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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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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 |
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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 |
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