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Reproducibility of cervical range of motion in patients with neck pain

BACKGROUND: Reproducibility measurements of the range of motion are an important prerequisite for the interpretation of study results. The aim of the study is to assess the intra-rater and inter-rater reproducibility of the measurement of active Range of Motion (ROM) in patients with neck pain using...

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Autores principales: Hoving, Jan Lucas, Pool, Jan JM, van Mameren, Henk, Devillé, Walter JLM, Assendelft, Willem JJ, de Vet, Henrica CW, de Winter, Andrea F, Koes, Bart W, Bouter, Lex M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1343553/
https://www.ncbi.nlm.nih.gov/pubmed/16351719
http://dx.doi.org/10.1186/1471-2474-6-59
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author Hoving, Jan Lucas
Pool, Jan JM
van Mameren, Henk
Devillé, Walter JLM
Assendelft, Willem JJ
de Vet, Henrica CW
de Winter, Andrea F
Koes, Bart W
Bouter, Lex M
author_facet Hoving, Jan Lucas
Pool, Jan JM
van Mameren, Henk
Devillé, Walter JLM
Assendelft, Willem JJ
de Vet, Henrica CW
de Winter, Andrea F
Koes, Bart W
Bouter, Lex M
author_sort Hoving, Jan Lucas
collection PubMed
description BACKGROUND: Reproducibility measurements of the range of motion are an important prerequisite for the interpretation of study results. The aim of the study is to assess the intra-rater and inter-rater reproducibility of the measurement of active Range of Motion (ROM) in patients with neck pain using the Cybex Electronic Digital Inclinometer-320 (EDI-320). METHODS: In an outpatient clinic in a primary care setting 32 patients with at least 2 weeks of pain and/or stiffness in the neck were randomly assessed, in a test- retest design with blinded raters using a standardized measurement protocol. Cervical flexion-extension, lateral flexion and rotation were assessed. RESULTS: Reliability expressed by the Intraclass Correlation Coefficient (ICC) was 0.93 (lateral flexion) or higher for intra-rater reliability and 0.89 (lateral flexion) or higher for inter-rater reliability. The 95% limits of agreement for intra-rater agreement, expressing the range of the differences between two ratings were -2.5 ± 11.1° for flexion-extension, -0.1 ± 10.4° for lateral flexion and -5.9 ± 13.5° for rotation. For inter-rater agreement the limits of agreement were 3.3 ± 17.0° for flexion-extension, 0.5 ± 17.0° for lateral flexion and -1.3 ± 24.6° for rotation. CONCLUSION: In general, the intra-rater reproducibility and the inter-rater reproducibility were good. We recommend to compare the reproducibility and clinical applicability of the EDI-320 inclinometer with other cervical ROM measures in symptomatic patients.
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spelling pubmed-13435532006-01-21 Reproducibility of cervical range of motion in patients with neck pain Hoving, Jan Lucas Pool, Jan JM van Mameren, Henk Devillé, Walter JLM Assendelft, Willem JJ de Vet, Henrica CW de Winter, Andrea F Koes, Bart W Bouter, Lex M BMC Musculoskelet Disord Research Article BACKGROUND: Reproducibility measurements of the range of motion are an important prerequisite for the interpretation of study results. The aim of the study is to assess the intra-rater and inter-rater reproducibility of the measurement of active Range of Motion (ROM) in patients with neck pain using the Cybex Electronic Digital Inclinometer-320 (EDI-320). METHODS: In an outpatient clinic in a primary care setting 32 patients with at least 2 weeks of pain and/or stiffness in the neck were randomly assessed, in a test- retest design with blinded raters using a standardized measurement protocol. Cervical flexion-extension, lateral flexion and rotation were assessed. RESULTS: Reliability expressed by the Intraclass Correlation Coefficient (ICC) was 0.93 (lateral flexion) or higher for intra-rater reliability and 0.89 (lateral flexion) or higher for inter-rater reliability. The 95% limits of agreement for intra-rater agreement, expressing the range of the differences between two ratings were -2.5 ± 11.1° for flexion-extension, -0.1 ± 10.4° for lateral flexion and -5.9 ± 13.5° for rotation. For inter-rater agreement the limits of agreement were 3.3 ± 17.0° for flexion-extension, 0.5 ± 17.0° for lateral flexion and -1.3 ± 24.6° for rotation. CONCLUSION: In general, the intra-rater reproducibility and the inter-rater reproducibility were good. We recommend to compare the reproducibility and clinical applicability of the EDI-320 inclinometer with other cervical ROM measures in symptomatic patients. BioMed Central 2005-12-13 /pmc/articles/PMC1343553/ /pubmed/16351719 http://dx.doi.org/10.1186/1471-2474-6-59 Text en Copyright © 2005 Hoving et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hoving, Jan Lucas
Pool, Jan JM
van Mameren, Henk
Devillé, Walter JLM
Assendelft, Willem JJ
de Vet, Henrica CW
de Winter, Andrea F
Koes, Bart W
Bouter, Lex M
Reproducibility of cervical range of motion in patients with neck pain
title Reproducibility of cervical range of motion in patients with neck pain
title_full Reproducibility of cervical range of motion in patients with neck pain
title_fullStr Reproducibility of cervical range of motion in patients with neck pain
title_full_unstemmed Reproducibility of cervical range of motion in patients with neck pain
title_short Reproducibility of cervical range of motion in patients with neck pain
title_sort reproducibility of cervical range of motion in patients with neck pain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1343553/
https://www.ncbi.nlm.nih.gov/pubmed/16351719
http://dx.doi.org/10.1186/1471-2474-6-59
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