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Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > Europa Medicophysica 2001 September;37(3) > Europa Medicophysica 2001 September;37(3):135-42



A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063

Frequency: Bi-Monthly

ISSN 1973-9087

Online ISSN 1973-9095


Europa Medicophysica 2001 September;37(3):135-42


Pos­tural var­i­ability of clin­ical param­e­ters eval­u­ated in orthos­tatic posi­tion in ­idiopathic sco­li­osis

Negrini S., Negrini A. *, Atanasio S. **, Carabalona R., C. Grosso, Santambrogio G. C. ***, Sibilla P. **

From the Reha­bil­i­ta­tion ­Unit,
*Bio­en­gi­neering ­Centre, and ­Centro Scol­iosi Vig­e­vano
**Ortho­paedic ­Unit
*** Bio­en­ge­neering Centre Don ­Gnocchi Fnd. ­ONLUS, Care & ­Research Insti­tute, ­Milano, ­Italy

Back­ground. In the ­last 10-15 ­years ­many ­devices ­have ­been devel­oped for objec­tively quan­ti­fying the clin­ical exam­ina­tion. Nev­er­the­less to ­date the ­source and ­size of poten­tial ­errors in ­patients exam­ined in ­standing posi­tion (orthos­tatic pos­ture) has not ­been estab­lished. There­fore the aim of ­this ­work is to ­assess the var­i­ability of the param­e­ters usu­ally col­lected in orthos­tatic pos­ture ­during clin­ical assess­ment of scol­i­otic ­patients.
­Methods. In a con­sec­u­tive ­group of ­patients ­affected by ado­les­cen­tial ­idiopathic sco­li­osis, we ­made ­repeated meas­ure­ments of var­ious clin­ical param­e­ters ­using an optoel­ec­tronic ­device. The adop­tion of an optoel­ec­tronic meas­ure­ment ­device (AUto­matic SCo­li­osis ANa­lyzer, ­AUSCAN) ­allowed the rep­li­ca­tion of the clin­ical pro­cess for ­obtaining ­data in orthos­tatic pos­ture ­from ­some sur­face ana­tom­ical land­marks. The ­source error due to the meas­ure­ment ­device was quan­ti­fied by ­assessing 4 dum­mies, ­with 50 meas­ure­ments each. Two con­sec­u­tive ­groups of ­patients ­were exam­ined ­after a ­first acqui­si­tion: ­group A (N=86) ­after 24 sec, ­group B (N=31) ­after 6 sec and 167 sec (the ­last meas­ure­ment ­after per­forming ­some move­ments of the ­trunk).
­Results. The ­weight of the meas­uring ­system ­errors is ­less ­than 1 mm. Two in ­vivo source ­error ­due to pos­ture ­have ­been iden­ti­fied: pos­tural adjust­ments (­between 2.59 and 20.14 mm, ­according to the con­sid­ered param­eter) and pos­tural posi­tioning (­between 4.38 and 22.95 mm).
Con­clu­sions. The find­ings of ­this ­study sus­tain the hypoth­esis ­that pos­ture is the ­major ­source of var­i­ability in ­repeated clin­ical meas­ures on the ­human ­being. ­These vari­a­tions are ­inherent the clin­ical eval­u­a­tion, but pre­sum­ably ­they are ­involved in any ­other ­measure col­lected in orthos­tatic pos­ture.

language: English


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