Abstract:
BACKGROUND:In cerebral palsy (CP) there is an increased risk of scoliosis. It is important to identify a progressive scoliosis early-on because the results of surgery depend on the magnitude of the curve. The Swedish follow-up program for cerebral palsy (CPUP) includes clinical examinations of the spine. The reliability and validity of the assessment method have not been studied. In this study we evaluate the interrater reliability of the clinical spinal examination used in CPUP and scoliometer measurement in children with CP and we evaluate their validity compared to radiographic examination. METHODS:Twenty-eight children (6-16 years) with CP in Gross Motor Function Classification System levels II-V were included. Clinical spinal examinations and scoliometer measurements in sitting position were performed by three independent examiners. The results were compared to the Cobb angle as determined by radiographic measurement. Interrater reliability was calculated using weighted kappa. Concurrent validity was analyzed using the Cobb angle as gold standard. Sensitivity, specificity, area under receiver operating characteristic curves (AUC) and likelihood ratios (LR) were calculated. Cut-off values for scoliosis were set to ≥ 20° Cobb angle and ≥ 7° scoliometer angle. RESULTS:There was an excellent interrater reliability for both clinical examination (weighted kappa = 0.96) and scoliometer measurement (weighted kappa = 0.86). The clinical examination showed a sensitivity of 75 % (95 % CI: 19.4-99.4 %), specificity of 95.8 % (95 % CI: 78.9-99.9 %) and an AUC of 0.85 (95 % CI: 0.61-1.00). The positive LR was 18 and the negative LR was 0.3. The scoliometer measurement showed a sensitivity of 50 % (95 % CI: 6.8-93.2 %), specificity of 91.7 % (95 % CI: 73.0-99.0 %) and AUC of 0.71 (95 % CI: 0.42-0.99). The positive LR was 6 and the negative LR was 0.5. CONCLUSION:The psychometric evaluation of the clinical examination showed an excellent interrater reliability and a high concurrent validity compared to the Cobb angle. The findings should be interpreted cautiously until research with larger samples may further quantify the psychometric properties. Clinical spinal examinations seem appropriate as a screening tool to identify scoliosis in children with CP.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Persson-Bunke M,Czuba T,Hägglund G,Rodby-Bousquet Edoi
10.1186/s12891-015-0801-1subject
Has Abstractpub_date
2015-11-14 00:00:00pages
351issn
1471-2474pii
10.1186/s12891-015-0801-1journal_volume
16pub_type
杂志文章abstract:BACKGROUND:Gait analysis is increasingly being used to characterise dysfunction of the lower limb and foot in people with inflammatory arthritis (IA). The aim of the systematic review was to evaluate the spatiotemporal, foot and ankle kinematic, kinetic, peak plantar pressure and muscle activity parameters between pati...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12891-015-0596-0
更新日期:2015-06-05 00:00:00
abstract:BACKGROUND:Cyclosprin A (CsA) has been widely used clinically to treat the patients who have undergone organ transplantation or acquired autoimmune disease. The purpose of this study is to determine the effects of three different doses of CsA (1.5, 7.5, 15 mg/kg body weight) on the skeletal biomechanical proprieties at...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/1471-2474-12-240
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章,meta分析
doi:10.1186/s12891-018-2137-0
更新日期:2018-07-18 00:00:00
abstract:BACKGROUND:The course of pain at a specific region such as the lower back has previously been shown as well as for generalized pain. However we have not found any report on the course of pain from various different specific regions. The aim of this investigation was to study the one-year transition of reported pain in ...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/1471-2474-7-17
更新日期:2006-02-23 00:00:00
abstract:BACKGROUND:The objective of this epidemiological study is to map the dentofacial anomalies that can be correlated to the two most frequent spinal diseases responsible for postural abnormalities and that can be clinically identified by the orthodontic examination. METHODS:Twenty-three children with Scheuermann's diseas...
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pub_type: 杂志文章
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-016-1010-2
更新日期:2016-04-11 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12891-017-1451-2
更新日期:2017-02-20 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-015-0642-y
更新日期:2015-08-05 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/1471-2474-2-2
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-015-0724-x
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pub_type: 杂志文章
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更新日期:2018-09-18 00:00:00
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更新日期:2011-04-21 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12891-019-2879-3
更新日期:2019-11-13 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-015-0862-1
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pub_type: 临床试验,杂志文章
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更新日期:2007-11-16 00:00:00
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pub_type: 杂志文章
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2017-01-10 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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更新日期:2020-07-22 00:00:00
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pub_type: 杂志文章
doi:10.1186/1471-2474-12-28
更新日期:2011-01-27 00:00:00
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pub_type: 杂志文章
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更新日期:2011-02-07 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2020-11-18 00:00:00
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pub_type: 杂志文章
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更新日期:2006-07-05 00:00:00