Research Article

Reliability of the DIERS Formetric 4D Spine Shape Parameters in Adults without Postural Deformities

Table 1

Spinal shape parameters output by the formetric 4D and their definitions.

ParameterUnitDefinition1

Distance Measurements
 Trunk length VP-DMmmThe distance from VP to the center point between DL and DR (DM)
 Trunk length VP-SPmmThe distance from VP to the automatically localized sacral point (SP)
 Trunk length VP-SP%The distance of VP-SP expressed as a percentage of VP-DM
 Dimple distance DL-DRmmThe distance from DL to DR
 Dimple distance DL-DR%The distance of DL to DR expressed as a percentage of VP-DM
Trunk and Pelvis Imbalances
 Sagittal Imbalance VP-DM (trunk  inclination)°The angle between the line connecting VP-DM and an external plumb line
 Sagittal imbalance VP-DM (trunk inclination)mmThe distance between VP and the connecting external plumb line
 Coronal imbalance VP-DM (trunk imbalance)°The angle between the line connecting VP-DM and a plumb line through VP
 Coronal imbalance VP-DM (trunk imbalance)mmThe lateral distance between VP and DM
 Pelvic obliquity (pelvic tilt)°The angle between the line connecting DL and DR and the horizontal
 Pelvic obliquity (pelvic tilt)mmThe difference in height between DL and DR
 Pelvic torsion DL-DR°The torsion of the surface normals of DL and DR
 Pelvic inclination (dimples)°The mean vertical components of the surface normals at DL and DR
 Pelvis rotation (rotation correction [pelvis])°In the frontal plane, the angle of rotation of DR in relation to DL
Location of Postural Reference Points
 Inflection point ICTmmThe point of maximum positive surface inclination above the kyphotic apex (KA)
 Kyphotic apex KAmmThe location of the posterior apex of the sagittal profile
 Inflection point ITLmmThe point of maximum negative surface inclination between the KA and the lordotic apex (LA)
 Lordotic apex LAmmThe location of the frontal apex of the sagittal profile in the lower region
 Inflection point ILSmmThe point of maximum positive surface inclination in the region between the LA and the sacrum
 Flèche cervicalemmThe horizontal distance between the cervical apex and the tangent through the KA
 Flèche lombairemmThe horizontal distance between the LA and the tangent through the KA
 Flèche cervicale (VP)mmThe horizontal distance between the VP and the KA
Spinal Curve Angles
 Kyphotic angle ICT-ITL (max)°The angle between the surface tangents from the ICT and ITL
 Kyphotic angle VP-ITL°The angle between the surface tangents from VP and ITL
 Kyphotic angle VP-T12°The angle between the surface tangents on VP and the location of the calculated 12th thoracic vertebra (T12)
 Lordotic angle ITL-ILS (max)°The angle between the surface tangents from ITL and ILS
 Lordotic angle ITL-DM°The angle between the surface tangents from ITL and DM
 Lordotic angle T12-DM°The angle between the surface tangents from T12 and DM
 Pelvic inclination (symm.line)°The angle of the vertical surface normals from the horizontal of DM
Spinal Deviation
 Vertebral rotation (rms) (surface rotation)°The root mean square (RMS) of the horizontal components of the surface normals on the symmetry line
 Vertebral rotation (max) (surface rotation)°The maximum value of the horizontal components of the surface normals on the symmetry line
 Vertebral rotation (+max) (surface rotation)°The maximum value of the horizontal components of the surface normals on the symmetry line to the right
 Vertebral rotation (-max) (surface rotation)°The maximum value of the horizontal components of the surface normals on the symmetry line to the left
 Vertebral rotation (amplitude) (surface rotation)°The maximal spinal torsion calculated from the maximal rotation to the right and to the left
 Trunk torsion°The maximal value of the horizontal components on VP compared to the horizontal components of the symmetry line on DM
 Apical deviation VP-DM (rms) (lateral deviation)mmThe RMS deviation of the midline of the spine from the direct connection VP-DM in the frontal plane
 Apical deviation VP-DM (max) (lateral deviation)mmThe maximum deviation of the midline of the spine from the direct connection VP-DM in the frontal plane
 Apical deviation VP-DM (+max) (lateral deviation)mmThe maximum deviation of the midline of the spine from the VP-DM line to the right
 Apical deviation VP-DM (-max) (lateral deviation)mmThe maximum deviation of the midline of the spine from the VP-DM line to the left
 Apical deviation VP-DM (amplitude) (lateral deviation)mmThe sum of the maximum deviation of the right and the left lateral deviation values

1Spine shape parameter definitions adapted from DIERS formetric III 4D Manual (Created 21.06.2010, Revision grade 5) and DIERS Optical Measurement of the Spine Information for the Assessment (Version 1, Created 04.08.2009). Abbreviations: DL: sacral dimple left; DR: sacral dimple right; ICT: cervicothoracic transition point; ILS: lumbosacral transition point; ITL: thoracolumbar transition point; VP: vertebral prominens.