Cargando…

Methods for evaluating cervical range of motion in trauma settings

Immobilisation of the cervical spine is a common procedure following traumatic injury. This is often precautionary as the actual incidence of spinal injury is low. Nonetheless, stabilisation of the head and neck is an important part of pre-hospital care due to the catastrophic damage that may follow...

Descripción completa

Detalles Bibliográficos
Autores principales: Voss, Sarah, Page, Michael, Benger, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489885/
https://www.ncbi.nlm.nih.gov/pubmed/22856507
http://dx.doi.org/10.1186/1757-7241-20-50
_version_ 1782248806168920064
author Voss, Sarah
Page, Michael
Benger, Jonathan
author_facet Voss, Sarah
Page, Michael
Benger, Jonathan
author_sort Voss, Sarah
collection PubMed
description Immobilisation of the cervical spine is a common procedure following traumatic injury. This is often precautionary as the actual incidence of spinal injury is low. Nonetheless, stabilisation of the head and neck is an important part of pre-hospital care due to the catastrophic damage that may follow if further unrestricted movement occurs in the presence of an unstable spinal injury. Currently available collars are limited by the potential for inadequate immobilisation and complications caused by pressure on the patient’s skin, restricted airway access and compression of the jugular vein. Alternative approaches to cervical spine immobilisation are being considered, and the investigation of these new methods requires a standardised approach to the evaluation of neck movement. This review summarises the research methods and scientific technology that have been used to assess and measure cervical range of motion, and which are likely to underpin future research in this field. A systematic search of international literature was conducted to evaluate the methodologies used to assess the extremes of movement that can be achieved in six domains. 34 papers were included in the review. These studies used a range of methodologies, but study quality was generally low. Laboratory investigations and biomechanical studies have gradually given way to methods that more accurately reflect the real-life situations in which cervical spine immobilisation occurs. Latterly, new approaches using virtual reality and simulation have been developed. Coupled with modern electromagnetic tracking technology this has considerable potential for effective application in future research. However, use of these technologies in real life settings can be problematic and more research is needed.
format Online
Article
Text
id pubmed-3489885
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34898852012-11-06 Methods for evaluating cervical range of motion in trauma settings Voss, Sarah Page, Michael Benger, Jonathan Scand J Trauma Resusc Emerg Med Review Immobilisation of the cervical spine is a common procedure following traumatic injury. This is often precautionary as the actual incidence of spinal injury is low. Nonetheless, stabilisation of the head and neck is an important part of pre-hospital care due to the catastrophic damage that may follow if further unrestricted movement occurs in the presence of an unstable spinal injury. Currently available collars are limited by the potential for inadequate immobilisation and complications caused by pressure on the patient’s skin, restricted airway access and compression of the jugular vein. Alternative approaches to cervical spine immobilisation are being considered, and the investigation of these new methods requires a standardised approach to the evaluation of neck movement. This review summarises the research methods and scientific technology that have been used to assess and measure cervical range of motion, and which are likely to underpin future research in this field. A systematic search of international literature was conducted to evaluate the methodologies used to assess the extremes of movement that can be achieved in six domains. 34 papers were included in the review. These studies used a range of methodologies, but study quality was generally low. Laboratory investigations and biomechanical studies have gradually given way to methods that more accurately reflect the real-life situations in which cervical spine immobilisation occurs. Latterly, new approaches using virtual reality and simulation have been developed. Coupled with modern electromagnetic tracking technology this has considerable potential for effective application in future research. However, use of these technologies in real life settings can be problematic and more research is needed. BioMed Central 2012-08-02 /pmc/articles/PMC3489885/ /pubmed/22856507 http://dx.doi.org/10.1186/1757-7241-20-50 Text en Copyright ©2012 Voss 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 Review
Voss, Sarah
Page, Michael
Benger, Jonathan
Methods for evaluating cervical range of motion in trauma settings
title Methods for evaluating cervical range of motion in trauma settings
title_full Methods for evaluating cervical range of motion in trauma settings
title_fullStr Methods for evaluating cervical range of motion in trauma settings
title_full_unstemmed Methods for evaluating cervical range of motion in trauma settings
title_short Methods for evaluating cervical range of motion in trauma settings
title_sort methods for evaluating cervical range of motion in trauma settings
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489885/
https://www.ncbi.nlm.nih.gov/pubmed/22856507
http://dx.doi.org/10.1186/1757-7241-20-50
work_keys_str_mv AT vosssarah methodsforevaluatingcervicalrangeofmotionintraumasettings
AT pagemichael methodsforevaluatingcervicalrangeofmotionintraumasettings
AT bengerjonathan methodsforevaluatingcervicalrangeofmotionintraumasettings