Assessment of the lumbo-pelvic-hip complex mobility with the Trunk-Pelvis-Hip Angle test: intraobserver reliability and differences in ranges of motion between girls with idiopathic scoliosis and their healthy counterparts
Languages of publication
Introduction The Trunk-Pelvis-Hip Angle (TPHA) test is used for assessing the mobility of lumbo-pelvic-hip complex. The aim of the research was to assess the intraobserver reliability of the TPHA test in girls with and without idiopathic scoliosis and to compare the test values obtained by the girls in both groups. Material and methods The research included girls without scoliosis and girls with double idiopathic scoliosis aged 8-16. The trunk-pelvis-hip angle was measured three times on each body side within one session. Statistical analysis was performed with the use of ANOVA intraclass correlation coefficient for dependent groups, Kolmogorov-Smirnov test as well as non-parametric Wilcoxon signed-rank test for dependent groups and Mann-Whitney U test for independent groups. Results The research included 49 healthy girls (aged 11.8 ± SD 2.5 years) and 49 girls with double idiopathic scoliosis (aged 12.7 ± SD 2.6 years; Cobb angle Th 27.7º ± SD 13.4º and L Cobb 25.8º ± SD 10.5º). The intraobserver reliability for the TPHA measurements was very high (ICC>0.85). In both groups the left-side TPHA value was significantly higher than the right-side value (p=0.001). The TPHA range of motion on the right side of the body was more limited in the scoliotic girls than in the healthy ones (p=0.001). Conclusions The TPHA test is a reliable means of assessing mobility in the lumbo-pelvic-hip complex in girls by one observer.The asymmetry of movements in the lumbo-pelvic-hip complex in healthy girls needs to be observed since it may constitute one of the factors predisposing to scoliosis which limits spine rotation range of motion. The TPHA test needs further research.
- Crosbie J, Vachalathitib R, Smith R. Patterns of spinal motion during walking. Gait Posture 1997;5:6-2.
- Yang YT, Yoshida Y, Hortobágyi T, Suzuki S. Interaction Between Thorax, Lumbar, and Pelvis Movements in the Transverse Plane During Gait at Three Velocities. J Appl Biochem 2013;29:261-269.
- Schache AG, Bennell KL, Blanch PD, Wrigley TV. The coordinated movement of the lumbo–pelvic–hip complex during running: a literature review. Gait Posture 1999;10:30-47.
- Selles RW, Wagenaar RC, Smit TH, Wuisman PI. Disorders in trunk rotation during walking in patients with low back pain: a dynamical systems approach. Clin Biomech 2001 March;16(3):175-1.
- Al-Eisa E, Egan D, Deluzio K, Wassersug R. Effects of pelvic asymmetry and low back pain on trunk kinematics during sitting: a comparison with standing. Spine (Phila Pa 1976) 2006;31(5):135-3.
- Laird RA, Gilbert J, Kent P, Keating JL. Comparing lumbo-pelvic kinematics in people with and without back pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders 2014;15:229.
- Hoffman SL, Johnson MB, Zou D, Harris-Hayes M, Van Dillen LR. Effect of classification-specific treatment on lumbopelvic motion during hip rotation in people with low back pain. Man Ther 2011;16(4):344-0.
- Park WH, Kim YH, Lee TR, Sung PS. Factors affecting shoulder-pelvic integration during axial trunk rotation in subjects with recurrent low back pain. Eur Spine J 2012;21(7):1316-3.
- Sung PS. A kinematic analysis for shoulder and pelvis coordination during axial trunk rotation in subjects with and without recurrent low back pain. Gait Posture 2014;40(4):493–8.
- Vaugoyeau M, Viallet F, Aurenty R, Assaiante C, Mesure S, Massion J. Axial rotation in Parkinson’s disease. J Neurol Neurosurg Psychiatry 2006;77:815–1.
- Stępień A. A range of rotation of the trunk and pelvis in girls with idiopathic scoliosis. Advances in Rehabilitation 2011;3:5-2.
- Saur PM, Ensink FBM, Frese K, Seeger D, Hildebrandt J. Lumbar range of motion: reliability and validity of the inclinometer technique in the clinical measurement of trunk flexibility. Spine 1996;21(11):1332-8.
- Malmström EM, Karlberg M, Melander A, Magnusson M. Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer /compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability. Spine (Phila Pa 1976) 2003;28:433-0.
- Cakir B, Richter M, Kafer W, Wieser M, Puhl W, Schmidt R. Evaluation of lumbar spine motion with dynamic x-ray–a reliability analysis. Spine 2006;31(11):1258–4.
- Gauvin MG, Riddle DL, Rothstein JM. Reliability of clinical measurements of forward bending using the modiﬁed ﬁngertip-to-ﬂoor method. Phys Ther 1990;70:443–7.
- Miller SA, Mayer T, Cox R, Gatchel RJ. Reliability problems associated with the modiﬁed Schober technique for true ﬂexion measurement. Spine 1992;17:345–8.
- Williams R, Binkley J, Bloch R, Goldsmith CH, Minuk T. Reliability of the modiﬁed-modiﬁed Schober and double inclinometer methods for measuring lumbar ﬂexion and extension. Phys Ther 1993;73:33–4.
- Tousignant M, Poulin L, Marchand S, Viau A, Place C. The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil 2005 May 20;27(10):553-9.
- Kolber MJ., Pizzini M, Robinson A, Yanez D, Hanney WJ. The reliability and concurrent validity of measurements used to quantify lumbar spine mobility: an analysis of an Iphone ® application and gravity based inclinometry. Int J Sports Phys Ther 2013;8(2):129-7.
- Robinson HS, Mengshoel AM. Assessments of lumbar flexion range of motion: intertester reliability and concurrent validity of 2 commonly used clinical tests. Spine (Phila Pa 1976) 2014; Feb15;39(4):E270-5.
- MacDermid JC, Arumugam V, Vincent JI, Payne KL, So AK. Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension. BMC Musculoskeletal Disord 2015;16:121.
- Iveson BD, McLaughlin SL, Todd RH, Gerber JP. Reliability and exploration of the side- lying thoraco- lumbar rotation measurement (STRM). N Am J Sports Phys Ther 2010;5(4):201–7.
- Johnson KD, Kim KM, Yu BK, Saliba SA, Grindstaff TL. Reliability of Thoracic Spine Rotation Range of Motion Measurements in Healthy Adults. J Athl Train 2012;47(1):52-0.
- Cicchetti DV. Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 1994;6(4):284–0.
- Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J et al. 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 2012,7:3.
- Bialocerkowski AE, Bragge P. Measurement error and reliability testing: Application to rehabilitation. IJPTR 2008;15(10),422-7.
- Mayer TG, Tencer AF, Kristoferson S, Mooney V. Use of noninvasive techniques for quantification of spinal range-of-motion in normal subjects and chronic low-back dysfunction patients. Spine 1984; 9(6):588-5.
- Green S, Buchbinder R, Forbes A, Bellamy N. A standardized protocol for measurement of range of movement of the shoulder using the Plurimeter-V inclinometer and assessment of its intrarater and interrater reliability. Arthritis Care Res 1998; 11:43-2.
- Kluszczyński M. Częstość występowania wad postawy i asymetrii grzbietu w populacji dzieci wiejskich. Fizjoter Pol 2007; 7:71-9.
- Sharma SP, Bærheim A, Kvåle A. Passive range of motion in patients with adhesive shoulder capsulitis, an intertester reliability study over eight weeks. BMC Musculoskeletal Disord 2015; 16:37.
- Janssen MMA, Kouwenhoven JWM, Schlösser T, Viergever MA, Lambertus W, Castelein RM, Vincken KL. Analysis of Preexistent Vertebral Rotation in the Normal Infantile, Juvenile, and Adolescent Spine. Spine 2011;36(7): 486-1.
- Schlösser TP, Vincken KL, Attrach H, Kuijf HJ, Viergever MA, Janssen MM, Castelein RM. Quantitative analysis of the closure pattern of the neurocentral junction as related to preexistent rotation in the normal immature spine. The Spine Journal: Official Journal of the North American Spine Society 2013;13(7):756-3.
- Kouwenhoven JW, Vincken KL, Bartels LW, Castelein RM. Analysis of preexistent vertebral rotation in the normal spine. Spine (Phila Pa 1976) 2006;31(13):1467-2.
- Wong Ch. Mechanism of right thoracic adolescent idiopathic scoliosis at risk for progression; a unifying pathway of development by normal growth and imbalance. Scoliosis 2015;10:2.
- Poussa M, Mellin G. Spinal mobility and posture in adolescent idiopathic scoliosis at three stages of curve magnitude. Spine 1992;17:757–0.
- Burwell RG, Cole AA, Cook TA, Grivas TB, Kiel AW, Moulton A, Thirwall AS, Upadhay SS, Webb JK, Wemyss-Holden SA, Whitwell DJ, Wojcik AS, Wythers DJ: Pathogenesis of idiopathic scoliosis. The Nottingham concept. Acta Orthop Belg. 1992,58:33-58.
Publication order reference