利用Scoligauge测量脊柱侧凸时躯干倾斜角度的可靠性分析  

Reliability evaluation of rib hump measurement in scoliosis with Scoligauge

作　　者：陈楠[1,2] 杜青[1,2] 陈佩杰[3] 励建安[4] 周璇[1,2] 赵黎[5] 梁菊萍[3] 宋琰萍 

机构地区：[1]上海交通大学医学院附属新华医院康复医学科,上海200092 [2]上海市小儿科临床医学中心 [3]上海体育学院运动科学学院 [4]江苏省人民医院康复医学科 [5]上海交通大学医学院附属新华医院儿童骨科 [6]上海交通大学医学院附属新华医院崇明分院康复医学科

出　　处：《中国康复医学杂志》2015年第3期247-250,共4页Chinese Journal of Rehabilitation Medicine

基　　金：上海市科学技术委员会资助项目(13401903400);崇明县科学技术委员会资助项目(CKY2013-03);新华人才基金项目(12XJ22001)

摘　　要：目的:评价Scoligauge作为脊柱侧凸筛查工具的可靠性。方法:6名具有多年脊柱侧凸筛查经验的医师和治疗师分别利用安装Scoligauge软件的i Phone手机和传统的脊柱测量仪脊柱侧凸测量仪(scoliometer)对27例确诊为特发性脊柱侧凸的青少年患者,男10例,女17例,平均年龄12.8岁,进行躯干倾斜角度的测量,每例患者接受每周1次,共4次测量。通过分析两种测量手段的观测值差异和95%置信区间,以及组内相关系数来评估Scoligauge的测量信度。结果:Scoligauge与脊柱侧凸测量仪测量得到的躯干倾斜角配对绝对差为2.5°±1.4°,差异的95%置信区间为±2.9°。Scoligauge的组内相关系数值为0.915,脊柱侧凸测量仪的组内相关系数值为0.932。结论:Scoligauge与脊柱侧凸测量仪在脊柱侧凸测量上可视为等效工具。Objective： To evaluate the reliability of rib hump measurement in scoliosis with Scoligauge. Method： Six experienced doctors and physiotherapists （observer） measured the rib hump angles of the 27 pa- tients （10 males and 17 females with average age of 12.8yr.） with adolescent idiopathic scoliosis using the sco- liometer and the iPhone with Scoligauge application software. Every patients received one measurement per week and total four measurements performed in four weeks. Measurement difference between pairs of iPhone/ scoliorneter measurements and 95% confidence intervals were calculated. The intraclass correlation coefficients （ICC） were calculated for repeated measurements of each patient by observers. Result： Absolute difference of rib hump measurements between pairs of Scoligauge/scoliometer was （2.5±1.4） degrees, the 95% confidence interval for differences on the same subject was 4-2.9 degrees. The ICC were 0.915 （Scoligauge） and 0.932 （scoliometer）. Conclusion： The iPhone using Scoligauge is a clinically equivalent rib hump measurement tool to the scoliome- ter in spinal deformity patients.

关 键 词：脊柱侧凸 Scoligauge 脊柱侧凸测量仪 可靠性 

分 类 号：R682.3[医药卫生—骨科学]