| 姚 远,徐丽丽,叶济灵,蔡 斌.健康人矢状面照片拍摄法评定头颈姿势的信度研究[J].中国康复医学杂志,2021,(2):172~176 |
| 健康人矢状面照片拍摄法评定头颈姿势的信度研究 点此下载全文 |
| 姚 远 徐丽丽 叶济灵 蔡 斌 |
| 上海交通大学医学院附属第九人民医院康复医学科，上海市，200001 |
| 基金项目：上海交通大学医学院附属第九人民医院基础研究助推计划（种子基金）（JYZZ015）；上海市卫生计生系统重要薄弱学科建设计划（2015ZB0404） |
| DOI：10.3969/j.issn.1001-1242.2021.02.008 |
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| 摘要
目的：探索矢状面照片拍摄法评定头颈姿势的评估者间信度和评估者内部信度。
方法：选取27例健康受试者，在左侧耳屏、肩峰及C7棘突处作红色标记，从受试者左侧拍摄其坐位矢状面照片，包括头颈和上胸段。选取头颈角，即耳屏和C7棘突连线和水平线所形成的夹角作为评定头颈姿势的参数。评估方法包括目测观察法和量角尺测量法。两位评估者独立评估，先使用目测观察法记录头颈角,间隔1个月后再次评估；然后评估者再使用量角尺测量法记录头颈角，两次测量间隔1个月。采用Pearson相关系数计算评估者间和评估者内部信度。
结果：目测观察法的评估者间信度0.771，评估者内部信度0.726；量角尺测量法的评估者内部信度0.981，评估者间信度0.980，均显著相关。量角尺测量法的评估者间、评估者内部信度均高于目测观察法。
结论：矢状面照片拍摄法评估头颈姿势信度好，量角尺测量法的评估者内部信度和评估者间信度更高，在临床工作和研究中推荐应用量角尺测量法更为可靠。 |
| 关键词：头前伸姿势 目测观察法 量角尺测量法 信度 姿势评估 |
| The reliability of sagittal photogrammetry in assessing head and neck posture of healthy people Download Fulltext |
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| Department of Rehabilitation Medicine, Ninth People's Hospital Affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, 200001 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To determine the intra-rater and inter-rater reliability of head and neck posture by sagittal photogrammetry methods.
Method:Twenty-seven healthy participants were recruited in our study. Red markers were placed over the left tragus (ear), acromion, and C7 spinous process. A digital camera was used to capture images of the sagittal plane of the upper body. Craniovertebral angle was used as the parameters to evaluate posture, which was characterized by the connection between the tragus and the spinous process of C7 and the horizontal line. Observational assessment and angulometer measurement were used. Two raters evaluated independently. They firstly record the craniovertebral angles by observation. Assessment was performed again after one month. Then raters record the craniovertebral angles repeatedly twice by angulometer measurement. Also, one month interval was taken between two measurements. Intra-rater and inter-rater reliabilities were estimated by Pearson correlation coefficients.
Result: Intra-rater reliability was 0.771, and inter-rater reliability was 0.726 for the observational assessment of FHP. The intra-rater reliability was 0.981, and inter-rater reliability was 0.980 for the angulometer assessment of FHP, which was higher than the result of observational assessment.
Conclusion: Sagittal photogrammetry has a good reliability in evaluating head and neck posture, and the intra-rater and inter-rater reliability of angulometer measurement is higher than those of observational assessment. It is recommend that the application of the angular measurement method is more reliable in clinical work and research. |
| Keywords:forward head posture visual assessment angulometer measurement reliability posture assessment |
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