Value and reliability of anthropometric measurements of cranial deformity in early childhood
Value and reliability of anthropometric measurements of cranial deformity in early childhood
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DOI：
10.1016/j.jcms.2010.03.010
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发表时间：
2011-01-01
影响因子：
3.1
通讯作者：
Schaaf, Heidrun
中科院分区：
文献类型：
--
作者：
Wilbrand, Jan-Falco;Wilbrand, Martina;Schaaf, Heidrun
目的：自1992年美国儿科学会发起“回到睡眠”运动以来，婴儿早期位置性颅骨畸形的发病率一直在增加。人体测量卡尺测量提出了最实用的工具，诊断和决策，虽然他们的价值是有争议的讨论在literature.Patients和方法：我们的研究包括30个随机选择的婴儿谁被诊断为斜头畸形，brachycephaly，或这两种情况的组合。每组10名患者由三名检查员进行人体测量。由每位检查者以标准方式和标准头部位置测量以下参数六次：周长、长度、宽度和从额颞区（ft）到头部两侧的矢状缝（Id）的倾斜距离。每个值的观察者间和观察者内的变异性进行了统计学评估的方差分量estimationprocedure.Results：观察者间和观察者内的一致性有非常低的变异性。总体而言，平均观察者间变异性低于0.182 mm（2），平均观察者内变异性低于1.131 mm（2）。总而言之，观察者间变异以及观察者内变异最大约2 mm测量variation.Conclusions：标准化的测量是高度可重复的量化儿童早期头部畸形。为了保证测量的可靠性，标准的头部位置是必不可少的。人体测量的可重复性对于确定诊断和严重程度代码以及制定治疗概念至关重要。(C)2010年欧洲颅颌面外科协会。
Objectives: Since the "back to sleep" campaign initiated by the American Pediatric Society in 1992, an increasing incidence of positional cranial deformity in early infancy has been widely observed. Anthropometric caliper measurements present the most practical tool for diagnosis and decision making although their value is being controversially discussed in literature.Patients and methods: Our study included 30 randomly chosen infants who had been diagnosed with plagiocephaly, brachycephaly, or a combination of both conditions. The 10 patients in each group were then measured anthropometrically by three examiners. The following parameters were measured six times in a standard manner and with a standard head position by each examiner: circumference, length, width, and oblique distance from the fronto-temporal area (ft) to the lambdoid suture on each side of the head (Id). Inter- and intra-observer variabilities for every value were statistically evaluated by a variance components estimation procedure.Results: Both inter- and intra-observer agreement had very low variability. Overall, mean inter-observer variability was lower than 0.182 mm(2), and mean intra-observer variability was lower than 1.131 mm(2). Altogether, interobserver variability as well as intraobserver variability had a maximum of about 2 mm measurement variance.Conclusions: Standardized measurements are highly reproducible to quantify early childhood head deformity. Standard head position is indispensable for reliable measurement. Repeatability of anthropometric measurements is essential to define diagnoses and severity codes and to develop treatment concepts. (C) 2010 European Association for Cranio-Maxillo-Facial Surgery.