Thoracoabdominal mobility evaluation of asthmatic patients in physiotherapy practice: Intra‐rater reliability

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...

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Published in:Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2020-07, Vol.25 (3), p.e1837-n/a
Main Authors: 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., Borghi‐Silva, Audrey
Format: Article
Language:English
Subjects:
Adolescent
Adult
asthma
Asthma - physiopathology
Case-Control Studies
exercise therapy
Female
Humans
Lung Volume Measurements - methods
Male
Observer Variation
photogrammetry
Photogrammetry - standards
Physical Therapy Modalities - standards
rehabilitation
Reproducibility of Results
Respiratory Function Tests
Thoracic Wall - physiology
Young Adult
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Summary: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.
ISSN:1358-2267
1471-2865
DOI:10.1002/pri.1837