were used, with a significance level of 0.05. The intra-rater reproducibility analysis indicated high reliability, k values varied from 0.921 to 1.0, with %C ranging from 94% to 100% for all items on the ARPE protocol’s Postural Checklist. Inter-rater reproducibility indicates reliability ranging from slight to good, k values exceeded 0.4 for the entire checklist, except for four items: waists in the frontal photograph (k = 0.353), scapulae in the rear photograph (k = 0.310), popliteal line of the knees in the rear photograph (k = 0.270), and foot posture in the rear photograph (k = 0.271). Nonetheless, %C surpassed 50% for all but the scapulae item (%C = 47%). The ARPE protocol’s Postural Checklist is reproducible and can be administered by the same or different raters for static posture assessment. However, when used by distinct raters, the items waists (front of the frontal plane), scapulae, popliteal line of the knees, and feet (rear of the frontal plane) should not be considered.

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Section: Plos Onementioning

confidence: 99%

Intra and inter-rater reproducibility of the Remote Static Posture Assessment (ARPE) protocol’s Postural Checklist

Pilling,

Candotti,

Silva

et al. 2024

PLoS ONE

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“…Fundamenta-se na digitação de pontos espacialmente definidos, que possibilita funções diversas tais como a calibração da imagem, utilização de zoom, medição de distâncias e de ângulos corporais para avaliação postural, além de marcação de livres pontos, sendo este último, utilizado neste estudo para definição das distâncias entre a cabeça do úmero e a EIAS, EIAS e a TAT, TAT e o maléolo medial. Essas distâncias foram avaliadas ipsilateralmente e bilateralmente (Almeida, et al, 2018).…”

Section: Metodologiaunclassified

Análise dos efeitos da Terapia Instrumental Quiropráxica na postura e na força dos extensores do tronco

Oliveira

Monte

Ferreira

et al. 2021

RSD

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Objetivo: Avaliar os efeitos da Terapia Instrumental Quiropráxica na postura e na forma dos músculos extensores do tronco. Metodologia: É um estudo do tipo quase-experimental de corte transversal, com uma amostra de 31 indivíduos. Foi realizada uma anamnese, em seguida a fotogrametria digital e dinamometria lombar, ambas realizadas antes e após o tratamento com a Terapia Instrumental Quiropráxica. Para análise das variáveis, foi aplicado o teste de Wilcoxon. Todas as conclusões foram baseadas em um intervalo de confiança de 95% e p <0,05. Resultados: Pode-se observar que, em relação aos dados gerais, a média de idade é de 22.10 anos e a prevalência é do gênero feminino em 71%. Quanto à avaliação dinamométrica, houve um aumento de força estatisticamente significante após a intervenção (p=0.000). Já na avaliação postural, não houve resultados estatisticamente significantes, porém, apresentou uma resposta qualitativa sugerindo assim um alinhamento postural dos voluntários. Conclusão: A utilização da Terapia Instrumental Quiropráxica apresentou efeitos benéficos em relação a força da musculatura extensora do tronco, e, influenciou positivamente na auto percepção da melhora da postura corporal. Sugere-se novas pesquisas sobre o uso desta técnica para maiores evidências.

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Reliability of anthropometric landmarks on body surface for estimating pelvic incidence without lateral X-ray

Yamada

Ebara

Uehara

et al. 2021

EOH-P

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Objectives: Increasing attention has been paid to pelvic incidence (PI) as a potential parameter related to low back pain. However, little knowledge exists regarding potential anthropometric landmarks specialized for the estimation of PI. This study aimed to examine the inter-and intra-examiner reliability of potential anthropometric landmarks applicable to estimate PI. Methods: Twenty healthcare workers were recruited as participants. Three were experienced physiotherapists for more than 5 years in clinical practice. Eight anatomical landmarks were selected: (1) the acromion, (2) the upper edge of the iliac crest, (3) the posterior superior iliac spine (PSIS), ( 4) the anterior superior iliac spine (ASIS), ( 5) the upper edge of the greater trochanter, (6) the coccyx, (7) the lateral joint space of the knee, and (8) the lateral malleolus. Photographs of the right-side view of the subjects were used to determine the twodimensional (x, y) coordinates of the landmarks. Results: Most landmark measurements reached acceptable levels for intra-examiner (ICC 1 , 0.64 to 0.98) and inter-examiner reliability (ICC 3 , 0.71 to 0.97). However, as possible anatomical landmarks, the PSIS (ICC 1 0.65, ICC 3 0.48), acromion (ICC 3 0.66), and coccyx (ICC 1 0.64) tended to have relatively low ICCs. Conclusions: Our study suggests that potential anthropometric landmarks on the body surface examined on palpation have acceptable intra-and inter-examiner reliability; however, identifying the acromion, PSIS, and coccyx as anatomical landmarks using the measurement method in this study remain difficult to be considered reliable.

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Fidedignidade nas medidas derivadas do método de palpação de um software para avaliação postural: a experiência clínica importa?

Cited by 4 publications

References 18 publications

Intra and inter-rater reproducibility of the Remote Static Posture Assessment (ARPE) protocol’s Postural Checklist

Intra and inter-rater reproducibility of the Remote Static Posture Assessment (ARPE) protocol’s Postural Checklist

Análise dos efeitos da Terapia Instrumental Quiropráxica na postura e na força dos extensores do tronco

Reliability of anthropometric landmarks on body surface for estimating pelvic incidence without lateral X-ray

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