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MSKROM when compared against the Electronic Inclinometer with Pearson correlation coefficient ranging from 0.925 to 0.991 except 0.757 at the thoracic extension measurement (all with pu003c0.001). The intra and inter-rater reliability of MSKROM was also excellent with ICC ranging from 0.873 to 0.997. In contrast, concurrent validity of the fingertip-to-floor method was poor with Pearson correlation coefficient ranging from -0.048 to 0.237 and none of the correlation reached statistical significance. Conclusions The results provided strong evidences the MSKROM installed in a readily available mobile phone with an inbuilt accelerometer could give valid and reliable measurement of spinal movement in the frontal and sagittal planes. The measurement was simple and fast. Given the inadequacy with the fingertip-to-floor method which is a measure of combined movement at both the hip and the spine, MSKROM can be disseminated for use both at bedside and for clinical researches.

Using your mobile phone for quantitative measurement of spinal motion: a reliability and validity study