Concurrent validity of the Occiput-Bed Distance for measuring hyperkyphosis
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Abstract
Background: Hyperkyphosis is an important health problem, which may have negative impacts on physical and psychological healths. Therefore, the screening examination for hyperkyphosis condition is very crucial. The Occiput-Bed Distance (OBD) was developed as a new tool. However, no studies reported a concurrent validity of this new tool comparing to Occiput-Wall Distance (OWD), which is commonly used in nowadays.
Objective: To determine the concurrent validity of the OBD using the OWD as a standard method.
Methods: This research was a cross-sectional study, which examined people with hyperkyphosis using the OWD at least 6.5 centimeters. Thirty participants with aged at least 10 years old were reassessed their hyperkyphosis using the OBD. The data from two methods were analyzed for concurrent validity using a correlation coefficient.
Results: The concurrent validity of OBD compared to the OWD was reported as low correlation (rs = 0.432, p = 0.022). However, when the data were categorized by age, there was good correlation only for the age at least 60 years old (r = 0.779, p = 0.008).
Conclusion: Hyperkyphosis measurement using the OBD was appropriate for screening in older adults, which is an alternative method for health officers to early screen hyperkyphosis. However, the investigation of concurrent validity of a new tool compared to a gold standard method using the x-ray should be considered in further studies.
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References
Kado DM, Prenovost K, Crandall C. Narrative review: hyperkyphosis in older persons. Ann Intern Med. 2007; 147(5): 330-8.
Eslami S, Hemati J. Prevalence lordosis and dorsal kyphosis deformity among girls 23-11 years and its relationship to selected physical factors. Intl J Sport Std. 2013; 3(9): 924-9.
Cutler WB, Friedmann E, Genovese-Stone E. Prevalence of kyphosis in a healthy sample of pre- and postmenopausal women. Am J Phys Med Rehabil. 1993; 72(4): 219-25.
Roghani T, Zavieh MK, Manshadi FD, King N, Katzman W. Age-related hyperkyphosis: update of its potential causes and clinical impacts-narrative review. Aging Clin Exp Res. 2017; 29(4): 567-77.
Kado DM, Lui L-Y, Ensrud KE, Fink HA, Karlamangla AS, Cummings SR, et al. Hyperkyphosis predicts mortality independent of vertebral osteoporosis in older women. Ann Intern Med. 2009; 150(10): 681-7.
Katzman WB, Wanek L, Shepherd JA, Sellmeyer DE. Age-related hyperkyphosis: its causes, consequences, and management. J Orthop Sports Phys Ther. 2010; 40(6): 352-60.
Ailon T, Shaffrey CI, Lenke LG, Harrop JS, Smith JS. Progressive spinal kyphosis in the aging population. Neurosurgery. 2015; 77(4): S164-72.
Suwannarat P, Amatachaya P, Sooknuan T, Tochaeng P, Kramkrathok K, Thaweewannakij T, et al. Hyperkyphotic measures using distance from the wall: validity, reliability, and distance from the wall to indicate the risk for thoracic hyperkyphosis and vertebral fracture. Arch Osteoporos. 2018; 13(1): 25.
Wongsa S, Amatachaya P, Saengsuwan J, Thaweewannakij T, Amatachaya S. Validity of kyphosis measure using the occiput-wall distance and effectiveness of outcomes on the identification of impairments on functional endurance. Srinagarind Med J. 2013; 27(2): 125-32.
Briggs AM, Wrigley TV, Tully EA, Adams PE, Greig AM, Bennell KL. Radiographic measures of thoracic kyphosis in osteoporosis: Cobb and vertebral centroid angles. Skeletal Radiol. 2007; 36(8): 761-7.
Wongsa S, Amatachaya S. Kyphosis assessments. Arch AHS. 2014; 26(2): 105-16.
Di Bari M, Chiarlone M, Matteuzzi D, Zacchei S, Pozzi C, Bellia V, et al. Thoracic kyphosis and ventilatory dysfunction in unselected older persons: an epidemiological study in Dicomano, Italy. J Am Geriatr Soc. 2004; 52(6): 909-15.
Leidig-Bruckner G, Minne HW, Schlaich C, Wagner G, Scheidt-Nave C, Bruckner T, et al. Clinical grading of spinal osteoporosis: quality of life components and spinal deformity in women with chronic low back pain and women with vertebral osteoporosis. J Bone Miner Res. 1997; 12(4): 663-75.
Wiyanad A, Chokphukiao P, Suwannarat P, Thaweewannakij T, Wattanapan P, Gaogasigam C, et al. Is the occiput-wall distance valid and reliable to determine the presence of thoracic hyperkyphosis? Musculoskelet Sci Pract. 2018; 38: 63-8.
Antonelli-Incalzi R, Pedone C, Cesari M, Di Iorio A, Bandinelli S, Ferrucci L. Relationship between the occiput-wall distance and physical performance in the elderly: a cross sectional study. Aging Clin Exp Res. 2007; 19(3): 207-12.
Kado DM, Huang MH, Karlamangla AS, Barrett-Connor E, Greendale GA. Hyperkyphotic posture predicts mortality in older community-dwelling men and women: a prospective study. J Am Geriatr Soc. 2004; 52(10): 1662-7.
Tran TH, Wing D, Davis A, Bergstrom J, Schousboe JT, Nichols JF, et al. Correlations among four measures of thoracic kyphosis in older adults. Osteoporos Int. 2016; 27(3): 1255-9.
Huang MH, Barrett-Connor E, Greendale GA, Kado DM. Hyperkyphotic posture and risk of future osteoporotic fractures: the Rancho Bernardo study. J Bone Miner Res. 2006; 21(3): 419-23.
Chokphukiao P, Wiyanad A, Suwannarat P, Amatachaya S, Mato L, Wattanapan P, et al. Validity and reliability of the block method for measuring thoracic hyperkyphosis. Physiother Theory Pract. 2021: 1-8.
Portney LG, Watkins MP. Foundations of clinical research: Application to practice. 3rd ed. Upper Saddle River, NJ: Pearson – Prentice Hall, 2009.
Balzini L, Vannucchi L, Benvenuti F, Benucci M, Monni M, Cappozzo A, et al. Clinical characteristics of flexed posture in elderly women. J Am Geriatr Soc. 2003; 51(10): 1419-26.
Sinaki M, Khosla S, Limburg PJ, Rogers JW, Murtaugh PA. Muscle strength in osteoporotic versus normal women. Osteoporos Int. 1993; 3(1): 8-12.
Amatachaya P, Wongsa S, Sooknuan T, Thaweewannakij T, Laophosri M, Manimanakorn N, et al. Validity and reliability of a thoracic kyphotic assessment tool measuring distance of the seventh cervical vertebra from the wall. Hong Kong Physiother J. 2016; 35: 30-6.
Penha PJ, Joao SM, Casarotto RA, Amino CJ, Penteado DC. Postural assessment of girls between 7 and 10 years of age. Clinics (Sao Paulo). 2005; 60(1): 9-16.