The reliability and reproducibility of foot type measurements using a mirrored foot photo box and digital photography compared to caliper measurements

The height of the medial longitudinal arch (MLA) is thought to be a predisposing factor to various lower extremity injuries. Discrepancy exists as to whether MLA height plays a role in injury prevention. The purpose of this study was to determine the intertester and intratester reliability, and the validity of the mirrored foot photo box (MFPB) and caliper measurements to radiographic measurements. METHODS: Thirty subjects with equal numbers of men and women were recruited. Both feet were tested (n=60) in a 90% weight bearing stance. A set of anatomic landmarks were palpated, marked, and measured using a caliper, MFPB, and radiographs. The protocol was completed by two testers on 2 days approximately 1 week apart. Intertester and intratester reliability were determined using the intraclass correlation coefficient (ICC)(2,k) and the ICC(2,1), respectively. Validity of both measurement techniques to radiographic measurements was determined using the ICC(2,k). RESULTS: The intertester reliability ranged from 0.991 to 0.577, while the intratester reliability ranged from 0.994 to 0.527, with first metatarsal angle being the only variable with poor reliability. Most variables demonstrated acceptable validity between the MFPB and the caliper measurements, and acceptable validity between the MFPB and calipers compared to radiographic measurements. The MFPB took 51.3+/-19.6s per foot while the caliper measurements averaged 227.4+/-68.9s to complete the measurements. DISCUSSION: The MFPB is as reliable as the caliper measurements, and offers better intertester reliability. Both the caliper and MFPB measurements demonstrated acceptable validity to radiographic measurements and testing time was reduced when using the MFPB compared to calipers.     

Automatic localization of anatomical landmarks on the back surface and construction of a body-fixed coordinate system

A method for automatic measurement of anatomical landmarks on the back surface is presented. The landmarks correspond to the verteba prominens, the dimples of the posterior superior iliac spines and the sacrum point (beginning of rima ani), which are characterized by distinct surface curvature. The surface curvatures are calculated from rasterstereographic surface measurements. The procedure of isolating a region of interest for each landmark (surface segmentation) and the calculation of the landmark coordinates are described in detail. The accuracy of landmark localization was tested with serial rasterstereographs of 28 patients (with moderate idiopathic scoliosis). From the results the intrinsic accuracy of the method is estimated to be little more than 1 mm (depending on the sampling density of the surface measurement). Therefore, the landmarks may well be used for the objective definition of a body-fixed reference coordinate system. The accuracy is, however, dependent on the specific landmark and a minor influence of posture variations is observed.     

Digital 2D-photogrammetry and direct anthropometry--a comparing study on test accomplishment and measurement data

The aim of this methodological anthropometric study was to compare direct anthropometry and digital two-dimensional photogrammetry in 18 male and 27 female subjects, aged 24 to 65 years, from Potsdam, Germany. In view of the rising interest in reliable biometric kephalofacial data, we focussed on head and face measurements. Out of 34 classic facial anatomical landmarks, 27 landmarks were investigated both by direct anthropometry and 2D-photogrammetry; 7 landmarks could not be localized by 2D-photogrammetry. Twenty-six kephalofacial distances were analysed both by direct anthropometry and digital 2D-photogrammetry. Kephalofacial distances are on average 7.6% shorter when obtained by direct anthropometry. The difference between the two techniques is particularly evident in total head height (vertex-gnathion) due to the fact that vertex is usually covered by hair and escapes from photogrammetry. Also the distances photographic sellion-gnathion (1.3 cm, i. e. 11.6%) and nasal-gnathion (1.2 cm, i. e. 9.4%) differ by more than one centimetre. Differences below 0.5 cm between the two techniques were found when measuring mucosa-lip-height (2.2%), gonia (3.0%), glabella-stomion (3.9%), and nose height (glabella-subnasal) (4.0%). Only the estimates of forehead width were significantly narrower when obtained by 2D-photogrammetry (-1.4 cm, -13.1%). The methodological differences increased with increasing magnitude of the kephalometric distance. Apart from these limitations, both techniques are similarly valid and may replace each other.     

Using digital images to reconstruct three‐dimensional biological forms: a new tool for morphological studies

We examined two image‐based methods, photogrammetry and stereo vision, used for reconstructing the three‐dimensional form of biological organisms under field conditions. We also developed and tested a third ‘hybrid’ method, which combines the other two techniques. We tested these three methodologies using two different cameras to obtain digital images of museum and field sampled specimens of giant tortoises. Both the precision and repeatability of the methods were assessed statistically on the same specimens by comparing geodesic and Euclidean measurements made on the digital models with linear measurements obtained with caliper and flexible tape. We found no substantial difference between the three methods in measuring the Euclidean distance between landmarks, but spatially denser models (stereo vision and ‘hybrid’) were more accurate for geodesic distances. The use of different digital cameras did not influence the results. Image‐based methods require only inexpensive instruments and appropriate software, and allow reconstruction of the three‐dimensional forms (including their curved surfaces) of organisms sampled in the field. © 2008 The Linnean Society of London, Biological Journal of the Linnean Society, 2008, 95 , 425–436.     

Morphometric analysis of Cartesian coordinates of the human skull

A method for locating the three dimensional coordinates of cranial landmarks with respect to the Frankfort, midsagittal, and coronal planes is presented. Sliding calipers were used to obtain the distances from left and right porion and apex to each landmark, except for a few points where spreading calipers are required. In the present example, 35 landmarks (for a total of 105 measurements) were located for each of 35 Peruvian precolumbian skulls. These distances were entered into a program (SKULL) which calculates the Cartesian coordinates of each landmark. The XYZ coordinates of each landmark contain all the information necessary for calculation of the distances between any two landmarks, and these distances may also be obtained as output from program SKULL, if desired (595 distances if all 35 landmarks are used). Reliability of the location of coordinates was determined by comparing computed distances among selected landmarks from program SKULL with traditional anthropometric measurements. Satisfactory agreements were found. Direct multivariate analysis of the coordinates of the landmarks produced insights not available in traditional multivariate analysis of conventional anthropometric measurements.     

A head-model reconstruction based upon photogrammetric data from Sri Lankan adult males relevant to the design of headgear

Due to the large variability in heads and faces in one population, the standard anthropometric dimensions of the head, measured from anatomical landmarks alone, may not suffice for the design of fitting headgear, e.g., helmets. To provide adequate data of the shapes and contours of the head to the designer, appropriate head models sculptured using comprehensive head dimensions, must be developed. This paper describes (a) a procedure of collecting comprehensive anthropometric data of the head using a photogrammetric method and (b) a simple sculpturing technique to reconstruct a head model of the user population.     

Development of a methodology to describe udder conformation in sows

The aim of this study was to develop a methodology to measure sow udder conformation to use in studying the correlation between udder traits and piglet survival, health and performance. The steps in the investigation were (i) to assess the repeatability of measures, (ii) to determine if there was an important difference between the two sides of the udder, (iii) to assess the extent of variation between sows, and finally (iv) to verify if the measures differ in a systematic way over the days shortly before farrowing. A total of 24 sows were scored for six conformation traits of the udder measured twice a day, every day from the sows’ entrance into the farrowing crates until farrowing (1 to 4 days later). The data were recorded from both sides when the sow was lying and when she was standing. The measurements taken were: inter-teat distance within the same row (SAMER; mm between the adjacent teat bases); distance from the base of the teats to the abdominal midline, recorded only in a lying posture (B); distance between the teat base and the adjacent teat on the opposite row, recorded only in a standing posture (OPPR), distance from the base of the teats to the ground (FLOOR); teat length (LEN) measured from the tip to the base, and diameter (DIA) measured at the tip of the teat. Intraclass correlation coefficients (ICC) revealed that most udder conformation traits were highly repeatable (ICC>0.8); only DIA and FLOOR had lower repeatability (ICC=0.7). Measurements did not differ by side. In general, the greatest proportion of variance occurred at the sow level. Traits changed little in the days before farrowing, except for a change 1 day before farrowing in DIA, FLOOR and OPPR. Measures which used anatomical landmarks as the reference point were more reliable than those using the floor of the pen. Udder conformation measures can be used as a reliable phenotype for further study. They can be collected on any day shortly before farrowing, and only from one side and in one posture to save time.     

Three-dimensional measurement accuracy of skull surface landmarks

Craniometric measurements from a three-dimensional (3-D) digitizing system were compared with those from sliding and spreading calipers. The 3-D system consisted of a 3-Space Digitizer, Macintosh Plus computer, and Unigraphics CAD/CAM system. Twenty-nine standard measurements were made and repeated on two normal and three deformed skulls. The percentage of difference was calculated for original versus repeat measures and caliper versus 3-D measures. For objective anatomic structures and fiducial points, there was less than 2 mm (maximum) of difference between 1) the original digitizer versus repeat 3-D measures and 2) caliper versus 3-D measures. This represented 2% or less measurement incongruence. There were no significant differences for these comparisons (p greater than 0.1), and all regressions were highly significant (P less than 0.001), with r2 greater than 0.999. 3-D measurements were made more easily and quickly than were caliper measurements, with no loss in precision. It is concluded that 3-D measurements are equivalent in quality to caliper measurements for craniometric studies, but are easier to obtain.     

A methodology for quantifying seated lumbar curvatures

To understand the role seating plays in the support of posture and spinal articulation, it is necessary to study the interface between a human and the seat. However, a method to quantify lumbar curvature in commercially available unmodified seats does not currently exist. This work sought to determine if the lumbar curvature for normal ranges of seated posture could be documented by using body landmarks located on the anterior portion of the body. The development of such a methodology will allow researchers to evaluate spinal articulation of a seated subject while in standard, commercially available seats and chairs. Anterior measurements of boney landmarks were used to quantify the relative positions of the ribcage and pelvis while simultaneous posterior measurements were made of lumbar curvature. The relationship between the anterior and the posterior measures was compared. The predictive capacity of this approach was evaluated by determining linear and second-order regressions for each of the four postures across all subjects and conducting a leave-one-out cross validation. The relationships between the anterior and posterior measures were approximated by linear and second-order polynomial regressions (r(2?) = 0.829, 0.935 respectively) across all postures. The quantitative analysis showed that openness had a significant relationship with lumbar curvature, and a first-order regression was superior to a second-order regression. Average standard errors in the prediction were 5.9° for the maximum kyphotic posture, 9.9° for the comfortable posture, 12.8° for the straight and tall, and 22.2° for the maximum lordotic posture. These results show predictions of lumbar curvature are possible in seated postures by using a motion capture system and anterior measures. This method of lumbar curvature prediction shows potential for use in the assessment of seated spinal curvatures and the corresponding design of seating to accommodate those curvatures; however, additional inputs will be necessary to better predict the postures as lordosis is increased.     

Interobserver errors in anthropometry

To present basic information on the interobserver precision and accuracy of 32 selected anthropometric measurement items, six observers measured each of 37 subjects once in two days. The data were analyzed by using ANOVA, and mean absolute bias, standard deviation of bias, and mean absolute bias in standard deviation unit were used as measures of bias. By comparing the results of the two days, the effects of the practice on measurement errors were also investigated. Variance was overestimated by more than 10% in five measurements. Interobserver error variance and random error variance were highly correlated with each other. Measures of the bias were significantly correlated with interobserver and especially with random error variances. The interobserver errors were drastically reduced on the second day in the measurement items in which the causes of the interobserver errors could be specified. It was speculated that even when the definitions of the landmarks and measurement items were clear, the ambiguity in the practical procedures in locating landmarks, applying instruments, and so on, permitted each observer to develop his or her own measurement technique, and it in turn caused interobserver errors. To minimize interobserver and random errors, the standardization of measurement technique should be extended to the details of the practical procedures.     

Measurement standards for human metacarpals

Standards for measuring the metacarpals are absent from commonly used osteometric guides. Perhaps the closest to a set of standard measurements in common use today are those proposed by Scheuer and Elkington (Scheuer and Elkington: J Forensic Sci 38 (1993) 769–788) for forensic sex assessment. They include caliper measurements of interarticular length, base and head width, base and head height, and maximum midshaft diameter. Over the last decade, a new set of measurements that encompass similar dimensions to those used by Scheuer and Elkington, but which are taken with a mini‐osteometric board (MOB) have been developed by the lead author. Use of the MOB avoids the need to manipulate both the bone and calipers in three‐dimensional space and causes less strain on the hands. However, the question of intra‐ and interobserver accuracy has not been adequately addressed for either set of measurements. The purpose of this study was to test both the Scheuer/Elkington and MOB measurements on 20 hands from 10 anatomical skeletons for intra‐ and inter‐observer accuracy. The study found that 92% of the MOB measures had a lower intraobserver error, and 88% had a lower interobserver error than did the caliper measurements. It also found that the maximum midshaft diameter measurement used by Scheuer and Elkington is more repeatable than a mediolateral diameter. Overall, 88% of the 25 MOB measurements had median intraobserver error rates of under 1.5%, compared with 60% of the caliper measurements. Furthermore, the MOB measurements as a set were taken 10 to 12% faster than the caliper measurements. Am J Phys Anthropol 157:322–329, 2015. © 2015 Wiley Periodicals, Inc.     

Soft tissue displacement over pelvic anatomical landmarks during 3-D hip movements

The position, in a pelvis-embedded anatomical coordinate system, of skin points located over the following anatomical landmarks (AL) was determined while the hip assumed different spatial postures: right and left anterior superior and posterior superior iliac spines, and the sacrum. Postures were selected as occurring during walking and during a flexion–extension and circumduction movement, as used to determine the hip joint centre position (star-arc movement). Five volunteers, characterised by a wide range of body mass indices (22–37), were investigated. Subject-specific MRI pelvis digital bone models were obtained. For each posture, the pose of the pelvis-embedded anatomical coordinate system was determined by registering this bone model with points digitised over bony prominences of the pelvis, using a wand carrying a marker-cluster and stereophotogrammetry. The knowledge of how the position of the skin points varies as a function of the hip posture provided information regarding the soft tissue artefact (STA) that would affect skin markers located over those points during stereophotogrammetric movement analysis. The STA was described in terms of amplitude (relative to the position of the AL during an orthostatic posture), diameter (distance between the positions of the AL which were farthest away from each other), and pelvis orientation. The STA amplitude, exhibited, over all postures, a median [inter-quartile] value of 9[6] and 16[11] mm, for normal and overweight volunteers, respectively. STA diameters were larger for the star-arc than for the walking postures, and the direction was predominantly upwards. Consequent errors in pelvic orientation were in the range 1–9 and 4–11 degrees, for the two groups respectively.     

Ultrasonic and skinfold caliper measures of subcutaneous adipose tissue thickness in elderly men and women

Ultrasonic and skinfold caliper measures of subcutaneous adipose tissue were taken in a sample of elderly men and women, 65 to 99 years of age with an A-mode Ithaco Body Composition Meter and a Holtain skinfold caliper. For most of the measurements, standard deviations for the ultrasonic measurements were three or more times larger than corresponding caliper measurements. Also, mean absolute interobserver errors for the ultrasonic measurements were considerably larger than those for skinfold calipers. At best, the interobserver reliability for the ultrasound machine was 68% while the poorest reliability for the skinfold caliper was 88%. In the form tested, the Ithaco Body Composition Meter is not as accurate for measuring subcutaneous adipose tissue thickness in the elderly as a Holtain skinfold caliper.     

Determination of a Central Avascular Triangle within the Obturator Foramen: A Radioanatomic Study

Purpose

To map the vascular anatomy of the obturator foramen using fixed anatomic landmarks.

Method

Twenty obturator regions were dissected in 10 fresh female cadavers after vascular blue dye injection in five cadavers (50%). Furthermore, 104 obturator regions were reconstructed by angiotomodensitometry from 52 women under investigation for suspected arterial disease. The anatomy of the obturator region was mapped by measuring the distance of vascular structures from the middle of the two branches of the ischiopubic bone, which were used as fixed landmarks.

Results

The bifurcation of the obturator artery was at a mean (SD) distance of 30.0 mm (4.5) from the middle of the ischiopubic branch (MISP). The anterior branch of the obturator vessels was 15.2 mm (10.1) from the MISP. The posterior branch of the obturator vessels was 5.5 mm (4.0) and 23.6 mm (8.7) from the middle of the outer edge of the obturator foramen (MOE) and the MISP, respectively. Using 5° and 95° percentiles of these measurements we defined a central avascular triangle.

Conclusions

Our data show that, beyond inter-individual variations, a central triangular avascular area can be identified in the obturator foramen between the posterior and anterior obturator artery using fixed landmarks.     

Prediction of body volume by a stepwise linear regression technique

Body volume and 35 anthropometric measurements were obtained from 88 active soldiers using standard techniques. These anthropometric measurements were examined for their possible relationships to body volume using stepwise linear regression analysis. Four measurements (Body weight, anterior thigh skinfold thickness, subscapular skinfold thickness and suprailiac skinfold thickness) accounted for 99.7% of the variation in body volume and the introduction of each of these measurements in the equation was significant. The regression equation for predicting body volume from these 4 anthropometric measurements had a multiple correlation coefficient of 0.9987 (P less than 0.001). Body weight alone was correlated with body volume to the extent of 0.9966. An attempt has therefore been made to develop a multiple linear regression equation without incorporation of body weight in the regression analysis. Nine measurements were selected by stepwise linear regression analysis for predicting body volume. These nine measurements accounted for 97.1% of the variation in body volume. These equations have been validated on another small sample of 22 soldiers. The analysis has also revealed that a direct regression of body density from the anthropometric variables gives more accurate results than when estimated body volumes are utilized for calculating body density.     

Comparison of ultrasound and skinfold measurements in assessment of subcutaneous and total fatness

Ultrasound (A-scan mode) and skinfold methods were evaluated in the measurement of subcutaneous fat thickness and prediction of total fat weight (by whole body potassium counting). Based on intraobserver correlations on 39 men at 15 body sites, skinfold caliper measurements were more reproducible than ones obtained by ultrasound. Measurements made with the two techniques at the same site typically produced different mean estimates of fat thickness. However, scores were often highly correlated with each other, indicating similar relative rankings of subjects by each technique. Skinfolds were more highly correlated with total fat weight than were ultrasound measurements, but body weight and anthropometric measures had even higher correlations with total fat weight. Anthropometric measurements were highly correlated with fatness because of their association with body weight, and when this relationship was statistically controlled for, they typically lost their predictive effectiveness. Multiple regression analyses revealed that the best predictors of fat weight were body weight along with skinfold and ultrasound measurements. These results suggest that skinfolds are a more effective means of assessing subcutaneous fat than ultrasound, especially when the large difference in cost of equipment is considered.     

Technical note: Different techniques,different results—a comparison of photogrammetric and caliper-derived measurements

The primary goal of our study was to compare photogrammetric measurements with caliper-derived measurements. We also looked at the difference between caliper-derived measurements that were taken with and without the landmarks marked. Thirteen facial measurements were repeated ten times on two adult subjects as follows: 1) Calipers were used to take the measurements before the landmarks were marked on each subject's face; 2) the landmarks were then marked with a black pencil, and the calipers were used to take the measurements again; and 3) images were taken of each subject with the markings left on the face, and the measurements were extracted from these images. Compared with the caliper-derived data taken with the landmarks marked, the photogrammetric means and standard deviations were typically larger, leading us to conclude that there was a systematic difference between the data. The generally greater variation in the photogrammetric measurements was ascribed to poor conditions, such as shadows, oblique markings, and unmarked landmarks. When the data gathered by caliper with and without the landmarks marked were compared, a systematic difference was suggested by the number of statistically significant t-test probabilities. Marking the landmarks reduced the standard deviations in some measurements by controlling two sources of variation: differing pressure on the skin and slippage of the calipers. Anthropologists, medical geneticists, and others who use measurements for diagnostic or classificatory purposes should be aware that data gathered by different techniques may yield different results. Am J Phys Anthropol 106:547–552, 1998. © 1998 Wiley-Liss, Inc.     

颅骨某些角度的测量计算法

本文根据余弦定理对颅骨20项与法兰克福平面无关的角度,采用测量计算法,即用直脚规或弯脚规测量各角三个测点间的三边直线距离,将余弦定理公式输入袖珍电子计算器内,再由计算器算出角度。经实践我们认为此法具有操作简单易行、无需投影描绘仪和定颅器等设备、节约时间、精确度高和误差小等优点。     

Validation of single-segment and three-segment spinal models used to represent lumbar flexion

Changes in spinal posture between the erect and flexed positions were calculated using angular measurements from lateral photographs and radiographs of ten adult male subjects. For photographic measurements, the thoracolumbar vertebral column was modelled as either a single segment or as three segments. In the three-segment model, there was a non-significant correlation between the decrease in lumbar concavity and intervertebral motion. In addition, there was a non-significant negative correlation between the increase in thoracic convexity and lumbar motion determined radiographically. In the single-segment model, the decrease in angulation between the thoracolumbar spine and pelvis was a good representation of lumbar spine flexion as determined by the mean lumbar intervertebral angular change. Therefore, modelling the thoracolumbar vertebral column as a single segment allowed better estimation of lumbar intervertebral angular change during flexion than a three-segment model. The results indicate that large range dynamic motion of the lumbar vertebral column can be represented using photographic analysis of the positions of three easily identified anatomical landmarks: the anterior superior iliac spine, posterior superior iliac spine and the spinous process of the first thoracic vertebra.