[Reliability and validity studies with the triflexometer, a new method for assessing form and flexibility of the spine]. / Reliabilitäts- und Validitätsstudien mit dem Triflexometer, einer neuen Methode zur Bestimmung von Form und Beweglichkeit der Wirbelsäule.

Developed by Orthotronic Medizintechnik GmbH, the so-called Triflexometer, version 3.22 was tested for its reliability and validity in measuring spinal posture and mobility. Reliability studies on 20 healthy subjects have shown this measurement method to be reliable, yet intra- and inter-rater reliability analyses also revealed that even for this healthy population discrepancies in the various measures may occur, both due to differences in compliance as well as fatigue and learning effects, and due to difficulties in stabilization of the normal posture, to a lesser extent due to certain specifics of the measurement technique (placing the markers, guiding the sensor). In total spinal immobility (ankylosing spondylitis), practically identical measurements are found, as is the case in dummy studies. The validity study on 20 healthy subjects found good correlations between the measurements obtaining using the triflexometer and those for double inclinometer, respectively, and that only minor mean value differences occur for the two methods. Also, triflexometer measurements for total anteflexion were found to correlate with those determined with the fingertip-to-floor method, no correlation was present however between the Triflexometer values and the Schober test. Triflexometer measurements performed on 114 healthy subjects of various ages served to prove that the range of spinal movement in the directions measured (sagittal and frontal) will reduce with age. To a lesser extent, this also applies to hip movement. Overall, our findings prove the triflexometer an easy-to-handle system which possesses high reliability and is suitable for valid and objective noninvasive assessment of global and segmental spinal mobility. Triflexometer examinations are highly uncomplicated to implement, and print-outs of the results obtained permit lasting documentation of the present status.

[A new measuring device for computer-assisted imaging of the form and flexibility of the spine]. / Ein neues Messgerät zur computergestützten Darstellung von Form und Beweglichkeit der Wirbelsäule.

Our aim is to present a new method to examine spinal mobility and spine shape excluding torsional scoliosis. In comparison to measuring devices of the spine used so far, this noninvasive and easy to use method documents altered patterns of intervertebral mobility of the lumbar and thoracic spine. This may lead to a broader application of the triflexometer as a diagnostic tool for orthopedic and rheumatologic diseases that can decrease the frequency of X-ray exposure if used in combination with radiographs. In the present investigation the triflexometer demonstrates a good reproducibility of the triflexometer-based measurements. These findings support the ability of the triflexometer to depict disease courses of spinal disorders as well as the effect of therapy and rehabilitation.