Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions

Background: Craniovertebral angle (CVA) alteration is a causative factor for the neck, shoulder, and temporomandibular joints disorders. Therefore, as an outcome measure for therapeutic intervention, measuring the craniovertebral angle with the Surgimap smartphone app is a cost-effective, easily acc...

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Main Authors: Aafreen, Ashfaque Khan, Ausaf Ahmad, Abdur Raheem Khan, Neeraj Maurya, Mohammed M. Alameer, Ahmad H. Hakamy, Mohammed A. Hakami, Yousef M. Alshehre, Mohammed Aljahni, Karthick Balasubramanian, Mohammed M. Alshehri, Mohammad Abu Shaphe
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023065441
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author Aafreen
Ashfaque Khan
Ausaf Ahmad
Abdur Raheem Khan
Neeraj Maurya
Mohammed M. Alameer
Ahmad H. Hakamy
Mohammed A. Hakami
Yousef M. Alshehre
Mohammed Aljahni
Karthick Balasubramanian
Mohammed M. Alshehri
Mohammad Abu Shaphe
author_facet Aafreen
Ashfaque Khan
Ausaf Ahmad
Abdur Raheem Khan
Neeraj Maurya
Mohammed M. Alameer
Ahmad H. Hakamy
Mohammed A. Hakami
Yousef M. Alshehre
Mohammed Aljahni
Karthick Balasubramanian
Mohammed M. Alshehri
Mohammad Abu Shaphe
author_sort Aafreen
collection DOAJ
description Background: Craniovertebral angle (CVA) alteration is a causative factor for the neck, shoulder, and temporomandibular joints disorders. Therefore, as an outcome measure for therapeutic intervention, measuring the craniovertebral angle with the Surgimap smartphone app is a cost-effective, easily accessible, and reliable tool. This study's objective was to assess the clinimetric properties of the Surgimap smartphone application with Surgimap system software to measure the Craniovertebral Angle in different age groups and positions. Method: Ninety subjects with neck pain were randomly allocated to aged between 18 and 30 years (Group A; n = 45) and 45–60 years (Group B; n = 45). Using the Surgimap smartphone application and Surgimap system software, the craniovertebral angle was measured objectively in the sagittal plane. Intraclass correlation coefficients were used to determine validity and reliability. Receiver operating characteristic (ROC) curves and the area under the curves (AUC) were determined to distinguish participants with and without forward head posture. Result: The result of this study shows that Smartphone Surgimap Application and Surgimap System Software correlate 0.95 and have p-values of 0.01 for diverse positions and ages. CVA measurement in the sitting position was significantly lower than in the standing position, regardless of methodology or age. Both positions demonstrated high intra-rater reliability, as evidenced by Intraclass Correlation Coefficients (ICC) between 0.972 and 0.991. The minimum detectable change (MDC) values ranged from 1.3 to 1.733, indicating high measurement accuracy. The smartphone application demonstrated outstanding diagnostic sensitivity (100.00% for Group A standing) and specificity (93.55% for Group B standing). Conclusion: The Surgimap smartphone application is a reliable and accurate method for craniovertebral angle measurement and is useful for measuring outcomes. Also standing posture was found to be better than sitting posture while measuring the CVA.
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spelling doaj.art-205493a180b74ef29ea985be3b5873622023-10-01T05:59:14ZengElsevierHeliyon2405-84402023-09-0199e19336Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions Aafreen0Ashfaque Khan1Ausaf Ahmad2Abdur Raheem Khan3Neeraj Maurya4Mohammed M. Alameer5Ahmad H. Hakamy6Mohammed A. Hakami7Yousef M. Alshehre8Mohammed Aljahni9Karthick Balasubramanian10Mohammed M. Alshehri11Mohammad Abu Shaphe12Department of Physiotherapy, Integral University, Lucknow, IndiaDepartment of Physiotherapy, Integral University, Lucknow, IndiaDepartment of Community Medicine, Integral University, Lucknow, IndiaDepartment of Physiotherapy, Integral University, Lucknow, India; Corresponding author.Department of Physiotherapy, Integral University, Lucknow, IndiaPhysical Therapy Department King Fahad Central Hospital, Jazan, Saudi ArabiaMedical Rehabilitation Center of King Fahad Central Hospital of Jazan, Saudi ArabiaPhysical Therapy Department, College of Applied Medical Sciences, Advance Rehabilitation Clinic, Jazan University, Jazan, Saudi ArabiaDepartment of Physical Therapy, Faculty of Applied Medical Sciences, University of Tabuk, Saudi ArabiaPhysical Education Department, Jazan University, Jazan, Saudi ArabiaPhysical Therapy Department, College of Applied Medical Sciences, Advance Rehabilitation Clinic, Jazan University, Jazan, Saudi ArabiaPhysical Therapy Department, College of Applied Medical Sciences, Advance Rehabilitation Clinic, Jazan University, Jazan, Saudi ArabiaPhysical Therapy Department, College of Applied Medical Sciences, Advance Rehabilitation Clinic, Jazan University, Jazan, Saudi ArabiaBackground: Craniovertebral angle (CVA) alteration is a causative factor for the neck, shoulder, and temporomandibular joints disorders. Therefore, as an outcome measure for therapeutic intervention, measuring the craniovertebral angle with the Surgimap smartphone app is a cost-effective, easily accessible, and reliable tool. This study's objective was to assess the clinimetric properties of the Surgimap smartphone application with Surgimap system software to measure the Craniovertebral Angle in different age groups and positions. Method: Ninety subjects with neck pain were randomly allocated to aged between 18 and 30 years (Group A; n = 45) and 45–60 years (Group B; n = 45). Using the Surgimap smartphone application and Surgimap system software, the craniovertebral angle was measured objectively in the sagittal plane. Intraclass correlation coefficients were used to determine validity and reliability. Receiver operating characteristic (ROC) curves and the area under the curves (AUC) were determined to distinguish participants with and without forward head posture. Result: The result of this study shows that Smartphone Surgimap Application and Surgimap System Software correlate 0.95 and have p-values of 0.01 for diverse positions and ages. CVA measurement in the sitting position was significantly lower than in the standing position, regardless of methodology or age. Both positions demonstrated high intra-rater reliability, as evidenced by Intraclass Correlation Coefficients (ICC) between 0.972 and 0.991. The minimum detectable change (MDC) values ranged from 1.3 to 1.733, indicating high measurement accuracy. The smartphone application demonstrated outstanding diagnostic sensitivity (100.00% for Group A standing) and specificity (93.55% for Group B standing). Conclusion: The Surgimap smartphone application is a reliable and accurate method for craniovertebral angle measurement and is useful for measuring outcomes. Also standing posture was found to be better than sitting posture while measuring the CVA.http://www.sciencedirect.com/science/article/pii/S2405844023065441surgimap system softwareSurgimap smartphone applicationCraniovertebral angleValidityReliability
spellingShingle Aafreen
Ashfaque Khan
Ausaf Ahmad
Abdur Raheem Khan
Neeraj Maurya
Mohammed M. Alameer
Ahmad H. Hakamy
Mohammed A. Hakami
Yousef M. Alshehre
Mohammed Aljahni
Karthick Balasubramanian
Mohammed M. Alshehri
Mohammad Abu Shaphe
Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
Heliyon
surgimap system software
Surgimap smartphone application
Craniovertebral angle
Validity
Reliability
title Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
title_full Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
title_fullStr Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
title_full_unstemmed Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
title_short Clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
title_sort clinimetric properties of a smartphone application to measure the craniovertebral angle in different age groups and positions
topic surgimap system software
Surgimap smartphone application
Craniovertebral angle
Validity
Reliability
url http://www.sciencedirect.com/science/article/pii/S2405844023065441
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