scholarly journals Validation, Reliability, and Responsiveness Outcomes of Kinematic Assessment with an RGB-D Camera to Analyze Movement in Subacute and Chronic Low Back Pain

Sensors ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 689 ◽  
Author(s):  
Manuel Trinidad-Fernández ◽  
David Beckwée ◽  
Antonio Cuesta-Vargas ◽  
Manuel González-Sánchez ◽  
Francisco-Angel Moreno ◽  
...  

Background: The RGB-D camera is an alternative to asses kinematics in order to obtain objective measurements of functional limitations. The aim of this study is to analyze the validity, reliability, and responsiveness of the motion capture depth camera in sub-acute and chronic low back pain patients. Methods: Thirty subjects (18–65 years) with non-specific lumbar pain were screened 6 weeks following an episode. RGB-D camera measurements were compared with an inertial measurement unit. Functional tests included climbing stairs, bending, reaching sock, lie-to-sit, sit-to-stand, and timed up-and-go. Subjects performed the maximum number of repetitions during 30 s. Validity was analyzed using Spearman’s correlation, reliability of repetitions was calculated by the intraclass correlation coefficient and the standard error of measurement, and receiver operating characteristic curves were calculated to assess the responsiveness. Results: The kinematic analysis obtained variable results according to the test. The time variable had good values in the validity and reliability of all tests (r = 0.93–1.00, (intraclass correlation coefficient (ICC) = 0.62–0.93). Regarding kinematics, the best results were obtained in bending test, sock test, and sit-to-stand test (r = 0.53–0.80, ICC = 0.64–0.83, area under the curve (AUC) = 0.55–84). Conclusion: Functional tasks, such as bending, sit-to-stand, reaching, and putting on sock, assessed with the RGB-D camera, revealed acceptable validity, reliability, and responsiveness in the assessment of patients with low back pain (LBP). Trial registration: ClinicalTrials.gov NCT03293095 “Functional Task Kinematic in Musculoskeletal Pathology” 26 September 2017

2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Juan Wang ◽  
Changcheng Chen ◽  
Mengsi Peng ◽  
Yizu Wang ◽  
Bao Wu ◽  
...  

Objective. To investigate the intra- and inter-rater reliability of three measurements on painful and pain-free sides in participants with chronic low back pain (CLBP) at different ages. Methods. We recruited 60 participants with CLBP and divided them equally into a group of younger participants with chronic low back pain (18 ≤ age ≤ 35, Y-CLBP) and a group of older participants with chronic low back pain (36 ≤ age ≤ 65, O-CLBP). Participants were assessed by two testers within the same day (10 min interval), and one of the testers repeated the assessment program 24 h later. The intraclass correlation coefficient (ICC) was used to assess reliability. The Pearson correlation coefficient was used to analyze the correlation between tactile acuity and age, waistline, and pain-related variables. Results. In the Y-CLBP group, the intra-rater reliability of two-point discrimination (TPD), point-to-point test (PTP), and two-point estimation (TPE) on the painful and pain-free sides was good (ICC range: 0.74–0.85), whereas the inter-rater reliability of TPD, PTP, and TPE on the painful and pain-free sides was moderate to good (ICC range: 0.65–0.76). In the O-CLBP group, the intra-rater reliability of TPD, PTP, and TPE on the painful and pain-free sides was good (ICC range: 0.75–0.85), whereas the inter-rater reliability of TPD, PTP, and TPE on the painful and pain-free sides was moderate to good (ICC range: 0.70–0.85). Age, waistline, duration of pain, maximum pain, general pain, and unpleasant score caused by pain were positively correlated with tactile acuity thresholds (D-TPD, A-TPD, PTP, and TPE) (r > 0.365, p < 0.05 ). When BMI was controlled, age, waistline, and pain-related variables were positively correlated with tactile acuity thresholds (r > 0.388; p < 0.05 ). Conclusion. In the participants of Y-CLBP and O-CLBP groups, TPD, PTP, and TPE have moderate-to-good intra- and inter-rater reliability on the painful and pain-free sides of the fifth lumbar vertebrae.


Pain Medicine ◽  
2018 ◽  
Vol 20 (12) ◽  
pp. 2472-2478 ◽  
Author(s):  
Wacław M Adamczyk ◽  
Anna Sługocka ◽  
Krzysztof Mehlich ◽  
Edward Saulicz ◽  
Kerstin Luedtke

AbstractObjectivesSensory dissociation (SEDI), the discrepancy between perception and actual size or shape of a painful body part, is a frequently observed finding in patients with chronic low back pain. However, the current methods of evaluating SEDI have several limitations, such as a qualitative nature and weak evidence supporting their reliability. In the current study, the reliability of two versions (manual and verbal) of a novel test, a two-point estimation task (TPE), was investigated.MethodsTo perform the manual version of the task, patients estimated the distance between two tactile stimuli delivered to their back using callipers, whereas in the verbal version they verbally reported the estimated distance.ResultsThe manual version of TPE showed greater interexaminer reliability than the verbal version, and the mean of the two repeated measurements was sufficient for reaching excellent reliability for the pain-free (intraclass correlation coefficient [ICC] = 0.91, 95% confidence interval [CI] = 0.77–0.97) and painful (ICC = 0.86, 95% CI = 0.65–0.94) sides. Intra-examiner reliability was moderate to excellent (ICC = 0.66–0.96) for the manual version performed at the pain-free and painful sides. Distribution, duration, and intensity of pain significantly predicted SEDI and accounted for 42% of the total variance (corrected R2 = 0.42, P &lt; 0.01).ConclusionsTPE showed higher reliability coefficients compared with tools previously suggested in the literature and can therefore be used clinically and experimentally by one or more examiners. Further research is required to investigate the validity of this new test.


2016 ◽  
Vol 49 (10) ◽  
pp. 2060-2067 ◽  
Author(s):  
Guillaume Christe ◽  
Lucy Redhead ◽  
Thomas Legrand ◽  
Brigitte M. Jolles ◽  
Julien Favre

2020 ◽  
Vol 43 (2) ◽  
pp. 79-92
Author(s):  
Mohammadreza Pourahmadi ◽  
Ismail Ebrahimi Takamjani ◽  
Javad Sarrafzadeh ◽  
Holakoo Mohsenifar ◽  
Sayyed Hamed Fazeli ◽  
...  

2020 ◽  
Vol 13 (3) ◽  
pp. 73-78
Author(s):  
Md. Israt Hasan ◽  
Syed Mozaffar Ahmed

This study was intended to translate and culturally adapt the  STarT back screening tool to produce an equivalent  Bangla version. Total 58 patients with low back pain completed the newly developed Bangla version of STarT back screening tool and Bangla version of Ronald Morris Disability Questionnaire seven days apart. Reliability was assessed by internal consistency (Chronbach’s alpha for overall score 0.81 and for spychosocial subscale was 0.76)  and test-retest reliability (intraclass correlation coefficient for overall score was 0.78 and for spychosocial subscale was 0.71). Reliability of  Bangla version of STarT back screening tool was very good. Pearson’s correlation coefficient was carried out on the Bangla version of STarT back screening tool and Bangla version of RMDQ to assess construct validity (overall score was 0.88 and spychosocial subscale score was 0.83) which indicate a strong correlation between them. This study shows that the Bangla version of STarT back screening tool is a reliable, valid and culturally adapted responsive screening tool for the patients with low back pain. 


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