Reproducibility of Cobb method in measureming lumbar lordosis in children using different vertebral levels

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DOI:

https://doi.org/10.5585/conssaude.v18n1.10609

Keywords:

Reproducibility of results. Child. Lumbosacral region. Evaluation studies as topic. Spine.

Abstract

Introduction: Radiography is the gold standard for spinal evaluation. However, there is inherent variability in the test and the evaluator. Objectives: (1) to compare lumbar lordosis angles using different vertebral reference levels (2) to verify the repeatability and reliabilities of the Cobb method for assessment of lumbar lordosis in children. Methods: Fifty children, aged 11.5 ± 2.6 years, participated in the study. The exams were evaluated independently by three evaluators, using the vertebral levels L1-L5 and L1-S1. The data were analyzed using ICC, SEM and MDC (a<0.05). Results: The Cobb angles, using L1-L5, are 11° to 13° lower than those using L1-S1. ICCs were excellent for repeatability and intra-rater reliability and ranged from excellent (L1-L5) to moderate (L1-S1) for inter-rater reliability. Conclusion: Both methodologies can be used by the same evaluator in the assessment of lumbar lordosis of children and adolescents. Furthermore, it is of fundamental importance that the evaluator know the differences between the available reference levels.

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Published

2019-03-29

How to Cite

1.
Sedrez JA, Marchetti BV, Raupp EG, Rosa BN da, Ribeiro RP, Candotti CT. Reproducibility of Cobb method in measureming lumbar lordosis in children using different vertebral levels. Cons. Saúde [Internet]. 2019 Mar. 29 [cited 2024 Jul. 22];18(1):85-92. Available from: https://periodicos.uninove.br/saude/article/view/10609

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Vol. 18 No. 1 (2019)

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Artigos

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