| Photogrammetry: an accurate and reliable tool to detect thoracic musculoskeletal abnormalities in preterm infants. | |
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MedLine Citation:
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PMID: 22898582 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To analyse the accuracy and reproducibility of photogrammetry in detecting thoracic abnormalities in infants born prematurely. DESIGN: Cross-sectional study. SETTING: The Premature Clinic at the Federal University of São Paolo. PARTICIPANTS: Fifty-eight infants born prematurely in their first year of life. OUTCOME MEASURES: Measurement of the manubrium/acromion/trapezius angle (degrees) and the deepest thoracic retraction (cm). Digitised photographs were analysed by two blinded physiotherapists using a computer program (SAPO; http://SAPO.incubadora.fapesp.br) to detect shoulder elevation and thoracic retraction. Physical examinations performed independently by two physiotherapists were used to assess the accuracy of the new tool. RESULTS: Thoracic alterations were detected in 39 (67%) and in 40 (69%) infants by Physiotherapists 1 and 2, respectively (kappa coefficient=0.80). Using a receiver operating characteristic curve, measurement of the manubrium/acromion/trapezius angle and the deepest thoracic retraction indicated accuracy of 0.79 and 0.91, respectively. For measurement of the manubrium/acromion/trapezius angle, the Bland and Altman limits of agreement were -6.22 to 7.22° [mean difference (d)=0.5] for repeated measures by one physiotherapist, and -5.29 to 5.79° (d=0.75) between two physiotherapists. For thoracic retraction, the intra-rater limits of agreement were -0.14 to 0.18cm (d=0.02) and the inter-rater limits of agreement were -0.20 to -0.17cm (d=0.02). CONCLUSION: SAPO provided an accurate and reliable tool for the detection of thoracic abnormalities in preterm infants. |
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Authors:
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Josy Davidson; Amelia Miyashiro N Dos Santos; Kessey Maria B Garcia; Liu C Yi; Priscila C João; Milton H Miyoshi; Ana Lucia Goulart |
Publication Detail:
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Type: Journal Article Date: 2011-09-08 |
Journal Detail:
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Title: Physiotherapy Volume: 98 ISSN: 1873-1465 ISO Abbreviation: Physiotherapy Publication Date: 2012 Sep |
Date Detail:
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Created Date: 2012-08-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401223 Medline TA: Physiotherapy Country: England |
Other Details:
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Languages: eng Pagination: 243-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Pediatrics - Neonatal Division of Medicine, Federal University of São Paulo, Rua Dr. Diogo de Faria 764, CEP: 04037-002, São Paulo, SP, Brazil. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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