Document Detail


Photogrammetry: an accurate and reliable tool to detect thoracic musculoskeletal abnormalities in preterm infants.
MedLine Citation:
PMID:  22898582     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article     Date:  2011-09-08
Journal Detail:
Title:  Physiotherapy     Volume:  98     ISSN:  1873-1465     ISO Abbreviation:  Physiotherapy     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401223     Medline TA:  Physiotherapy     Country:  England    
Other Details:
Languages:  eng     Pagination:  243-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
Affiliation:
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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