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Intrarater and Interrater Reliability of Chest Expansion in Healthy Children Between 5–12 Years of Age Group: a Cross-Sectional Observational Study
Corresponding Author(s) : Aditi L. Soman
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 12 No. 3 (2024): 2024 Volume -12 - Issue 3
Abstract
Objective: The respiratory systems of adults and children differ anatomically and physiologically, which results in varying respiratory evaluation and treatment parameter values. An accessible clinical method for evaluating lung function at the bedside is the Chest Expansion (CE) examination. However, there isn't enough data in the literature to support the use of this assessment technique in the pediatric population. In order to ascertain the intrarater and interrater reliability of chest expansion in children aged 5 to 12, the current study was conducted.
Method: A Cross-sectional Observational study was done on 385 students between 5 to 12 years of age group& normal BMI were selected by convenient sampling method. Two independent investigators, both blinded, assessed the Chest expansion at 2nd, 4th, 6th intercostal spaces (ICS) using a non-elastic measuring tape with child in sitting position. An average of three such readings at each level were taken into consideration. These readings were taken at 3 timeframes. To assess interrater reliability CE was checked on the same day at 20-minute interval, by 2 independent assessors, and CE assessment was repeated after a weeks interval by one assessor to evaluate the intrarater reliability. The mean value of 3 repetitions was used to calculate the intraclass correlation coefficient ICC and Cronbach’s Alpha by using the SPSS Software.
Result: The Cronbach’s Alpha for both Intrarater and Interrater reliability was >0.8 for 2nd, 4th and 6th ICS.
Conclusion: Chest Expansion assessment in Healthy Children Between 5-12 years of Age Group has is an Excellent Intrarater and Interrater Reliability
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- Barbara Webber, Jennifer Pryor, Ammni Prasad: Chapter- Anatomy and physiology of respiratory and cardiac systems, Pg No.- 35, First South Asia Edition Cardiorespiratory Physiotherapy
- Pamela K. Levangie, Cynthia C: Norkin. Joint structure and function (5th edition); Chapter-Thorax and chest wall, Pg. No- 207.
- Egan’s- The fundamentals of Respiratory Care (11th edition) Robert M KacMarek, James K Stoller: Albert J Heuer- Page no.- 169,201.
- Van der Linden S, Valkenburg HA, Cats A: Evaluation of diagnostic criteria for ankylosing spondylitis. a proposal for modification of the New York criteria. Arthritis Rheum. 1984, 27:361-368.
- Adachi, Daiki, Yamada Et Al.: Age-Related Decline in Chest Wall Mobility: A Cross-Sectional Study Among Community-Dwelling Elderly Women. Journal of Osteopathic Medicine. 2015, 115:384-389.
- Tuteur PG. Chest Examination. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 46. Available from: https://www.ncbi.nlm.nih.gov/books/NBK368/:
- Aditi Soman, Dhanashree Kirtikar, Taruna Gambhir: Normative Value of Chest Expansion in Healthy Children Between 5 to 12 Years of Age Group. Int J Physiother Res 2022;10(5): 4395-4400. . 10.16965/ijpr.2022.162
- Mohan, Vikram , Dzulkifli Et Al.: Intrarater Reliability of Chest Expansion using Cloth Tape Measure Technique. Bangladesh Journal of Medical Science.. 2012, 11:10.3329/bjms.v11i4.12602
- Stephanie Lefebvre, Giuseppe Liistro, Gregory Reychler : Chest Expansion and Lung Function for Healthy Subjects and Individuals with Pulmonary Disease Marion Derasse. Respiratory Care Apr. 2021, 66:661-668. 10.4187/respcare.08350
- Rajani S. Pagare, Ratnaprabha B. Pedhambkar: ASSESSMENT OF REFERENCE VALUES OF CHEST EXPANSION AMONG HEALTHY ADULTS IN PUNE, INDIA. Int J Physiother Res. 2017, 5:1819-1823. 10.16965/ijpr.2016.197
- Ravi S. Reddy, Khalid A. Alahmari, Paul S. Et Al.: Reliability of Chest Wall Mobility and Its Correlation with Lung Functions in Healthy Nonsmokers, Healthy Smokers, and Patients with COPD. Canadian Respiratory Journal. 20195175949, 11
- Adedoyin RA, Adeleke OE, Fehintola AO Et Al.: Reference Values for Chest Expansion among Adult Residents in Ile-Ife. J Yoga PhysTher. 2012, 2:113.
- Lemaitre F, Coquart JB, Chavallard F, Et El.: Effect of additional respiratory muscle endurance training in young well-trained swimmers. J Sports Sci Med. 2013, 1:630-8.
- Hassanzadeh Taheri, Mohammad Mehdi, Moodi Et Al.: Effect of functional (aerobic) exercises on chest wall expansion and respiratory volumes in high school students. Annals of Tropical Medicine and Public Health. 10. 855-860. 10.4103/ATMPH.ATMPH_203_17
- Bockenhauer SE, Chen H, Julliard KN Et Al.: Measuring thoracic excursion: reliability of the cloth tape measure technique. J Am osteopath Assoc. 2007, 107:191-196.
- Ferreira S, Raimundo A, Marmeleira J: Test-retest reliability of the functional reach test and the hand grip strength test in older adults using nursing home services. Ir J Med Sci. 2021, 190:1625-1632.
- Bedoya-Belmonte, J.J., Rodríguez-González Et Al.: İnter-rater and intra-rater reliability of the extended TUG test in elderly participants. BMC Geriatric. 2020, 56:
- Saini, M., Kaur, J.: Intra-Rater Reliability of Desktop Spirometry in Adults with Type 2 Diabetes Mellitus. Journal of the Dow University of Health Sciences. 2022, 16:3-8.
References
Barbara Webber, Jennifer Pryor, Ammni Prasad: Chapter- Anatomy and physiology of respiratory and cardiac systems, Pg No.- 35, First South Asia Edition Cardiorespiratory Physiotherapy
Pamela K. Levangie, Cynthia C: Norkin. Joint structure and function (5th edition); Chapter-Thorax and chest wall, Pg. No- 207.
Egan’s- The fundamentals of Respiratory Care (11th edition) Robert M KacMarek, James K Stoller: Albert J Heuer- Page no.- 169,201.
Van der Linden S, Valkenburg HA, Cats A: Evaluation of diagnostic criteria for ankylosing spondylitis. a proposal for modification of the New York criteria. Arthritis Rheum. 1984, 27:361-368.
Adachi, Daiki, Yamada Et Al.: Age-Related Decline in Chest Wall Mobility: A Cross-Sectional Study Among Community-Dwelling Elderly Women. Journal of Osteopathic Medicine. 2015, 115:384-389.
Tuteur PG. Chest Examination. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 46. Available from: https://www.ncbi.nlm.nih.gov/books/NBK368/:
Aditi Soman, Dhanashree Kirtikar, Taruna Gambhir: Normative Value of Chest Expansion in Healthy Children Between 5 to 12 Years of Age Group. Int J Physiother Res 2022;10(5): 4395-4400. . 10.16965/ijpr.2022.162
Mohan, Vikram , Dzulkifli Et Al.: Intrarater Reliability of Chest Expansion using Cloth Tape Measure Technique. Bangladesh Journal of Medical Science.. 2012, 11:10.3329/bjms.v11i4.12602
Stephanie Lefebvre, Giuseppe Liistro, Gregory Reychler : Chest Expansion and Lung Function for Healthy Subjects and Individuals with Pulmonary Disease Marion Derasse. Respiratory Care Apr. 2021, 66:661-668. 10.4187/respcare.08350
Rajani S. Pagare, Ratnaprabha B. Pedhambkar: ASSESSMENT OF REFERENCE VALUES OF CHEST EXPANSION AMONG HEALTHY ADULTS IN PUNE, INDIA. Int J Physiother Res. 2017, 5:1819-1823. 10.16965/ijpr.2016.197
Ravi S. Reddy, Khalid A. Alahmari, Paul S. Et Al.: Reliability of Chest Wall Mobility and Its Correlation with Lung Functions in Healthy Nonsmokers, Healthy Smokers, and Patients with COPD. Canadian Respiratory Journal. 20195175949, 11
Adedoyin RA, Adeleke OE, Fehintola AO Et Al.: Reference Values for Chest Expansion among Adult Residents in Ile-Ife. J Yoga PhysTher. 2012, 2:113.
Lemaitre F, Coquart JB, Chavallard F, Et El.: Effect of additional respiratory muscle endurance training in young well-trained swimmers. J Sports Sci Med. 2013, 1:630-8.
Hassanzadeh Taheri, Mohammad Mehdi, Moodi Et Al.: Effect of functional (aerobic) exercises on chest wall expansion and respiratory volumes in high school students. Annals of Tropical Medicine and Public Health. 10. 855-860. 10.4103/ATMPH.ATMPH_203_17
Bockenhauer SE, Chen H, Julliard KN Et Al.: Measuring thoracic excursion: reliability of the cloth tape measure technique. J Am osteopath Assoc. 2007, 107:191-196.
Ferreira S, Raimundo A, Marmeleira J: Test-retest reliability of the functional reach test and the hand grip strength test in older adults using nursing home services. Ir J Med Sci. 2021, 190:1625-1632.
Bedoya-Belmonte, J.J., Rodríguez-González Et Al.: İnter-rater and intra-rater reliability of the extended TUG test in elderly participants. BMC Geriatric. 2020, 56:
Saini, M., Kaur, J.: Intra-Rater Reliability of Desktop Spirometry in Adults with Type 2 Diabetes Mellitus. Journal of the Dow University of Health Sciences. 2022, 16:3-8.