줄자 및 사진촬영 측정을 이용한 어깨뼈 벌림 측정에 대한 신뢰도 연구

• Published in: Han'guk Chŏnmun Mulli Ch'iryo Hakhoe chi = Journal of the Korean Academy of University Trained Physical Therapists Vol. 20; no. 3; pp. 74 - 80
• Main Authors: 김문환, Moon Hwan Kim, 윤성준, Sung Joon Yun, 하성민, Sung Min Ha
• Format: Journal Article
• Language: Korean
• Published: 한국전문물리치료학회 30.09.2013; Korean Academy Of University Trained Physical Therapy
• Subjects: Reliability; Scapular position; Tape and photography measurement; 물리치료학; Reliability; Scapular position; Tape and photography measurement
• ISSN: 1225-8962; 2287-982X
• DOI: 10.12674/ptk.2013.20.3.074

본 연구는 어깨뼈 안쪽 모서리부터 등뼈의 가시돌기까지의 거리를 측정하기 위한 방법으로 줄자를 이용한 측정과 사진촬영 후 분석을 이용한 측정간의 측정자간, 측정자내 신뢰도를 알아보기 위하여 실시되었다. 20명의 대학생을 대상으로 양쪽의 40개의 어깨뼈의 위치를 측정하였다. 줄자를 이용한 측정의 측정자내 신뢰도와 측정자간 신뢰도가 각각 ICC(3,1)=. 77, ICC (3,1)=. 74로 나타났고, 사진촬영 후 분석을 이용한 측정의 측정자내 신뢰도와 측정자간 신뢰도가 각각 ICC(3,1)=. 76, ICC (3,1)=. 76으로 우수한 상관계수를 나타내었다. 사진을 이용한 재평가 및 자료의 보관이 용이한 사진촬영후 분석을 이용한 측정방법도 어깨뼈의 안쪽 모서리부터 등뼈의 가시돌기까지의 거리를 객관적으로 정확한 측정을 할 수 있을 것이라 여겨진다. The purpose of this study was to determine the reliability of distance measurements from the medial border of the scapula to the spinous process of the thoracic vertebrae when obtained using tape and photography measurements. The study included 20 healthy subjects (10 males, 10 females); for a total of 40 scapula measurements. The distance measurements made using tape or photography methods were conducted with the subject in a standing position. Repeated tape and photography measurements were conducted in two sessions on different days by two examiners to assess the inter-rater and intra-rater reliability of the two methods. The reliability of scapular distance measured using tape and photography methods was tested using intraclass correlation coefficients (ICC(3,1)) and the standard error of measurement (SEM). The inter-rater reliability of the tape measurement method was excellent (ICC=.77) and the intra-rater reliability was fair to good (ICC=.74). The inter-rater and intra-rater reliabilities of the photography measurement method were excellent (ICC=.76 and .76 respectively). Our results suggest that photography measurement is an objective and qualitative measurement tool for scapular distance measurements.