A Systematic Review of Reliability and Validity Studies of Methods for Measuring Active andPassive Cervical Range of Motion

Williams, Mark A.; McCarthy, Christopher J.; Chorti, Angeliki; Cooke, Matthew; Gates, Simon

doi:10.1016/j.jmpt.2009.12.009

Cited by 180 publications

(122 citation statements)

References 61 publications

(40 reference statements)

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“…O goniômetro gravitacional usado para avaliação da ADM ativa já teve sua confiabilidade e aplicabilidade confirmadas para medidas de movimentos cervicais, inclusive em crianças 14,[17][18][19] .…”

Section: Discussionunclassified

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Milanesi¹,

Corrêa

Borin³

et al. 2011

Fisioter. Pesqui.

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A DTM foi diagnosticada pelo critério de diagnóstico em pesquisa para DTM (Research Diagnostic Criteria for Temporomandibular Disorders). A eletromiografia dos músculos esternocleidomastoídeo (ECOM) e trapézio superior foi realizada bilateralmente, na situação de repouso, com frequência de 2 KHz e filtro passa-faixa de 10-1000 Hz. As medidas de ADM de flexão, extensão, lateroflexão e rotação foram realizadas com um flexímetro e a comparação entre os grupos contou com o teste de Mann Whitney. O teste de Spearman foi aplicado para a correlação entre as variáveis, com nível de significância de 5%. Não foi verificada nenhuma diferença na ADM cervical entre os grupos. A atividade elétrica demonstrou-se significativamente maior nos músculos ECOM direito (p=0,0130), trapézio superior direito (p=0,0334) e esquerdo (p=0,0335) no grupo DTM em relação ao grupo controle. Não houve correlação significante entre atividade elétrica e ADM cervical. A dor nos músculos cervicais apresentou-se significativamente maior apenas no músculo ECOM direito (p=0,0055). Conclui-se que os grupos estudados registraram diferença na atividade elétrica dos músculos cervicais, sendo esta maior em indivíduos com DTM. DEScRitORES: transtornos da articulação temporomandibular; eletromiografia; amplitude de movimento articular.ABStRAct: The aim of the research was to evaluate the electrical activity and pain on palpation of the cervical muscles, the cervical range of motion (ROM) and the relationship between electrical activity and ROM in individuals with and without temporomandibular disorder (TMD). Fifty three volunteers took part in the study, being 24 with TMD and 29 without, both genders, from 18 to 32 years old. The TMD was diagnosed through Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). The electromyografhy of Sternocleidomastoideus (SCM) and upper trapezius muscles was carried out bilaterally during rest situation, with a frequency of 2 KHz and band-pass filter of 10-1000Hz. The measures of flexion, extension, lateral tilt and rotation ROM were acquired through a fleximeter and the comparison between groups was analyzed by Mann-Whitney test. The Spearman test verified the correlation between the variables, with 5% of significance level. There were no differences in the cervical ROM between the groups. The electrical activity was significantly higher in the right SCM (p=0,0130), left (p=0,0335) and right (p=0,0334) trapezius muscles in the TMD group. There were no significant correlations between electrical activity and cervical ROM. Pain in the neck muscles was significantly higher only in the right SCM (p=0,0055). It is concluded that the studied groups had difference in the electrical activity of the cervical muscles, which was larger in the individuals with TMD.

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Section: Discussionunclassified

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Milanesi¹,

Corrêa

Borin³

et al. 2011

Fisioter. Pesqui.

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“…It is challenging to measure cervical ROM accurately because of the lack of bony landmarks and natural coupling of movements [7], with measurements being influenced by intra-observer or inter-observer variation and clarity of end point due to pain. Previous systematic reviews of the literature [8][9][10] have concluded that of the numerous tools available, the cervical range of motion (CROM) device has most frequently been evaluated for validity and reproducibility and shown to be worthy of merit.…”

Section: Introductionmentioning

confidence: 99%

“…There have been 11 published reliability studies (see [10] for references), all concluding that the device is reliable within and between testers. The majority (n = 8) of these studies have measured active rather than passive ROM and no studies have utilised both the methods in the same cohort.…”

Section: Introductionmentioning

confidence: 99%

Reproducibility of the cervical range of motion (CROM) device for individuals with sub-acute whiplash associated disorders

et al. 2011

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Purpose The objective of this study was to evaluate the reproducibility of the cervical range of motion device when measuring both active and passive range of motion in a group of individuals with sub-acute Whiplash Associated Disorders (WAD). Methods Participants were recruited as part of a large multi-centre Randomised Controlled Trial from UK emergency departments. Experienced research physiotherapists measured active and passive cervical spine movements in all directions. Both intra-and inter-observer reliability and agreement were assessed using the intraclass correlation coefficient, standard error of measurement and limits of agreement methods. Results Different groups of 39 and 19 subjects were included in the intra and inter-observer studies, respectively. The CROM device demonstrated substantial intraand inter-observer reliability and agreement for all the active and passive half-cycle movements (ICC range 0.82-0.99) with the exception of one (passive right lateral flexion for inter-observer; ICC 0.77). Conclusions The CROM device has proven to be a reproducible measurement method for a symptomatic WAD population using the measurement protocol described and can be used with confidence to differentiate individuals according to a single measurement.

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“…Binocular gaze dependent visual acuity (GDVA) was measured at 3 meters across the horizontal visual field from -20° (left) to +20° (right) in 5° steps (Figure 3) while the patients wore a Cervical Range of Motion device (CROM R ) ( Figure 4) or a laser assisted 3-Dimensional laser system [27][28][29]. The CROM R device consists of two gravitydependent goniometers and one compass dial on a head-mounted frame allowing measurement of ROM in three planes to ensure that the precision of head position was consistent for GDVA measures at baseline and the post-treatment visit [30].…”

Section: Gaze Dependent Visual Acuity (Gdva) Measurementsmentioning

confidence: 99%

Visual rehabilitation of patients with oculocutaneous albinism Type I (OCA1): Results in 85 patents

Hertle¹,

Yang²,

Ma³

et al. 2017

New Front Ophthalmol

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Purpose: To test the hypothesis that a systematic, combination treatment of patients with oculocutaneous albinism type 1 (OCA 1) results in improvement in multiple measures of visual and ocular motor function.Methods: This is a prospective, interventional case series analysis of clinical and electrophyisological data before and after multimodal visual system therapy in 85 patients with OCA 1 who had no previous treatment. Therapy included a three step approach after adaptation to spectacle correction: 1) extraocular muscle surgery, 2) contact lens correction, 3) oral baclofen (Lioresal R ). Outcome measures included: 1) routine demography and clinical characteristics, 2) binocular best-corrected visual acuity in the null position (BVA), 3) gaze dependent visual acuity (GDVA), 4) primary position strabismic deviation (SD), 5) anomalous head posture (AHP), 6) contrast sensitivity function (CS), and 7) the expanded nystagmus acuity function (eNAFX). All patients were followed at least 12 months. Parametric and nonparametric statistical analysis of outcome measure data above pre-and post-treatment were perfomed using standard software on grouped data using computerized software.Results: Patient age ranged from 3.6 to 43.1 years (average 16 years). 63% were male. Follow up ranged from 12-50 mos (ave 15.1 mos). 7% had an associated systemic diagnosis, 95% had a significant refractive error, 88% percent had an AHP, 36% had a periodic or aperiodic component to their nystagmus. 97% had strabismus. There were no serious complications from surgery with a reoperation rate of 12%. There were signficant post treatment improvements in mean/median group BVA, GDVA, SD, AHP, CS, and eNAFX. Conclusion:This study supports the hypothesis that using a combination of standard optical, medical and surgical treatments in patients with OCA1 will result in improvements in multiple aspects of ocular motor and visual functions.Synopsis: This study demonstrates how using a combination of standard medical, optical and surgical therapy results in improvements in ocular motor and visual functions in patients with OCA1.

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A Systematic Review of Reliability and Validity Studies of Methods for Measuring Active andPassive Cervical Range of Motion

Cited by 180 publications

References 61 publications

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Atividade elétrica dos músculos cervicais e amplitude de movimento da coluna cervical em indivíduos com e sem DTM

Reproducibility of the cervical range of motion (CROM) device for individuals with sub-acute whiplash associated disorders

Visual rehabilitation of patients with oculocutaneous albinism Type I (OCA1): Results in 85 patents

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