Measuring hip migration percentage in cerebral palsy using the HipScreen app.


Journal

Bone & joint open
ISSN: 2633-1462
Titre abrégé: Bone Jt Open
Pays: England
ID NLM: 101770336

Informations de publication

Date de publication:
22 May 2023
Historique:
medline: 22 5 2023
pubmed: 22 5 2023
entrez: 22 5 2023
Statut: epublish

Résumé

Reimers migration percentage (MP) is a key measure to inform decision-making around the management of hip displacement in cerebral palsy (CP). The aim of this study is to assess validity and inter- and intra-rater reliability of a novel method of measuring MP using a smart phone app (HipScreen (HS) app). A total of 20 pelvis radiographs (40 hips) were used to measure MP by using the HS app. Measurements were performed by five different members of the multidisciplinary team, with varying levels of expertise in MP measurement. The same measurements were repeated two weeks later. A senior orthopaedic surgeon measured the MP on picture archiving and communication system (PACS) as the gold standard and repeated the measurements using HS app. Pearson's correlation coefficient (r) was used to compare PACS measurements and all HS app measurements and assess validity. Intraclass correlation coefficient (ICC) was used to assess intra- and inter-rater reliability. All HS app measurements (from 5 raters at week 0 and week 2 and PACS rater) showed highly significant correlation with the PACS measurements (p < 0.001). Pearson's correlation coefficient (r) was constantly over 0.9, suggesting high validity. Correlation of all HS app measures from different raters to each other was significant with The HS app provides a valid method to measure hip MP in CP, with excellent inter- and intra-rater reliability across different medical and allied health specialties. This can be used in hip surveillance programmes by interdisciplinary measurers.

Identifiants

pubmed: 37212198
doi: 10.1302/2633-1462.45.BJO-2023-0031.R1
pii: BJO-2023-0031.R1
pmc: PMC10201458
doi:

Types de publication

Journal Article

Langues

eng

Pagination

363-369

Informations de copyright

© 2023 Author(s) et al.

Déclaration de conflit d'intérêts

None declared.

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Auteurs

John Amen (J)

Division of Paediatric Orthopaedics, Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt.
Evelina London Children's Hospital, Guy's & St Thomas' NHS Trust, London, UK.

Oliver Perkins (O)

Evelina London Children's Hospital, Guy's & St Thomas' NHS Trust, London, UK.

Jill Cadwgan (J)

Evelina London Children's Hospital, Guy's & St Thomas' NHS Trust, London, UK.

Stephen J Cooke (SJ)

University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

Konstantinos Kafchitsas (K)

Department of Orthopedics and Traumatology, University of Mainz, Mainz, Germany.

Michail Kokkinakis (M)

Evelina London Children's Hospital, Guy's & St Thomas' NHS Trust, London, UK.
King's College London, London, UK.

Classifications MeSH