Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 6 , Pages 386-392 , July 2005

Implications for the Use of Postural Analysis as a Clinical Diagnostic Tool: Reliability of Quantifying Upright Standing Spinal Postures From Photographic Images

  • Nadine M. Dunk, BSc

      Affiliations

    • PhD Candidate, Department of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1
  • ,
  • Jennifer Lalonde, BSc

      Affiliations

    • Department of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1
  • ,
  • Jack P. Callaghan, PhD

      Affiliations

    • Associate Professor, Department of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1
    • Corresponding Author InformationSubmit requests for reprints to: Jack P. Callaghan, PhD, Department of Kinesiology, Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario, Canada N2L 3G1

Received 27 January 2004 ,Revised 15 March 2005

References 

  1. Griegel-Morris P, Larson K, Mueller-Klaus K, Oatis CA. Incidence of common postural abnormalities in the cervical, shoulder, and thoracic regions and their association with pain in two age groups of healthy subjects. Phys Ther. 1992;72:425–431
  2. Grimmer K. An investigation of poor cervical resting posture. Aust J Physiother. 1997;43:7–16
  3. Raine S, Twomey LT. Head and shoulder posture variations in 160 asymptomatic women and men. Arch Phys Med Rehabil. 1997;78:1215–1223
  4. Zonnenberg AJ, Van Maanen CJ, Oostendorp RA, Elvers JW. Body posture photographs as a diagnostic aid for musculoskeletal disorders related to temporomandibular disorders (TMD). Cranio. 1996;14:225–232
  5. Youdas JW, Garrett TR, Egan KS, Therneau TM. Lumbar lordosis and pelvic inclination in adults with chronic low back pain. Phys Ther. 2000;80:261–275
  6. Murrie VL, Dixon AK, Hollingworth W, Wilson H, Doyle TA. Lumbar lordosis: study of patients with and without low back pain. Clin Anat. 2003;16:144–147
  7. Dunk NM, Chung YY, Compton DS, Callaghan JP. The reliability of quantifying upright standing postures as a baseline diagnostic clinical tool. J Manipulative Physiol Ther. 2004;27:91–96
  8. Willner S. Spinal pantograph: a non-invasive technique for describing kyphosis and lordosis in the thoraco-lumbar spine. Acta Orthop Scand. 1981;52:525–529
  9. Bullock-Saxton J. Postural alignment in standing: a repeatability study. Aust J Physiother. 1993;39:25–29
  10. Goh S, Price RI, Leedman PJ, Singer KP. Rasterstereographic analysis of the thoracic sagittal curvature: a reliability study. J Musculoskelet Res. 1999;3:137–142
  11. McLean IP, Gillan MG, Ross JC, Aspden RM, Porter RW. A comparison of methods for measuring trunk list. A simple plumbline is the best. Spine. 1996;21:1667–1670
  12. Swinkels A, Dolan P. Regional assessment of joint position sense in the spine. Spine. 1998;23:590–597
  13. Brumagne S, Lysens R, Spaepen A. Lumbosacral repositioning accuracy in standing posture: a combined electrogoniometric and videographic evaluation. Clin Biomech. 1999;14:361–363
  14. Gilleard WL, Crosbie J, Smith R. Static trunk posture in sitting and standing during pregnancy and early postpartum. Arch Phys Med Rehabil. 2002;83:1739–1744
  15. Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86:420–428
  16. Winter DA. Kinematic and kinetic patterns in human gait: variability and compensating effects. Hum Mov Sci. 1984;3:51–76
  17. Fleiss JL. The design and analysis of clinical experiments. Toronto: John Wiley and Sons; 1986;
  18. Woo TK, Pearsall DJ. Postural estimates from digital images: inter- and intra-tester reliability. In: Proceedings of the IV World Congress of Biomechanics. Calgary: World Council of Biomechanics; 2002;[Aug 4-8]
  19. Sullivan D, Bryden P, Callaghan JP. Inter- and intra-observer reliability of calculating cumulative lumbar spine loads. Ergonomics. 2002;45:788–797
  20. Sullivan D, Bryden P, Callaghan JP. Reliability of manual digitization for the calculation of cumulative loads in the lumbar spine. In: Proceedings of the XVI International Annual Occupational Ergonomics and Safety Conference. Toronto: International Society for Occupational Ergonomics and Safety; 2002;[June 9-12]
  21. Essendrop M, Maul I, Laubli T, Riihimaki H, Schibye B. Measures of low back function: a review of reproducibility studies. Clin Biomech. 2002;17:235–249
  22. Ng JK, Richardson CA, Kippers V, Parnianpour M. Comparison of lumbar range of movement and lumbar lordosis in back pain patients and matched controls. J Rehabil Med. 2002;34:109–113
  23. Harrison DD, Jackson BL, Troyanovich S, Robertson G, de George D, Barker WF. The efficacy of cervical extension-compression traction combined with diversified manipulation and drop table adjustments in the rehabilitation of cervical lordosis: a pilot study. J Manipulative Physiol Ther. 1994;17:454–464
  24. Plaugher G, Cremata EE, Phillips RB. A retrospective consecutive case analysis of pretreatment and comparative static radiological parameters following chiropractic adjustments. J Manipulative Physiol Ther. 1990;13:498–506
  25. Sandham A. Repeatability of head posture recordings from lateral cephalometric radiographs. Br J Orthod. 1988;15:157–162
  26. Refshauge K, Goodsell M, Lee M. Consistency of cervical and cervicothoracic posture in standing. Aust J Physiother. 1994;40:235–240

 Sources of support: This study was funded by the Natural Sciences and Engineering Research Council of Canada (NSERC).

PII: S0161-4754(05)00167-3

doi: 10.1016/j.jmpt.2005.06.006

Journal of Manipulative and Physiological Therapeutics
Volume 28, Issue 6 , Pages 386-392 , July 2005