Department of Physical Therapy Faculty Articles

Title

The Reliability and Concurrent Validity of Measurements Used to Quantify Lumbar Spine Mobility: An Analysis of an iphone® Application and Gravity Based Inclinometry

Volume

8

Issue

2

Publication Date / Copyright Date

4-1-2013

First Page

129

Last Page

137

Abstract

UNLABELLED: PURPOSEAIM: This purpose of this study was to investigate the reliability, minimal detectable change (MDC), and concurrent validity of active spinal mobility measurements using a gravity-based bubble inclinometer and iPhone® application. MATERIALSMETHODS: Two investigators each used a bubble inclinometer and an iPhone® with inclinometer application to measure total thoracolumbo-pelvic flexion, isolated lumbar flexion, total thoracolumbo-pelvic extension, and thoracolumbar lateral flexion in 30 asymptomatic participants using a blinded repeated measures design.

RESULTS: The procedures used in this investigation for measuring spinal mobility yielded good intrarater and interrater reliability with Intraclass Correlation Coefficients (ICC) for bubble inclinometry ≥ 0.81 and the iPhone® ≥ 0.80. The MDC90 for the interrater analysis ranged from 4° to 9°. The concurrent validity between bubble inclinometry and the iPhone® application was good with ICC values of ≥ 0.86. The 95% level of agreement indicates that although these measuring instruments are equivalent individual differences of up to 18° may exist when using these devices interchangeably.

CONCLUSIONS: The bubble inclinometer and iPhone® possess good intrarater and interrater reliability as well as concurrent validity when strict measurement procedures are adhered to. This study provides preliminary evidence to suggest that smart phone applications may offer clinical utility comparable to inclinometry for quantifying spinal mobility. Clinicians should be aware of the potential disagreement when using these devices interchangeably.

LEVEL OF EVIDENCE: 2b (Observational study of reliability).

Disciplines

Medicine and Health Sciences

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