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Intra-rater reliability The kappa value for agreement between the raters measures on occasion one and occasion two showed substantial agreement,  = 0.77, 95% CI (0.61 – 0.91), P < 0.01. There was good intra-rater reliability. Inter-rater reliability The kappa value for agreement between the two raters measures showed substantial agreement,  = 0.7623, 95% CI (0.504 - 1.000), P < 0.01. There was also good inter-rater reliability. There was a moderate negative correlation between the Cobb angles and Hyperlaxity scores, r = -0.3847, p = 0.01.

The development of a classification system for the treatment of scoliosis by the side shift