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    The accuracy of computerized biophotogrammetry in diagnosing changes in the cervical spine and its reliability for the cervical lordosis angle (English)

    In: Journal of Back and Musculoskeletal Rehabilitation ; 36 , 1 ; 187-198  ; 2022

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    Accuracy studies of biophotogrammetry protocols require standardization similar to radiography.

    OBJECTIVE:

    To estimate the diagnostic accuracy of a biophotogrammetric assessment protocol for cervical hyperlordosis, compared to radiography, and its intra- and inter-examiner reliability for measuring the cervical lordosis angle.

    METHODS:

    A study of diagnostic accuracy in women complaining of cervical pain. Two photos were taken using the CorelDraw biophotogrammetric protocol and one radiograph using the Cobb C1-C7 method. The Intra- and Inter-examiner reliability was calculated using the Kappa index and the intraclass correlation coefficient (ICC). The Bland-Altman plot and the ROC curve were presented.

    RESULTS:

    The sample consisted of 19 women. The accuracy of biophotogrammetry was 94.73% and the reliability between biophotogrammetry and radiography presented an ICC of 0.84 and a Kappa of 0.87. The excellent intra (ICC = 0.94) and inter-examiner (ICC = 0.86) reliability of the biophotogrammetry was confirmed. The area under the ROC curve was 93.5%. The Bland-Altman plot indicated differences between the two instruments close to the mean (1.5 ∘ ).

    CONCLUSION:

    The biophotogrammetric protocol proved to be accurate in diagnosing cervical hyperlordosis, with excellent reliability between the biophotogrammetric and radiographic assessments. It also demonstrated excellent intra- and inter-examiner reliability in measuring the cervical lordosis angle.

    Table of contents – Volume 36, Issue 1

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    Commercial Copyright fee: €27.50 Basic fee: €4.00 Total price: €31.50
    Academic Copyright fee: €27.50 Basic fee: €2.00 Total price: €29.50

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