Rossana V Saltiel1, Samantha T Grams, Aline Pedrini, Elaine Paulin. 1. Universidade do Estado de Santa Catarina (UDESC), Centro da Ciência da Saúde e do Esporte (CEFID), Departamento de Fisioterapia Rua Pascoal Simone, 358, Coqueiros CEP 88080-350, Florianópolis, SC, Brasil.
Abstract
BACKGROUND: Diaphragmatic evaluation is crucial in clinical practice, and no studies have reported the intra- and interobserver reproducibilities of the radiographic method to evaluate diaphragmatic mobility. OBJECTIVE: To analyze the reliability of radiographic measurement as a method for assessing the mobility of the left and right hemidiaphragms. METHOD: Forty-two patients, who were waiting for cholecystectomy surgery, were evaluated relative to the following parameters: physical examination, pulmonary function and radiographic evaluation. The measure of mobility of each hemidiaphragm was randomly determined by two physical therapists at two different times. The intra- and interobserver reproducibilities of the measurements were determined by the intraclass correlation coefficient (ICC[2,1]) and the 95% confidence interval (CI). The Bland-Altman plot was also used. The level of significance was 5%. RESULTS: In the analysis of intra-observer reproducibility in radiographic evaluations of the left and right hemidiaphragms, ICC[2,1] indicated a "very high correlation" for both observer A (ICC[2,1] = 0.99, p <0.001 and ICC[2,1] = 0.97, p <0.001, respectively) and observer B (ICC[2,1] = 0.99, p <0.001 and ICC[2,1] = 0.99 p <0.001, respectively). In the analysis of interobserver reproducibility, the ICC[2,1] indicated a "very high correlation" for the 1st and 2nd radiographic evaluations of the right hemidiaphragm (ICC[2,1] = 0.98 and ICC[2,1] = 0,99, respectively, p <0.001) and left hemidiaphragm (ICC[2,1] = 0.98 and ICC[2,1] = 0.99, respectively, p <0.001). CONCLUSION: The intra and interobserver tests of the radiographic measure of mobility of the left and right hemidiaphragms showed high reliability.
BACKGROUND: Diaphragmatic evaluation is crucial in clinical practice, and no studies have reported the intra- and interobserver reproducibilities of the radiographic method to evaluate diaphragmatic mobility. OBJECTIVE: To analyze the reliability of radiographic measurement as a method for assessing the mobility of the left and right hemidiaphragms. METHOD: Forty-two patients, who were waiting for cholecystectomy surgery, were evaluated relative to the following parameters: physical examination, pulmonary function and radiographic evaluation. The measure of mobility of each hemidiaphragm was randomly determined by two physical therapists at two different times. The intra- and interobserver reproducibilities of the measurements were determined by the intraclass correlation coefficient (ICC[2,1]) and the 95% confidence interval (CI). The Bland-Altman plot was also used. The level of significance was 5%. RESULTS: In the analysis of intra-observer reproducibility in radiographic evaluations of the left and right hemidiaphragms, ICC[2,1] indicated a "very high correlation" for both observer A (ICC[2,1] = 0.99, p <0.001 and ICC[2,1] = 0.97, p <0.001, respectively) and observer B (ICC[2,1] = 0.99, p <0.001 and ICC[2,1] = 0.99 p <0.001, respectively). In the analysis of interobserver reproducibility, the ICC[2,1] indicated a "very high correlation" for the 1st and 2nd radiographic evaluations of the right hemidiaphragm (ICC[2,1] = 0.98 and ICC[2,1] = 0,99, respectively, p <0.001) and left hemidiaphragm (ICC[2,1] = 0.98 and ICC[2,1] = 0.99, respectively, p <0.001). CONCLUSION: The intra and interobserver tests of the radiographic measure of mobility of the left and right hemidiaphragms showed high reliability.
Authors: Flávia Roberta Rocha; Ana Karla Vieira Brüggemann; Davi de Souza Francisco; Caroline Semprebom de Medeiros; Danielle Rosal; Elaine Paulin Journal: J Bras Pneumol Date: 2017 Jan-Feb Impact factor: 2.624
Authors: Diksha Bains; Aksh Chahal; Mohammad Abu Shaphe; Faizan Z Kashoo; Taimul Ali; Ahmad H Alghadir; Masood Khan Journal: Biomed Res Int Date: 2022-07-30 Impact factor: 3.246