ArticleClinical, cosmetic and investigational dermatology2021
Development and Validation of IBSA Photographic Scale for the Assessment of Inner Upper Arm Laxity.
Article in Clinical, cosmetic and investigational dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- New Proposal in the Approach to Brachial Remodeling: The Melfa-Anastasia Arm Laxity System (MAALS).Aesthetic surgery journal. Open forum · 2026Article
- Collagen Stimulators in Body Applications: A Review Focused on Poly-L-Lactic Acid (PLLA).Clinical, cosmetic and investigational dermatology · 2022Review
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe the development and validation of the 5-grade photographic IBSA inner upper arm scale.
methodsFrom 2 real-life pictures, a scale made up of 5 morphed images showing increasing severity of inner upper arm laxity was created. For validation, a set of 50 images (half of which real and the other morphed) was developed and sent to 5 trained physicians in two rounds 30 days apart. Raters' task was to make a selection of each image according to the given scale. Inter-rater and intra-rater reliability were evaluated in both rounds.
resultsAs to intra-rater reliability, single-rater kappa scores between 0.74 and 1.00 and a global kappa score of 0.846 were observed, while inter-rater agreement was calculated with intra-class correlation coefficient reporting scores higher than 0.91, which indicate excellent reliability.
conclusionIBSA inner upper arm laxity scale proved to be a validated and reliable tool.
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Registered trials
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