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        Reliability and validity of non-radiographic methods of thoracic kyphosis measurement : A systematic review

        Author
        Barrett, Eva
        McCreesh, Karen
        Lewis, Jeremy
        Attention
        2299/14520
        Abstract
        Background: A wide array of instruments are available for non-invasive thoracic kyphosis measurement. Guidelines for selecting outcome measures for use in clinical and research practice recommend that properties such as validity and reliability are considered. This systematic review reports on the reliability and validity of non-invasive methods for measuring thoracic kyphosis. Methods: A systematic search of 11 electronic databases located studies assessing reliability and/or validity of non-invasive thoracic kyphosis measurement techniques. Two independent reviewers used a critical appraisal tool to assess the quality of retrieved studies. Data was extracted by the primary reviewer. The results were synthesized qualitatively using a level of evidence approach. Results: 27 studies satisfied the eligibility criteria and were included in the review. The reliability, validity and both reliability and validity were investigated by sixteen, two and nine studies respectively. 17/27 studies were deemed to be of high quality. In total, 15 methods of thoracic kyphosis were evaluated in retrieved studies. All investigated methods showed high (ICC≥.7) to very high (ICC≥.9) levels of reliability. The validity of the methods ranged from low to very high. Conclusion: The strongest levels of evidence for reliability exists in support of the Debrunner kyphometer, Spinal Mouse and Flexicurve index, and for validity supports the arcometer and Flexicurve index. Further reliability and validity studies are required to strengthen the level of evidence for the remaining methods of measurement. This should be addressed by future research.
        Publication date
        2014-02-01
        Published in
        Manual Therapy
        Published version
        https://doi.org/10.1016/j.math.2013.09.003
        Other links
        http://hdl.handle.net/2299/14520
        Relations
        School of Health and Social Work
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