Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain

Dunleavy, Kim; Goldberg, Allon

doi:10.1179/2042618612y.0000000017

Cited by 25 publications

(14 citation statements)

References 33 publications

(37 reference statements)

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“…A composite score (sum of range of movement in all directions) was calculated, and the mean of three trials was used for comparisons. CROM has moderate-to-excellent intrarater and inter-rater reliability for individuals with neck pain (ICC 0.76 to 0.98) [21], with comparable results to three-dimensional digital measurement [22]. A c c e p t e d M a n u s c r i p t 8 postural measurements is moderate to excellent (ICC 2,1 0.69 to 0.94) [24].…”

Section: Range Of Movementmentioning

confidence: 98%

Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study

et al. 2016

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Section: Range Of Movementmentioning

confidence: 98%

Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study

et al. 2016

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“…Symptomatic participants were included if they reported an average pain of §3/10 for more than 3 months, no symptoms of radiculopathy (numbness, tingling, or weakness), and no history of recent trauma or major medical problems. 29 Participants completed the neck disability index (NDI). 30 …”

Section: Part 2: Reliability and Construct Validitymentioning

confidence: 99%

Reliability and validity of cervical position measurements in individuals with and without chronic neck pain

Dunleavy

Neil

Tallon

et al. 2014

Journal of Manual & Manipulative Therapy

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Objectives: The cervical range of motion device (CROM) has been shown to provide reliable forward head position (FHP) measurement when the upper cervical angle (UCA) is controlled. However, measurement without UCA standardization is reflective of habitual patterns. Criterion validity has not been reported. The purposes of this study were to establish: (1) criterion validity of CROM FHP and UCA compared to Optotrak data, (2) relative reliability and minimal detectable change (MDC 95 ) in patients with and without cervical pain, and (3) to compare UCA and FHP in patients with and without pain in habitual postures. Methods: (1) Within-subjects single session concurrent criterion validity design. Simultaneous CROM and OP measurement was conducted in habitual sitting posture in 16 healthy young adults. (2) Reliability and MDC 95 of UCA and FHP were calculated from three trials. (3) Values for adults over 35 years with cervical pain and age-matched healthy controls were compared. Results: (1) Forward head position distances were moderately correlated and UCA angles were highly correlated. The mean (standard deviation) differences can be expected to vary between 1.48 cm (1.74) for FHP and 21.7 (2.46)u for UCA. (2) Reliability for CROM FHP measurements were good to excellent (no pain) and moderate (pain). Cervical range of motion FHP MDC 95 was moderately low (no pain), and moderate (pain). Reliability for CROM UCA measurements was excellent and MDC 95 low for both groups. There was no difference in FHP distances between the pain and no pain groups, UCA was significantly more extended in the pain group (P,0.05). Discussion: Cervical range of motion FHP measurements were only moderately correlated with Optotrak data, and limits of agreement (LOA) and MDC 95 were relatively large. There was also no difference in CROM FHP distance between older symptomatic and asymptomatic individuals. Cervical range of motion FHP measurement is therefore not recommended as a clinical outcome measure. Cervical range of motion UCA measurements showed good criterion validity, excellent test-retest reliability, and achievable MDC 95 in asymptomatic and symptomatic participants. Differences of more than 6u are required to exceed error. Cervical range of motion UCA shows promise as a useful reliable and valid measurement, particularly as patients with cervical pain exhibited significantly more extended angles.

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“…In forward head posture (FHP), the head protrudes forward from the sagittal plane and appears to be positioned in front of the body, and this condition is considered the most common postural deformity 1 , 2 ) . FHP increases extension of the atlanto-occipital joint and the upper cervical vertebrae as well as flexion of the lower cervical and upper thoracic vertebrae.…”

Section: Introductionmentioning

confidence: 99%

Effects of forward head posture on static and dynamic balance control

Lee

2016

J Phys Ther Sci

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[Purpose] To determine the effects of forward head posture on static and dynamic balance control. [Subjects and Methods] This study included 30 participants who were included into a forward head posture group (n = 14) and a control group (n = 16) according to their craniovertebral angles. Static balance control was assessed according to center of gravity sway velocity and total sway distance using an automatic balance calibration system. Dynamic balance control was assessed using the diagnosis mode of a body-tilt training and measurement system. [Results] Sway velocities on a hard surface with eyes open and closed and those on an unstable sponge surface with eyes closed were significantly higher in the forward head posture group than in the control group. Furthermore, on both the hard and sponge surfaces in the eyes open and closed conditions, total sway distances were significantly higher in the forward head posture group than in the control group. Results of dynamic balance control were not significantly different between groups. [Conclusion] Forward head posture has a greater effect on static balance control than on dynamic balance control.

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Comparison of cervical range of motion in two seated postural conditions in adults 50 or older with cervical pain

Cited by 25 publications

References 33 publications

Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study

Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study

Reliability and validity of cervical position measurements in individuals with and without chronic neck pain

Effects of forward head posture on static and dynamic balance control

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