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Reliability of Using a Smartphone Application to Objectify Skull Deformation.

Sofie Meijer1, Imke Suir, Francois Maissan

  • 1Geeresteingroep Fysiotherapie & Sport (Ms Meijer), Woudenberg, the Netherlands; Master Pediatric Physical Therapy Program (Mss Meijer and Suir), Institute of Human Movement Studies, HU University of Applied Sciences, Utrecht, the Netherlands; Research Group Lifestyle and Health (Ms Suir, Mr Maissan, and Dr Nuysink), Knowledge Center Healthy and Sustainable Living, HU University of Applied Sciences, Utrecht, the Netherlands.

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|July 25, 2022
PubMed
Summary
This summary is machine-generated.

The Skully Care App demonstrates excellent reliability for assessing infantile skull deformation severity using cranial photographs. This smartphone tool is highly dependable for pediatric physical therapists in clinical use.

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Area of Science:

  • Pediatric Physical Therapy
  • Medical Imaging
  • Infant Health

Background:

  • Infantile skull deformation requires accurate assessment for effective treatment.
  • Current methods for measuring skull asymmetry can be resource-intensive.
  • Smartphone applications offer a potential for accessible and reliable diagnostic tools.

Purpose of the Study:

  • To evaluate the intrarater and interrater reliability of a novel smartphone application, the Skully Care App.
  • To determine the accuracy of photographic measurements for assessing infantile skull deformation severity.

Main Methods:

  • A pediatric physical therapist and two master's students used the Skully Care App to photograph the heads of 30 infants (up to 12 months old).
  • Severity of skull deformation was quantified using the Modified Cranial Vault Asymmetry Index (mCVAI) and Cranial Index (CI).
  • Intraclass correlation coefficients (ICC) were calculated to assess reliability.

Main Results:

  • Excellent intrarater reliability was observed for both mCVAI (ICC(3,1) = 0.97) and CI (ICC(3,1) = 0.98).
  • Excellent interrater reliability was also achieved for mCVAI (ICC(2,1) = 0.97) and CI (ICC(2,1) = 0.99).

Conclusions:

  • The Skully Care App exhibits excellent reliability for pediatric physical therapists in assessing infantile skull deformation.
  • This app provides a dependable tool for objective measurement and monitoring of cranial asymmetry in infants.