The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Reliability and Validity of Measurement Using Smart Phone-Based Goniometer on Pelvic Tilting Angle in Standing and Sitting Position

  • Ha, Sung-Min (Department of Physical Therapy, College of Health Science, Sangji University) ;
  • Jeon, In-Cheol (Department of Physical Therapy, College of Life & Health Science, Hoseo University)
  • Received : 2019.01.04
  • Accepted : 2019.02.25
  • Published : 2019.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to assess the intra-rater and inter-rater reliability and validity of pelvic tilting angle measurements using a smart phone-based inclinometer (Clino) compared to a palpation meter (PALM) in the standing and sitting position. This study used an interchangeable method with Clino to measure the pelvic tilting angle in the standing and sitting positions. Methods: Twenty healthy subjects were recruited. Measurements of the pelvic tilting angle in the standing and sitting positions were obtained by two examiners using the Clino and PALM. A resting session was conducted 10 minutes later to assess the intra and inter rater reliability. To assess validity of the measurement using Clino, a PALM was used as the gold standard. The intra-class correlation coefficient (ICC) was used to determine the intra and inter rater reliability of Clino and a PALM. To assess the validity, the Pearson correlation coefficients were used for two measurement techniques to measure the pelvic tilting angle in the standing and sitting positions. The statistical significance was set to ${\alpha}=0.05$. Results: Measurements of the pelvic tilt had high inter-rater reliability in the standing (ICC=0.82) and sitting (ICC=0.88) positions using Clino and intra-rater reliability in the standing (ICC=0.87) and sitting (ICC=0.91) positions using Clino. Measurements of the pelvic tilt had high validity by a comparison of PALM and Clino in the standing (r=0.83) and sitting (r=0.89) positions (p<0.05). Conclusion: The use of Clino can be recommended as a tool to replace the PALM and measure the pelvic tilt angle in the standing and sitting positions while maintaining the clinical reliability and validity.

Keywords

References

  1. Gu JS, Choi SJ, Choi HS et al. Effects of pelvic tilt training using inclinometer on joint position sense and postural alignment in patients with chronic stroke. J Kor Phys Ther. 2016;28(1):33-8. https://doi.org/10.18857/jkpt.2016.28.1.33
  2. DeSilva JM, Rosenberg KR. Anatomy, development, and function of the human pelvis. Anat Rec. 2017;300(4):628-32. https://doi.org/10.1002/ar.23561
  3. Endo K, Suzuki H, Nishimura H et al. Sagittal lumbar and pelvic alignment in the standing and sitting positions. J Orthop Sci. 2012;17(6):682-6. https://doi.org/10.1007/s00776-012-0281-1
  4. Chaleat-Valayer E, Mac-Thiong JM, Paquet J et al. Sagittal spino-pelvic alignment in chronic low back pain. Eur Spine J. 2011;20(5):634-40. https://doi.org/10.1007/s00586-011-1931-2
  5. Schache AG, Blanch PD, Murphy AT. Relation of anterior pelvic tilt during running to clinical and kinematic measures of hip extension. Br J Sports Med. 2000;34(4):279-83. https://doi.org/10.1136/bjsm.34.4.279
  6. Park SH, Yuk GC, Ahn SH et al. Lumbar Spine Kinematics during anterior and posterior pelvic tilting in supine and prone positions. J Kor Phys Ther. 2011;23(6):9-14.
  7. Schache AG, Blanch P, Rath D et al. Three-dimensional angular kinematics of the lumbar spine and pelvis during running. Hum Mov Sci. 2002;21(2):273-93. https://doi.org/10.1016/S0167-9457(02)00080-5
  8. Sullivan MK, Dejulia JJ, Worrell TT. Effect of pelvic position and stretching method on hamstring muscle flexibility. Med Sci Sports Exerc. 1992;24(12):1383-9.
  9. Beardsley C, Egerton T, Skinner B. Test-re-test reliability and inter-rater reliability of a digital pelvic inclinometer in young, healthy males and females. Peer J. 2016;4:1881. https://doi.org/10.7717/peerj.1881
  10. Gajdosik R, Simpson R, Smith R et al. Pelvic tilt:Intratester reliability of measuring the standing position and range of motion. Phys Ther. 1985;65(2):169-74. https://doi.org/10.1093/ptj/65.2.169
  11. Herrington L. Assessment of the degree of pelvic tilt within a normal asymptomatic population. Man Ther. 2011;16(6):646-8. https://doi.org/10.1016/j.math.2011.04.006
  12. Kim JH, Chang SK. The Effects of Robo-horseback riding with changes of pelvic tilting and speeds on muscle activities of trunk and lower limb. J Kor Phys Ther. 2014;26(5):290-5.
  13. Petrone MR, Guinn J, Reddin A et al. The accuracy of the palpation meter (PALM) for measuring pelvic crest height difference and leg length discrepancy. J Orthop Sports Phys Ther. 2003;33(6):319-25. https://doi.org/10.2519/jospt.2003.33.6.319
  14. Hagins M, Brown M, Cook C et al. Intratester and intertester reliability of the palpation meter (PALM) in measuring pelvic position. J Manual Manip Ther. 1998;6(3):130-6. https://doi.org/10.1179/jmt.1998.6.3.130
  15. Hayes AM, Place HM, Hayden A et al. The use of the PALM palpation meter for measuring pelvic tilt and its correlation with radiographic measures. The Spine Journal. 2016;16(10):S355-6.
  16. Sahrmann SA. Diagnosis and treatment of movement impairment syndromes. St Louis, Mosby. 2002.
  17. Yoon TL. Validity and reliability of an inertial measurement unit-based 3D angular measurement of shoulder joint motion. J Kor Phys Ther. 2017;29(3):145-51 https://doi.org/10.18857/jkpt.2017.29.3.145
  18. Kinsella SM, Harvey NL. A comparison of the pelvic angle applied using lateral table tilt or a pelvic wedge at elective caesarean section. Anaesthesia. 2012;67(12):1327-31. https://doi.org/10.1111/j.1365-2044.2012.07332.x
  19. Panjabi MM. The stabilizing system of the spine. Part II. Neutral zone and instability hypothesis. J Spinal Disord. 1992;5(4):390-6. https://doi.org/10.1097/00002517-199212000-00002
  20. Haeri Seyed MJ, Razeghi M, TaghizadehIS et al. Designing a new method for measuring lumbar lordosis. Qom university of medical sciences journal. 2015;9(9):35-41.
  21. Bonifacio D, Lopes I, Martins F et al. Intra-and inter-rater reliability in photogrammetric pelvic tilt angles analysis. IJTR. 2013;20(2):86-90.
  22. Kim SJ, Jeong SY, Yoon TL. The effect of visual feedback of head angles with using a mobile posture-aware system on craniocervical angle and neck and shoulder muscles fatigue during watching the smartphone. J Kor Phys Ther. 2018;30(2):47-53. https://doi.org/10.18857/jkpt.2018.30.2.47

Cited by

  1. Development of Korean the Version of the Developmental Coordination Disorder Questionnaire (DCDQ-K) vol.32, pp.1, 2020, https://doi.org/10.18857/jkpt.2020.32.1.44
  2. Effects of 10-Week Body Stability Exercise Program on Functional Movement and Body Balance of Middle School Volleyball Players vol.32, pp.4, 2019, https://doi.org/10.18857/jkpt.2020.32.4.203
  3. 전방머리자세 성인을 대상으로 모바일 어플리케이션을 이용한 자세정렬 측정의 신뢰도 및 수렴 타당도 연구 vol.8, pp.3, 2020, https://doi.org/10.15268/ksim.2020.8.3.173
  4. The Effect of Coordinative Locomotor Training Using Elastic Bands on the Flexibility and Body Alignment of Elementary School Right-Handed Baseball Players vol.33, pp.5, 2019, https://doi.org/10.18857/jkpt.2021.33.5.217