| Research Title |
Ability of occiput-wall distance to discriminate severity of kyphosis as determined using the Cobb’s method |
| Date of Distribution |
7 September 2017 |
| Conference |
| Title of the Conference |
5th Singapore Rehabilitation Conference 2017 |
| Organiser |
Singapore General Hospital |
| Conference Place |
Academia, Singapore General Hospital |
| Province/State |
Singapore |
| Conference Date |
7 September 2017 |
| To |
8 September 2017 |
| Proceeding Paper |
| Volume |
5 |
| Issue |
1 |
| Page |
59 |
| Editors/edition/publisher |
|
| Abstract |
Aims: The occiput-wall distance (OWD) is a simple screening tool for kyphosis in many epidemiologic studies. However, different two cut-off points (more than 0 cm and 5 cm) have been used to indicate the risk of kyphosis without clear confirmation as compared to a gold standard. Thus, this study investigated an appropriate cut-off point of the OWD to indicate the risk of kyphosis, as compared to the data from a standard radiological Cobb’s method.
Methodology: Thirty subjects aged 10 years and above with different degrees of kyphosis were cross-sectionally recruited from several communities in Thailand. All of them were involved in the study for 2 days. On the first day, they were assessed for their severity of kyphosis using the OWD for 3 trials/subject and the average data were used for data analysis. Within 7 days later, subjects were at a hospital to complete a lateral spinal radiographic examination (Cobb’s method) for 1 trial. Then a radiologic image was calculated for the Cobb angles by a well-trained physical therapist using SurgimapSpine program. The receiver-operating characteristic (ROC) curves were utilized to determine appropriate cut-off point of OWD for the risk of kyphosis.
Results: The average age of subjects was 56.53±25.33 years, and the average OWD and Cobb angle were 6.41±3.21cm and 39.15±10.01degrees, respectively. The OWD at 6.5 cm and over had good diagnostic properties (sensitivity 92.31%, specificity 82.35% and area under the curve = 0.966) to determine the risk of kyphosis.
Conclusion: The findings offered a clear cut-off point to indicate the risk of kyphosis using a simple and practical tool. Thus, they may help to promote standardization and effectiveness of kyphosis screening and monitoring to early detect the abnormality and clearly indicate effectiveness of the treatments.
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| Author |
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| Peer Review Status |
มีผู้ประเมินอิสระ |
| Level of Conference |
นานาชาติ |
| Type of Proceeding |
Abstract |
| Type of Presentation |
Oral |
| Part of thesis |
true |
| Presentation awarding |
false |
| Attach file |
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| Citation |
0
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Publication
Journal Publication
ไทย