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Publication
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| Title of Article |
Hyperkyphotic measures using distance from the wall: validity, reliability, and distance from the wall to indicate the risk for thoracic hyperkyphosis and vertebral fracture |
| Date of Acceptance |
6 February 2018 |
| Journal |
| Title of Journal |
Archives of Osteoporosis |
| Standard |
SCOPUS |
| Institute of Journal |
The Springer Science+Business Media |
| ISBN/ISSN |
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| Volume |
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| Issue |
13 |
| Month |
March |
| Year of Publication |
2018 |
| Page |
25 |
| Abstract |
Abstract
Summary C7WD is a practical, valid, and reliable measure that could clearly indicate a risk of hyperkyphosis and vertebral
fracture in the elderly. The findings might be particularly of use in regions difficult to access radiology or for the determination of
those who need further invasive radiologic examination and therapy.
Purpose To investigate psychometric properties of the 7th cervical vertebra wall distance (C7WD) to determine the risk of
thoracic hyperkyphosis and spinal fracture, as compared to a standard radiologic Cobb’s method.
Methods Community-dwelling elderly (n = 104), aged at least 60 years with occiput-wall distance > 0 cm, were assessed for their
C7WD using rulers and a specially developed tool for an accurate perpendicular distance from C7 to the wall: infrared-gun kyphosis
wall distance tool (IG-KypDisT). The first 15 participants were also involved in the reliability tests by a healthcare professional, village
health volunteer, and caregiver.Within 7 days, all participantswere at a hospital to complete a lateral plain radiograph (Cobb’smethod).
Results Outcomes of C7WDhad excellent correlation to the Cobb angles (r = 0.87 for rulers and r = 0.92 for IG-KypDisT), with
excellent reliability when used by all three raters (ICC3,3 = 0.85–0.99). The C7WD of at least 7.5 and 9.5 cm had the best
diagnostic properties to determine the risk of thoracic hyperkyphosis and vertebral fracture, respectively.
Conclusion C7WD is valid and reliable with good diagnostic properties for thoracic hyperkyphosis and vertebral fracture. The
findings confirm the use of C7WD using traditional ruler-based method as a practical tool to screen and monitor severity of
thoracic hyperkyphosis in clinics and communities. In addition, the measurement using the IG-KypDisT provided accurate data
that can be saved for further analysis; it is therefore suggested for research settings. The findings would promote the standardization
of hyperkyphosis measurements in various settings. |
| Keyword |
Round back . Dowager’s hump . Assessment . Spinal fracture . Cobb angle |
| Author |
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| Reviewing Status |
มีผู้ประเมินอิสระ |
| Status |
ตีพิมพ์แล้ว |
| Level of Publication |
นานาชาติ |
| citation |
false |
| Part of thesis |
true |
| Attach file |
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| Citation |
0
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Journal Publication
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