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Intra- and inter-tester reliability and range of motion of the neck
Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-6075-4432
Department of Orthopedics, Huddinge Hospital, Karolinska Institute, Stockholm, Sweden.
Linköping University, Department of Department of Health and Society, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Department of Health and Society, General Practice. Linköping University, Faculty of Health Sciences.
2000 (English)In: Physiotherapy Canada, ISSN 0300-0508, E-ISSN 1708-8313, Vol. 52, 233-242 p.Article in journal (Refereed) Published
Abstract [en]

To our knowledge, neither reliability nor reference values have previously been investigated on the cervical measurement system (CMS) equipment. In this study we determined the intra- and intertester reliability of measuring active range of motion (AROM) in the three planes using the cervical measurement system (CMS) and the golden standard cervical range of motion device (CROM). Based on repeated measurements by two observers in 30 healthy volunteers, measurement of AAOM with the GMS equipment was shown to be a reliable method and nearly as good as the CROM equipment. Thus, the CMS equipment can be used for evaluating cervical AROM in clinical practice. Age- and sex-specific cervical range of motion was measured with the CMS equipment in 101 randomly selected asymptomatic men and women aged 25-64 years. The results from the reference- value study showed that age is a much more important determinant of cervical AROM than sex, body weight, or body mass index.

Place, publisher, year, edition, pages
2000. Vol. 52, 233-242 p.
Keyword [en]
Cervical Spine, Neck, Active Range of Motion, Reliability
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-27923Local ID: 12684OAI: oai:DiVA.org:liu-27923DiVA: diva2:248475
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Functional analysis of the cervical spine: Reliability, reference data and outcome after anterior cervical decompression and fusion
Open this publication in new window or tab >>Functional analysis of the cervical spine: Reliability, reference data and outcome after anterior cervical decompression and fusion
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of the thesis was to investigate the reliability of the test procedure, and to obtain reference values for active range of motion (AROM) of the neck, neck-, and hand strength. Another aim was to perform a broad assessment of outcome in patients with cervical disc disease operated on by anterior cervical decompression and fusion (ACDF) and to identify predictive factors for a good outcome. For a broad assessment it is important to have reliable objective and subjective variables, and reference values obtained in healthy people.

Three studies concern reliability and reference values for neck AROM, neck strength, and hand strength of healthy individuals. One study concerns the outcome of 34 consecutively included patients six months and one year after ACDF, and any remaining deficits afterwards. One study is a prospective randomised study of 103 patients concerning prognostic factors (mean follow-up 19 months, SD 6, range 12-24 months) for a good outcome of ACDF, and any remaining deficits afterwards.

The intra-, and inter-tester reliability of neck AROM, neck strength, and hand strength obtained from 30-32 healthy volunteers were considered substantial to almost perfect (ICC-values 0.61-0.98) and can be used for comparisons between or within groups. The reference values obtained in 101 asymptomatic men and women aged 25-64 years showed that age was the most important factor to take into consideration when measuring neck AROM, and gender was most important for neck and hand strength measurements. The patients showed benefits from ACDF at the one-year follow-up in neck strength in lateral flexion, neck muscle endurance in flexion, pain, numbness, ADL, Neck Disability Index (NDI), sick leave, change in general health, and symptom satisfaction. Except for a deterioration in general health there were no significant differences between the six-month and the one-year followup. The most important predictor for low postoperative pain intensity was greater preoperative kyphosis.

The predictive value of segmental kyphosis is noteworthy and of potential clinical interest. Low preoperative pain intensity was the most important predictor for improved NDI. Non-smoking males with a greater segmental kyphosis at the level of surgical intervention, with less severe pain experience and better initial function, had the best prognosis for a successful outcome of ACDF. Although the patients experienced benefits from surgery in many of the variables, a large number still had remaining deficits. These studies support the need for improvements in the selection for and the treatment techniques in both surgery and physiotherapy in degenerative cervical disorders.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2002. 84 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 738
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-26343 (URN)10867 (Local ID)91-7373-182-X (ISBN)10867 (Archive number)10867 (OAI)
Public defence
2002-09-06, Berzeliussalen, Universitetssjukhuset, Linköping, 09:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2013-09-03Bibliographically approved

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Peolsson, AnneliÖberg, BirgittaErtzgaard, Susanne

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