Spondyloarthritis & psoriatic arthritis

Assessing cervical rotation in ankylosing spondylitis: iPhone Compass versus traditional tools

Scand J RheumatolPublished Reliability and agreement study

Authors' conclusion

Through the integration of everyday smartphone technology for clinical use, the iPhone Compass application can be considered a practical and accessible tool for measuring CR in patients with AS, offering potential benefits for clinical practice.

Study context

Population
Patients with ankylosing spondylitis (AS) receiving care at a rheumatology outpatient clinic73% male
Participants
30 patients
Comparison
iPhone 4 Compass application vs inclinometer vs universal goniometer for measuring cervical rotation
Outcome
Reliability of the iPhone Compass application for measuring cervical rotation degrees vs inclinometer and universal goniometer
Methodological detailsintrarater and interrater reliability (intraclass correlation coefficients (ICCs)), Bland-Altman agreement analysis, each measurement performed twice by two examiners
  • Intrarater and interrater reliability (ICCs)
  • Bland-Altman agreement analysis
  • Each measurement performed twice by two examiners

Main finding

As reported in the abstract

Intrarater and interrater reliability (ICCs)
  • Excellent intrarater and interrater reliability across all three measurement methods in the entire sample

Further findings

OutcomeEstimate
Agreement (Bland-Altman), iPhone vs inclinometer, mean difference (bias)iPhonevs InclinometerExaminer 1 · good agreementmean difference (bias) −5.6 (95% CI −7.6 to −3.6)
Agreement (Bland-Altman), iPhone vs inclinometer, mean difference (bias)iPhonevs InclinometerExaminer 2 · good agreementmean difference (bias) −6.3 (95% CI −8.8 to −3.8)
Agreement (Bland-Altman), iPhonevs universal goniometer, mean differenceBetween iPhone and Universal goniometer · Examiner 1mean difference 2.3 (95% CI −0.4 to 5.2)
Agreement (Bland-Altman), universal goniometer vs inclinometer, mean differenceUniversal goniometervs InclinometerExaminer 1mean difference −8.0 (95% CI −11.2 to −4.8)
OutcomeMean difference
Agreement (Bland-Altman), iPhone vs universal goniometer, mean differenceBetween iPhone and Universal goniometer · Examiner 24.1
Agreement (Bland-Altman), universal goniometer vs inclinometer, mean differenceUniversal goniometer vs Inclinometer · Examiner 2−10.4

Original publication

Assessing cervical rotation in ankylosing spondylitis: iPhone Compass versus traditional tools. Scand J Rheumatol. Published 10 November 2025. doi:10.1080/03009742.2025.2580770

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