Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain
This study aimed to establish and assess the reliability of spino-pelvic and sagittal balance parameters measured during walking in patients with back pain, some of whom had radiological signs of sagittal imbalance, reflecting real-world clinical conditions. Dynamic assessment offers an alternative...
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MDPI AG
2025-03-01
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| author | Armand Dominik Škapin Janez Vodičar Nina Verdel Matej Supej Miha Vodičar |
| author_facet | Armand Dominik Škapin Janez Vodičar Nina Verdel Matej Supej Miha Vodičar |
| author_sort | Armand Dominik Škapin |
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| description | This study aimed to establish and assess the reliability of spino-pelvic and sagittal balance parameters measured during walking in patients with back pain, some of whom had radiological signs of sagittal imbalance, reflecting real-world clinical conditions. Dynamic assessment offers an alternative to conventional static measurements, potentially improving the evaluation of sagittal balance. Ten patients aged 56–73 years completed a six-minute walking assessment while being monitored by the optoelectric Qualisys Motion Capture System. Forty-nine reflective markers were placed to measure the spino-pelvic and sagittal balance parameters across five gait phases: pre-walk, initial-walk, mid-walk, end-walk, and post-walk. Test–retest reliability was evaluated using the intraclass correlation coefficient (ICC). The results showed excellent reliability for thoracic kyphosis angle (ICC = 0.97), C7-L5 sagittal trunk shift (ICC = 0.91), and global tilt angle (ICC = 0.99); good reliability for auditory meatus-hip axis sagittal trunk shift (ICC = 0.85); and moderate reliability for pelvic angle (ICC = 0.57), lumbar lordosis angle (ICC = 0.72), and sagittal trunk angle (ICC = 0.73). Despite minor marker placement inconsistencies and variations in body movement across trials, the findings support the use of this dynamic assessment method in research settings. Its clinical application could also enhance diagnostic accuracy and treatment planning for patients with sagittal balance disorders, allowing for better-tailored therapeutic interventions. |
| format | Article |
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| institution | Kabale University |
| issn | 1424-8220 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
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| spelling | doaj-art-da3472060bdb4ebb917c0ff0e18b5bf42025-08-20T03:44:05ZengMDPI AGSensors1424-82202025-03-01256164710.3390/s25061647Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back PainArmand Dominik Škapin0Janez Vodičar1Nina Verdel2Matej Supej3Miha Vodičar4Department of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloška cesta 9, 1000 Ljubljana, SloveniaFaculty of Sport, University of Ljubljana, Gortanova ulica 22, 1000 Ljubljana, SloveniaFaculty of Sport, University of Ljubljana, Gortanova ulica 22, 1000 Ljubljana, SloveniaFaculty of Sport, University of Ljubljana, Gortanova ulica 22, 1000 Ljubljana, SloveniaDepartment of Orthopaedic Surgery, University Medical Centre Ljubljana, Zaloška cesta 9, 1000 Ljubljana, SloveniaThis study aimed to establish and assess the reliability of spino-pelvic and sagittal balance parameters measured during walking in patients with back pain, some of whom had radiological signs of sagittal imbalance, reflecting real-world clinical conditions. Dynamic assessment offers an alternative to conventional static measurements, potentially improving the evaluation of sagittal balance. Ten patients aged 56–73 years completed a six-minute walking assessment while being monitored by the optoelectric Qualisys Motion Capture System. Forty-nine reflective markers were placed to measure the spino-pelvic and sagittal balance parameters across five gait phases: pre-walk, initial-walk, mid-walk, end-walk, and post-walk. Test–retest reliability was evaluated using the intraclass correlation coefficient (ICC). The results showed excellent reliability for thoracic kyphosis angle (ICC = 0.97), C7-L5 sagittal trunk shift (ICC = 0.91), and global tilt angle (ICC = 0.99); good reliability for auditory meatus-hip axis sagittal trunk shift (ICC = 0.85); and moderate reliability for pelvic angle (ICC = 0.57), lumbar lordosis angle (ICC = 0.72), and sagittal trunk angle (ICC = 0.73). Despite minor marker placement inconsistencies and variations in body movement across trials, the findings support the use of this dynamic assessment method in research settings. Its clinical application could also enhance diagnostic accuracy and treatment planning for patients with sagittal balance disorders, allowing for better-tailored therapeutic interventions.https://www.mdpi.com/1424-8220/25/6/1647degenerative spine diseasesagittal balancegait analysisdynamic assessmentmotion capture |
| spellingShingle | Armand Dominik Škapin Janez Vodičar Nina Verdel Matej Supej Miha Vodičar Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain Sensors degenerative spine disease sagittal balance gait analysis dynamic assessment motion capture |
| title | Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain |
| title_full | Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain |
| title_fullStr | Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain |
| title_full_unstemmed | Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain |
| title_short | Reliability of Spino-Pelvic and Sagittal Balance Parameters Assessed During Walking in Patients with Back Pain |
| title_sort | reliability of spino pelvic and sagittal balance parameters assessed during walking in patients with back pain |
| topic | degenerative spine disease sagittal balance gait analysis dynamic assessment motion capture |
| url | https://www.mdpi.com/1424-8220/25/6/1647 |
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