Body posture self-assessment tools: a scoping review

ABSTRACT Postural therapies use active treatment methods, such as self-correction, to control body segments. The evidence for this practice is established from the comparison of the self-perception of body posture before, during, and after postural education. A scoping review of tools to assess self-perception of body posture, besides encouraging research, may guide professionals while developing treatments. This scoping review aims to identify the existing tools that assess self-perception of body posture, describing their type, measurement properties (validity and reliability), and postural outcomes. The protocol of this review was registered in the Open Science Framework (OSF), DOI: 10.17605/OSF.IO/JGH8U. Studies developing and/or evaluating measurement properties and other study designs using self-perception of static body posture as an assessment method were included. In total, 359 studies were found, of which six were analyzed in this study. They presented two types of tool and their measurement properties were related to validity (n=6) and reliability (n=5). Five studies performed the joint analysis of validity and reliability (83%). Spine position, leg and foot posture, trunk and rib deformity, and postural awareness in general were the assessed postural outcomes. Of the six tools that assess self-perception of body posture, only the SSFS scale can be used in any population. To date, no study found a tool that assesses self-perception of body posture and considers all body segments.摘要 姿势疗法采用主动干预手段（如自我矫正）来管控身体节段。该疗法的有效性证据源于对姿势教育前、中、后个体身体姿势自我感知的对比分析。针对姿势自我感知评估工具的范围综述，既可推动相关研究开展，也能为临床从业者制定干预方案提供参考。本范围综述旨在识别现有姿势自我感知评估工具，并对其工具类型、测量学属性（效度与信度）及评估的姿势结局进行描述。本综述的研究方案已在开放科学框架（Open Science Framework, OSF）注册，DOI编号为10.17605/OSF.IO/JGH8U。本研究纳入所有开发和/或评估测量学属性，以及以静态身体姿势自我感知作为评估手段的其他类型研究设计。最终共检索到359项相关研究，其中6项纳入本综述分析。纳入研究共涉及2类工具，其测量学属性涵盖效度（n=6）与信度（n=5）两个维度。其中5项研究（占比83%）同时对效度与信度进行了分析。本次综述评估的姿势结局包括脊柱位置、腿与足部姿势、躯干及胸廓畸形，以及总体姿势觉知。在6款姿势自我感知评估工具中，仅SSFS量表可适用于任意人群。截至目前，尚无研究开发出可覆盖全部身体节段的姿势自我感知评估工具。