scholarly journals Concurrent validity and reliability of cephalometric analysis using smartphone apps and computer software

2019 ◽  
Vol 89 (6) ◽  
pp. 889-896 ◽  
Author(s):  
Christos Livas ◽  
Konstantina Delli ◽  
Frederik K. L. Spijkervet ◽  
Arjan Vissink ◽  
Pieter U. Dijkstra

ABSTRACTObjectives:To assess the diagnostic accuracy of two smartphone cephalometric analysis apps compared with Viewbox software.Materials and Methods:Pretreatment digital lateral cephalograms of 50 consecutive orthodontic patients (20 males, 30 females; mean age, 19.1 years; SD, 11.7) were traced twice using two apps (ie, CephNinja and OneCeph), with Viewbox used as the gold standard computer software program. Seven angular and two linear measurements, originally derived from Steiner cephalometric analysis, were performed.Results:Regarding validity, intraclass correlation coefficients (ICCs) ranged from .903–.983 and .786–.978 for OneCeph vs Viewbox and CephNinja vs Viewbox, respectively. The ICC values for intratool reliability ranged from .647–.993. None of the CephNinja measurements was below the recommended cutoff values of ICCs for reliability.Conclusions:OneCeph has a high validity compared with Viewbox, while CephNinja is the best alternative to Viewbox regarding reliability. Smartphone apps may have a great potential in supplementing traditional cephalometric analysis.

Author(s):  
Steffen Held ◽  
Ludwig Rappelt ◽  
Jan-Philip Deutsch ◽  
Lars Donath

The accurate assessment of the mean concentric barbell velocity (MCV) and its displacement are crucial aspects of resistance training. Therefore, the validity and reliability indicators of an easy-to-use inertial measurement unit (VmaxPro®) were examined. Nineteen trained males (23.1 ± 3.2 years, 1.78 ± 0.08 m, 75.8 ± 9.8 kg; Squat 1-Repetition maximum (1RM): 114.8 ± 24.5 kg) performed squats and hip thrusts (3–5 sets, 30 repetitions total, 75% 1RM) on two separate days. The MCV and displacement were simultaneously measured using VmaxPro® and a linear position transducer (Speed4Lift®). Good to excellent intraclass correlation coefficients (0.91 < ICC < 0.96) with a small systematic bias (p < 0.001; ηp2 < 0.50) for squats (0.01 ± 0.04 m·s−1) and hip thrusts (0.01 ± 0.05 m·s−1) and a low limit of agreement (LoA < 0.12 m·s−1) indicated an acceptable validity. The within- and between-day reliability of the MCV revealed good ICCs (0.55 < ICC < 0.91) and a low LoA (<0.16 m·s−1). Although the displacement revealed a systematic bias during squats (p < 0.001; ηp2 < 0.10; 3.4 ± 3.4 cm), no bias was detectable during hip thrusts (p = 0.784; ηp2 < 0.001; 0.3 ± 3.3 cm). The displacement showed moderate to good ICCs (0.43 to 0.95) but a high LoA (7.8 to 10.7 cm) for the validity and (within- and between-day) reliability of squats and hip thrusts. The VmaxPro® is considered to be a valid and reliable tool for the MCV assessment.


2019 ◽  
Vol 90 (3) ◽  
pp. 397-404 ◽  
Author(s):  
Zhuoxing Xiao ◽  
Zijin Liu ◽  
Yan Gu

ABSTRACT Objective To evaluate three-dimensional (3D) accuracy and reliability of nonradiographic dentofacial images integrated with a two-step method. Methods 3D facial images, cone-beam computed tomography (CBCT) images and digital maxillary dental casts were obtained from 20 pre-orthodontic subjects. Digital dental casts were integrated into 3D facial images using a two-step method based on the anterior tooth area. 3D coordinate values of five dental landmarks were identified in both dentofacial images and CBCT images. The accuracy of the integration method was assessed with paired t-tests between dentofacial images and CBCT-based reference standards. Intraclass correlation coefficients (ICCs) were assessed for the reliability of dentofacial images and CBCT-based images. Analysis of variance and Kruskal-Wallis tests evaluated the accuracy of the method in different dimensions. Results There was no statistical difference between dentofacial images and CBCT reference standards in both translational and rotational dimensions (P &gt; .05). Translational mean absolute errors for full dentitions were within 0.42 mm and ICCs were over 0.998 in x, y, and z directions. Rotational mean absolute errors for full dentitions were within 0.92° and ICCs over 0.734 in pitch, yaw, and roll orientations. Integration errors were significantly greater in the first molar, z-translation, and pitch rotation (P &lt; .05). Conclusions Integrating 3D dentofacial images with the two-step method is precise and acceptable for clinical diagnostics and scientific purposes. Errors were greater in the molar region, z-translation, and pitch rotation.


Sensors ◽  
2019 ◽  
Vol 19 (2) ◽  
pp. 265 ◽  
Author(s):  
Kristen Renner ◽  
DS Williams ◽  
Robin Queen

The assessment of loading during walking and running has historically been limited to data collection in laboratory settings or with devices that require a computer connection. This study aims to determine if the loadsol®—a single sensor wireless insole—is a valid and reliable method of assessing force. Thirty (17 male and 13 female) recreationally active individuals were recruited for a two visit study where they walked (1.3 m/s) and ran (3.0 and 3.5 m/s) at a 0%, 10% incline, and 10% decline, with the visits approximately one week apart. Ground reaction force data was collected on an instrumented treadmill (1440 Hz) and with the loadsol® (100 Hz). Ten individuals completed the day 1 protocol with a newer 200 Hz loadsol®. Intraclass correlation coefficients (ICC3,k) were used to assess validity and reliability and Bland–Altman plots were generated to better understand loadsol® validity. Across conditions, the peak force ICCs ranged from 0.78 to 0.97, which increased to 0.84–0.99 with the 200 Hz insoles. Similarly, the loading rate ICCs improved from 0.61 to 0.97 to 0.80–0.96 and impulse improved from 0.61 to 0.97 to 0.90–0.97. The 200 Hz insoles may be needed for loading rate and impulse in running. For both walking and running, the loadsol® has excellent between-day reliability (>0.76).


2013 ◽  
Vol 84 (3) ◽  
pp. 437-442 ◽  
Author(s):  
Cecilia Goracci ◽  
Marco Ferrari

ABSTRACT Objective: To assess the reproducibility of cephalometric measurements performed with software for a tablet, with a program for personal computers (PCs), and manually. Materials and Methods: The pretreatment lateral cephalograms of 20 patients that were acquired using the same digital cephalometer were collected. Tracings were performed with NemoCeph for Windows (Nemotec), with SmileCeph for iPad (Glace Software), and by hand. Landmark identification was carried out with a mouse-driven cursor using NemoCeph and with a stylus pen on the iPad screen using SmileCeph. Hand tracings were performed on printouts of the cephalograms, using a 0.3-mm 2H pencil and a protractor. Cephalometric landmarks and linear and angular measurements were recorded. All the tracings were done by the same investigator. To evaluate reproducibility, for each cephalometric measurement the agreement between the value derived from NemoCeph, that given by SmileCeph and that measured manually was assessed with the intraclass correlation coefficient (ICC). Agreement was rated as low for an ICC ≤0.75, and an ICC &gt; 0.75 was considered indicative of good agreement. Also, differences in measurements between each software and manual tracing were statistically evaluated (P &lt; .05). Results: All the measurements had ICC &gt;0.8, indicative of a high agreement among the tracing methods. Relatively lower ICCs occurred for linear measurements related to the occlusal plane and to N perpendicular to the Frankfurt plane. Differences in measurements between both software programs and hand tracing were not statistically significant for any of the cephalometric parameters. Conclusion: Tablet-assisted, PC-aided, and manual cephalometric tracings showed good agreement.


2002 ◽  
Vol 06 (03n04) ◽  
pp. 135-145 ◽  
Author(s):  
M. Friedrich

Because the degree and duration of lumbar flexion during sewage work have only been assessed on the basis of subjective reports, the purpose of this study was to investigate the usability of a measurement system for the non-invasive assessment of lumbar sagittal posture during sewage work using ultrasound. The validity of an ultrasonic measurement device was investigated in 16 healthy individuals by comparing the measurements obtained with the device with both Schober and electronic inclinometer measurements. To determine the intra-rater reliability of the ultrasonic device, short-term, medium-term, and long-term test-retest data were collected. Moreover, the percentage of the work time sewage workers spend in each of seven lumbar flexion categories within their individual lumbar flexion range of motion was assessed. Pearson's correlation coefficients of ≥ 0.88 indicate high validity between the methods. The intraclass correlation coefficients between tests and retests (≥ 0.88) demonstrate high reproducibility of the measurement procedures. Sewage workers spend about 25% of their work day in the most extreme of the seven lumbar posture categories. Also, testing did not interfere with the workers' normal work routine. The validity and reliability data as well as the trouble-free technical performance of the ultrasonic device support its usability for the continuous measurement of lumbar posture during sewage work.


2016 ◽  
Vol 21 (4) ◽  
pp. 196-204 ◽  
Author(s):  
Catherine Schuster ◽  
Brian Stahl ◽  
Connie Murray ◽  
Nowai L. Keleekai ◽  
Kevin Glover

Abstract To date, there is no published, psychometrically validated, short peripheral intravenous catheter (PIVC) insertion skills checklist. Creating a valid, reliable, and generalizable checklist to measure PIVC skill is a key step in assessing baseline competence and skill mastery. Based on recognized standards and best practices, the PIVC Insertion Skills Checklist was developed to measure all the steps necessary for a best practice PIVC insertion. This includes the entire process from reading the prescriber's orders to documentation and, if the first attempt is unsuccessful, a second attempt option. Content validity was established using 3 infusion therapy experts. Evidence in support of response process validity is described. The PIVC Insertion Skills Checklist was used by 8 trained raters to assess the PIVC insertion skills, in a simulated environment, of 63 practicing clinicians working on medical and surgical units in a US teaching hospital. Internal consistency of the PIVC Insertion Skills Checklist was α = 0.84. Individual item intraclass correlation coefficients (ICCs) between rater and gold standard observations ranged from − 0.01 to 1.00 and total score ICC was 0.99 (95% confidence interval, 0.99–0.99). The current study offers validity and reliability evidence to support the use of the PIVC Insertion Skills Checklist to measure PIVC insertion skill of clinicians in a simulated environment.


Author(s):  
José M. Oliva-Lozano ◽  
Isabel Martín-Fuentes ◽  
José M. Muyor

To understand the physical demands of sexual intercourse, it is necessary to monitor the kinematic parameters of this activity using relatively non-invasive technology. The aims of this study are to analyze the validity and reliability of an inertial device for monitoring the range of motion at the pelvis during simulated intercourse and compare the range of motion (ROM). Twenty-six adults were monitored during intercourse using an inertial device (WIMU) and a motion capture system (gold standard) in a test that consisted of 4 sets of 20 simulated in–out cycles (IOC) in missionary and cowgirl positions. Men and women were tested separately in a laboratory setting for simulated intercourse aims. There were no differences between the WIMU and the gold standard system at fast pace (p > 0.05), whereas there were differences at slow pace (~2.04°; p ≤ 0.05; d = 0.17). Intraclass correlation coefficients (ICCs) for the relationship between systems was very close to 1 at both paces (slow: 0.981; fast: 0.998). The test–retest reliability analysis did not show any difference between sets of measurements. In conclusion, WIMU could be considered as a valid and reliable device for IOC range of motion monitoring during sexual intercourse in missionary and cowgirl positions.


2017 ◽  
Vol 65 (4) ◽  
pp. 321-325
Author(s):  
Thereza Raquel Garcia Silva CORREIA ◽  
Lorena Marques Ferreira de SENA ◽  
José Sandro Pereira da SILVA ◽  
Hallissa Simplício Gomes PEREIRA

ABSTRACT Objective: To evaluate the agreement between cephalometric measures obtained from two different software programs: Dolphin Imaging 11.7® and Radiocef Studio 2® . Methods: 30 digital lateral teleradiographies (200 dpi, 2100 x 2092 pixels) were analyzed on each of the software programs through demarcation of 11 cephalometric points by a single calibrated examiner. Then, the generated cephalometric magnitudes were statistically correlated by means of the intraclass correlation coefficients (ICC). Then 10 randomly selected radiographies were retraced on each of the programs in order to evaluate the intra-examiner concordance after a time interval of 08 days. Results: The SNB and Pog-NB magnitudes showed strong concordance between the software, while the SNA, ANB, 1-NA, 1-NB, 1.NB, 1.1 and Go-Gn.SN magnitudes unveiled moderate concordance. Only the 1.NA magnitude showed weak concordance. Conclusion: The software can be interchangeably applied in clinical practice.


2018 ◽  
Vol 13 (7) ◽  
pp. 853-859 ◽  
Author(s):  
José R. Lillo-Bevia ◽  
Jesús G. Pallarés

Purpose: To validate the new drive indoor trainer Hammer designed by Cycleops®. Methods: A total of 11 cyclists performed 44 randomized and counterbalanced graded exercise tests (100–500 W) at 70-, 85-, and 100-rpm cadences in seated and standing positions on 3 different Hammer units, while a scientific SRM system continuously recorded cadence and power output data. Results: No significant differences were detected between the 3 Hammer devices and the SRM for any workload, cadence, or pedaling condition (P value between 1.00 and .350), except for some minor differences (P = .03 and .04) found in the Hammer 1 at low workloads and for Hammer 2 and 3 at high workloads, all in seated position. Strong intraclass correlation coefficients were found between the power output values recorded by the Hammers and the SRM (≥.996; P = .001), independently from the cadence condition and seated position. Bland–Altman analysis revealed low bias (−5.5 to 3.8) and low SD of bias (2.5–5.3) for all testing conditions, except marginal values found for the Hammer 1 at high cadences and seated position (9.6 [6.6]). High absolute reliability values were detected for the 3 Hammers (150–500 W; coefficient of variation <1.2%; SEM <2.1). Conclusions: This new Cycleops trainer is a valid and reliable device to drive and measure power output in cyclists, providing an alternative to larger and more expensive laboratory ergometers and allowing cyclists to use their own bicycles.


Author(s):  
Billy Senington ◽  
Raymond Y. Lee ◽  
Jonathan Mark Williams

AbstractThe use of inertial sensors in fast bowling analysis may offer a cheaper and portable alternative to current methodologies. However, no previous studies have assessed the validity and reliability of such methods. Therefore, this study aimed to assess the validity and reliability of collecting tibial accelerations and spinal kinematics using inertial sensors during in vivo fast bowling. Thirty-five elite male fast bowlers volunteered for this study. An accelerometer attached to the skin over the tibia was used to determine impacts and inertial sensors over the S1, L1 and T1 spinous processes used to derive the relative kinematics. These measurements were compared to optoelectronic and force plate data for validity analysis. Most acceleration and kinematics variables measured report significant correlations > 0.8 with the corresponding gold standard measurement, with intraclass correlation coefficients greater than 0.7. Low standard error of measurement and consequently small minimum detectable change (MDC) values were also observed. This study demonstrates that inertial sensors are as valid and reliable as current methods of fast bowling analysis and may provide some advantages over traditional methods. The novel metrics and methods described in this study may aid coaches and practitioners in the design and monitoring of fast bowling technique. Graphical abstract Graphical abstract illustrating the synopsis of the findings from this paper.


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