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Thoracoabdominal mobility evaluation of asthmatic patients in physiotherapy practice: Intra‐rater reliability
Author(s) -
Caruso Flávia R.,
Trimer Renata,
da Luz Goulart Cassia,
Ricci Paula A.,
Araújo Adriana S.G.,
Carmargo Patrícia,
Marinho Renan S.,
Baptista Polliana,
Silva Andrea L.G.,
Mendes Renata G.,
BorghiSilva Audrey
Publication year - 2020
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1837
Subject(s) - medicine , intraclass correlation , reliability (semiconductor) , physical therapy , expiration , thorax (insect anatomy) , repeatability , anatomy , mathematics , clinical psychology , power (physics) , statistics , physics , quantum mechanics , respiratory system , psychometrics
Background The evaluation of thoracoabdominal mobility is a tool extensively used in the physiotherapy practice in different populations. Photogrammetry may be a simple tool to analyse thoracoabdominal mobility; however, it is unclear whether this assessment can be a reliable method. Aim To test the reliability intra‐examinator by photogrammetry in asthmatic patients and in health controls. Methods Twenty‐six asthmatic patients (29 ± 9 years) and 14 healthy matched controls (27 ± 8 years) were assessed by thoracoabdominal mobility. Photographs during rest, during inspiration and expiration maximum were used to calculate latero‐lateral and antero‐posterior diameters of the thorax (at axillary and xiphoid levels) and umbilical by markers positioned in osseous structures. An evaluator obtained the same measurements in an 8‐day interval. Results We found a moderate reliability for axillary, xiphoid and umbilical mobility (average intraclass correlation coefficient [ICC] respectively [0.68, 0.55 and 0.73]) for asthmatic group. In addition, for control group, we found a moderate reliability for axillary mobility (average ICC respectively [0.68] and a good reliability for xiphoid and umbilical mobility) (average ICC 0.81 and 0.70). Bland–Altman plots showed goods limit of agreement in photos 1 and 2 in both groups. Conclusion The photogrammetric analysis of thoracoabdominal mobility presented itself as a reliable method and may be used in clinical practice in asthmatic patients and in controls.