Abstract
Accurate measures of height, essential for assessment of nutritional status, are difficult to obtain and vary between observers for individuals with joint contractures and spinal deformities. Measures of long bones such as the tibia or humerus have been used to calculate height. This study was designed to assess the relationship of height derived from tibial length calculations and segmental height for our population of mentally retarded individuals. Tibial length and segmental height were obtained for seventeen (6 female) clients with severe joint contractures, between the ages of 15 and 30. Regression analysis indicated significant agreement (r=0.934, p<.001) between heights calculated from tibial and segmental measures. Since tibial measurements can be easily obtained by a single trained observer, these measures can be an accurate way for the dietitian to measure and track growth of individuals with severe contractures in long term care.
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