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

Physiother Res Int. 2020 Jul;25(3):e1837. doi: 10.1002/pri.1837. Epub 2020 Mar 5.

Abstract

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.

Keywords: asthma; exercise therapy; photogrammetry; rehabilitation.

Publication types

  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Asthma / physiopathology*
  • Case-Control Studies
  • Female
  • Humans
  • Lung Volume Measurements / methods*
  • Male
  • Observer Variation
  • Photogrammetry / standards*
  • Physical Therapy Modalities / standards*
  • Reproducibility of Results
  • Respiratory Function Tests
  • Thoracic Wall / physiology
  • Young Adult