Reliability of the Modified-Modified Schöber and Double Inclinometer Methods for Measuring Lumbar Flexion and Extension

Williams, Renee; Binkley, Jill; Bloch, René; Goldsmith, Charles H.; Minuk, Terry

doi:10.1093/ptj/73.1.26

Cited by 140 publications

(93 citation statements)

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“…Neck flexion range of motion was measured using a cervical range of movement device. Trunk extension flexibility was assessed by the modified-modified Schöber test 25) . Neck flexor endurance was assessed according to the procedure described by Harris et al (2005) 26) .…”

Section: Physical Examinationmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study: Rattaporn Sihawong, et al. Faculty of Allied Health Sciences, Chulalongkorn University, Thailand Objective All occupations expose workers to varied and unique conditions. The nature of work has been recognized as influencing the health of workers. Whether predictors for chronic neck and low back pain would be occupation‐specific is unknown. This study aimed to identify predictors for chronic neck and low back pain in a cohort of office workers. Methods A prospective study was carried out among 669 healthy office workers. At baseline, risk factors were assessed using a questionnaire and standardized physical examination. A symptomatic case was defined as an individual who reported pain greater than 30 mm on a 100‐mm VAS, and chronic pain was defined as experiencing ongoing neck or low back pain for greater than 3 months over the past 6 months. Two regression models were built to analyze the risk factors for developing chronic neck and low back pain. Results Of the sample, 17 and 27% of office workers who reported a new onset of neck or low back pain developed chronicity, respectively. Predictors for chronic neck pain were high body mass index, frequent neck extension during the work day, high initial pain intensity, and high psychological job demands. The development of chronic low back pain was associated with history of low back pain and high initial pain intensity. Conclusions The findings suggest that predictors for chronic musculoskeletal pain in a subpopulation may be a subset of predictors identified in a general population or occupation specific. Successful management to prevent chronic musculoskeletal pain may also need to consider the patient's occupation.

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Section: Physical Examinationmentioning

confidence: 99%

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Sihawong

Sitthipornvorakul

Paksaichol

et al. 2016

Journal of Occupational Health

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“…For the examination of spinal mobility and back surface reconstruction by means of inclinometers, there exist satisfying reliability studies [11][12][13][14]. But for raster stereography, there is still a lack of reliability studies that are covering all parameters offered for a three-dimensional spinal form analysis.…”

Section: Introductionmentioning

confidence: 99%

Video raster stereography back shape reconstruction: a reliability study for sagittal, frontal, and transversal plane parameters

2014

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Purpose As reliability of raster stereography was proved only for sagittal plane parameters with repeated measures on the same day, the present study was aiming at investigating variability and reliability of back shape reconstruction for all dimensions (sagittal, frontal, transversal) and for different intervals. Methods For a sample of 20 healthy volunteers, intraindividual variability (SEM and CV %) and reliability (ICC ± 95 % CI) were proved for sagittal (thoracic kyphosis, lumbar lordosis, pelvis tilt angle, and trunk inclination), frontal (pelvis torsion, pelvis and trunk imbalance, vertebral side deviation, and scoliosis angle), transversal (vertebral rotation), and functional (hyperextension) spine shape reconstruction parameters for different test-retest intervals (on the same day, between-day, between-week) by means of video raster stereography. Results Reliability was high for the sagittal plane (pelvis tilt, kyphosis and lordosis angle, and trunk inclination: ICC [ 0.90), and good to high for lumbar mobility (0.86 \ ICC \ 0.97). Apart from sagittal plane spinal alignment, there was a lack of certainty for a high reproducibility indicated by wider ICC confidence intervals. So, reliability was fair to high for vertebral side deviation and the scoliosis angle (0.71 \ ICC \ 0.95), and poor to good for vertebral rotation values as well as for frontal plane upper body and pelvis position parameters (0.65 \ ICC \ 0.92). Coefficients for the between-day and between-week interval were a little lower than for repeated measures on the same day. Variability (SEM) was less than 1.5°or 1.5 mm, except for trunk inclination. Relative variability (CV) was greater in global trunk position and pelvis parameters (35-98 %) than in scoliosis (14-20 %) or sagittal sway parameters (4-8 %). Conclusions Although we found a lower reproducibility for the frontal plane, raster stereography is considered to be a reliable method for the non-invasive, three-dimensional assessment of spinal alignment in normal non-scoliotic individuals in the sagittal plane and partly for scoliosis parameters, which fulfils scientific as well as practical recommendations for spine shape screening and monitoring, but cross-sectional or follow-up effect analyses should take into account the degree of reliability differing in various spine shape parameters. Further investigations should be conducted to analyse reliability in scoliosis patients with differing spinal deformities.

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“…More clinically friendly, inexpensive techniques include goniometers [16,[18][19][20][21], inclinometers [17,[22][23][24][25][26][27] and flexicurves [28][29][30][31]. Goniometers and inclinometers are secured or held directly over previously palpated vertebrae, producing a measure that is limited to a single thoracic, lumbar, or sacral region of the spine [16,17,19,22,25].…”

Section: Introductionmentioning

confidence: 99%

Preliminary study: reliability of the spinal wheel. A novel device to measure spinal postures applied to sitting and standing

et al. 2009

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Postural re-education is an integral part of physiotherapy management in patients with back pain. Although the link between posture and back pain is largely unknown, postural re-education is performed on the premise of optimizing spinal alignment to minimize stresses on the passive structures of the spine, to facilitate optimal muscular support and thus to prevent possible damage and further pain. A reliable and clinically meaningful measurement of spinal postures to monitor such interventions remains challenging. This study evaluated within-day (intra-tester, inter-tester) and between-day (test-retest) reliability of a novel spinal wheel device measuring thoracic and lumbar postures during sitting and standing. 17 healthy volunteers (age 39.5 ± 5.4, BMI 25 ± 9.2; 9 males) were measured three times, by three testers, on two separate occasions (1 week apart). The angular change between C7 and T12 and between T12 and S1 provided thoracic and lumbar curvatures, respectively. Intra-class correlation coefficient (ICC) with 95% confidence intervals and typical error were calculated. Excellent reliability was demonstrated with intra-tester ICCs between 0.947 and 0.980 and typical error between 1.7°and 3.7°and intertester ICCs between 0.949 and 0.986 and typical error between 2.0°and 4.7°. Test-retest reliability was high with ICCs 0.719-0.908 and typical error between 4.0°and 7.4°. In conclusion, the spinal wheel demonstrated excellent within-day and high between-day reliability. The device may be used in conjunction with 2D camcorder to provide clinically useful visual evaluation of postures for assessment, intervention monitoring, and feedback during postural re-education.

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Reliability of the Modified-Modified Schöber and Double Inclinometer Methods for Measuring Lumbar Flexion and Extension

Cited by 140 publications

References 0 publications

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Predictors for chronic neck and low back pain in office workers: a 1‐year prospective cohort study

Video raster stereography back shape reconstruction: a reliability study for sagittal, frontal, and transversal plane parameters

Preliminary study: reliability of the spinal wheel. A novel device to measure spinal postures applied to sitting and standing

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