Skip to main content
. 2023 Sep 1;8(9):708–718. doi: 10.1530/EOR-23-0025

Table 3.

Reliability of spinal postural assessments in different studies.

Reference Reliability, ICC
Inter-rater Intra-rater
Yang et al. (52) No Repeated after 1 week
 Standing posture 0.92
 Prone posture 0.93
 Sitting posture 0.90
Lee et al. (53) No
 Shoulder and elbow κ = 0.41, κ w= 0.52, ks = 0.89
 Wrist κ = 0.20, κ w = 0.26, ks = 0.52
 Trunk κ = 0.89, κw = 0.89, ks = 0.26
Cary et al. (54) Repeated after 2 days
 Fleiss Kappa 0.83 (95% CI: 0.82–0.84)
 Cohen’s Kappa 0.93 (95% CI: 0.80–1.0)
Gallego-Izquierdo et al. (55) 0.85 0.88
Mani et al. (56) Repeated after 1 h
0.96–0.99 0.93–0.99
Vieira et al. (57)
 Photogrammetry
  Hip angle 0.564 0.502
  Ankle angle 0.996
  Head vertical alignment 0.995
 Visual inspection −0.002 (−0.036; 0.014)*
Lins et al. (24) No
 Arms 98%, ks = 0.98
 Legs 66–97%, ks = 0.85
 Upper body 80–96%, ks = 0.85
Takatalo et al. (25) Repeated after 1 day
 Inclinometer measurements
  sitting 0.85 0.84
  standing 0.81 0.86
  Tape measurements 0.74 0.86
Hopkins et al. (58)
 Sagittal plane hip shift 0.74 ± 0.05
 Frontal plane hip shift 0.23 ± 0.08
Gardiner et al. (59)
 IMU test No 0.94–0.97
Ruthard et al. (60) No Repeated after 2 days
 Sagittal and frontal plane 0.69–0.99
Yu et al. (61) Repeated after 1 week
 Height of the ASIS from the platform left 0.96; s.e.m.= 1.35; MDD95= 3.74 0.99; s.e.m . = 0.79; MDD95= 2.20
Pimentel-Santos et al. (62) No
 MTM ≥0.90
 SWE ≥0.85
Carvalho et al. (63)
 AWI, ATI, and TC 0.82–0.85 0.77–0.94
Martinez et al. (64)
 Dominant lower limb 0.91 0.90
 Nondominant lower limb 0.94 0.92
Paraskevopoulos et al. (66)
 First and second methods 0.90–0.97;s.e.m.= 0.17–0.16 0.90–0.98; s.e.m. = 0.16–0.13
 Third method 0.84–0.92; s.e.m. : 0.23–0.13 0.84–0.92; s.e.m.: 0.23–0.13
 Last two methods 0.70–0.68; S.E.M. = 0.23–0.27 0.66–0.77; S.E.M. = 0.20
Yeung et al. (65)
 EOS (uprightposition) 0.903 0.969
 CT (prone position) 0.961 0.985
Matamalas et al. (23)
 Cronbach’s alpha coefficient 0.84
κw 0.14–0.63 0.35–0.99

*Value is from Janson and Olsson’s iota (95% CI); includes PMI and SI.

AIS, adolescent idiopathic scoliosis; ATI, acromion to the treatment table index; AWI, acromion to the wall index; CT, computed tomography; EOS, biplanar stereoradiography; ICC, intraclass correlation coefficient; IMU, inertial measurement unit; κ, Fleiss kappa; κ w, Conger-weighted kappa coefficients; k s, kappa scores; κ L, light’s kappa; I=; axSpA, axial spondyloarthritis; PMI, pectoralis minor index; SD, standard deviation; SI, scapular index; TC, thoracic curvature.