Does altered mandibular position and dental occlusion influence upper cervical movement: A cross–sectional study in asymptomatic people

Grondin, Francis; Hall, Toby; Piekartz, Harry von

doi:10.1016/j.math.2016.06.007

Cited by 14 publications

(8 citation statements)

References 42 publications

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“…Based on the results of this study intra-and inter-rater reliability can be considered as high [21] with all ICC values greater 0.88 for either test procedure (Table 3). These results are in accordance with a previous study assessing the reliability of the FRT using a modified cervical ROM device [ICC 0.93 (CI, 0.87-0.96)] [2] and using an iPhone [0.95 (CI, 0.88-0.98)] [20]. Interestingly inter-rater reliability was greater than intra-rater reliability, although the difference was very small.…”

Section: Discussionsupporting

confidence: 91%

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The C0-C2 axial rotation test: normal values, intra- and inter-rater reliability and correlation with the flexion rotation test in normal subjects

Satpute

Nalband

Hall

2018

Journal of Manual & Manipulative Therapy

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Objectives: Impairment in upper cervical spine mobility is associated with cervicogenic headache severity and disability. Measures of such mobility include the flexion-rotation test (FRT), which requires full cervical flexion and may be influenced by lower cervical spine dysfunction. The C0-C2 axial rotation test also evaluates upper cervical mobility but normal values and reliability have not been reported. Our objective is to determine normal values, and intra-rater and inter-rater reliability of the C0-C2 axial rotation test. Methods: Two therapists independently evaluated the FRT and C0-C2 axial rotation test with an iPhone compass application on 32 asymptomatic subjects with mean age 40.53 (SD 11.64) years on two occasions. Measurement procedures were standardized; and order of testing randomized. Results: For the FRT and C0-C2 axial rotation test reliability was high (ICC > 0.88). For rater one, Mean range to the left during the FRT and C0-C2 axial rotation test was 45.0°(6.04) and 14.43°(2.94), respectively, while range to the right was 44.6°(6.57) and 15.44°(2.68). For the FRT and C0-C2 axial rotation test the standard error of measurement was at most 2°, while the minimum detectable change was at most 4°. A strong positive correlation exists between the FRT and C0-C2 axial rotation test (r = 0.84, P < 0.01). Discussion: The range recorded during the C0-C2 axial rotation test and FRT have high levels of reliability when evaluated using an iPhone. The strong correlation between the FRT and C0-C2 axial rotation test indicate that both may be measuring similar constructs, but each test needs to be referenced to normal values.

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Section: Discussionsupporting

confidence: 91%

“…Smartphones have the capability of measuring movement in all 3 planes using internal sensors and have been shown to have concurrent validity and accuracy [18,19]. Grondin et al [20] reported that FRT range could be reliably measured by a physiotherapist using the compass application on an iPhone.…”

Section: Introductionmentioning

confidence: 99%

The C0-C2 axial rotation test: normal values, intra- and inter-rater reliability and correlation with the flexion rotation test in normal subjects

Satpute

Nalband

Hall

2018

Journal of Manual & Manipulative Therapy

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“…When examining the 11 studies examining spinal ROM, it appeared that the assessment of flexion, extension and lateral flexion typically exhibited adequate relative reliability and/or validity [30, 31, 38–46], although not all of these studies assessed absolute reliability and validity. Compared to the assessment of spinal flexion, extension and lateral flexion, the assessment of spinal axial rotation did not exhibit adequate reliability and validity in four [30, 40, 44, 45] of the nine studies. On this basis, it would appear that while the apps used within the studies reviewed in this manuscript typically had adequate reliability and validity for measuring spinal flexion, extension and lateral flexion, they are somewhat more questionable for measuring spinal rotation.…”

Section: Discussionmentioning

confidence: 90%

“…If we were to consider all the studies that assessed relative intra-rater reliability with an iPhone 4, all six studies demonstrated that smartphone apps had adequate relative intra-rater reliability [1, 34, 37, 42, 48, 64]. Thirteen of 17 studies reported good absolute intra-rater reliability as defined by a SEM or MDC < 5 o or LOA < ± 9.8 o for more than 50% of the joint movements they examined, with only four studies not satisfying this threshold [40, 44, 51, 59]. It should however be noted that the study by Quek et al [44] satisfied the criteria for more than 50% of the movements when quantified by the SEM (the three of the four movements) but failing this when reliability was assessed by the MDC for all four movements.…”

Section: Resultsmentioning

confidence: 99%

Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review

et al. 2019

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Measuring joint range of motion is an important skill for many allied health professionals. While the Universal Goniometer is the most commonly utilised clinical tool for measuring joint range of motion, the evolution of smartphone technology and applications (apps) provides the clinician with more measurement options. However, the reliability and validity of these smartphones and apps is still somewhat uncertain. The aim of this study was to systematically review the literature regarding the intra- and inter-rater reliability and validity of smartphones and apps to measure joint range of motion. Eligible studies were published in English peer-reviewed journals with full text available, involving the assessment of reliability and/or validity of a non-videographic smartphone app to measure joint range of motion in participants >18 years old. An electronic search using PubMed, Medline via Ovid, EMBASE, CINAHL, and SPORTSDiscus was performed. The risk of bias was assessed using a standardised appraisal tool. Twenty-three of the eligible 25 studies exceeded the minimum 60% score to be classified as a low risk of bias, although 3 of the 13 criteria were not achieved in >50% of the studies. Most of the studies demonstrated adequate intra-rater or inter-rater reliability and/or validity for >50% of the range of motion tests across all joints assessed. However, this level of evidence appeared weaker for absolute (e.g. mean difference ± limit of agreement, minimal detectable change) than relative (e.g. intraclass correlation, correlation) measures; and for spinal rotation than spinal extension, flexion and lateral flexion. Our results provide clinicians with sufficient evidence to support the use of smartphones and apps in place of goniometers to measure joint motion. Future research should address some methodological limitations of the literature, especially including the inclusion of absolute and not just relative reliability and validity statistics.

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“…Möglicherweise gelten die gleichen Mechanismen auch für den passiven FRT, der ebenfalls ein signifikant höheres Bewegungsausmaß aufwies. Grondin et al [12]…”

Section: Physiologische Bewegungen Der Hwsunclassified

Hat eine kurzfristige dentale okklusale Veränderung Einfluss auf das zervikale physiologische Bewegungsausmaß bei gesunden Probanden?

2017

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Zusammenfassung Die Kieferregion und die HWS stehen neuroanatomisch und biomechanisch in enger Verbindung zueinander. Dar?ber hinaus hat die kraniomandibul?re Region durch ihren funktionellen Aufbau, ihre anatomische Positionierung und ihre neurologische Wertigkeit eine Bedeutung f?r den gesamten menschlichen Organismus. Das Ziel der Studie war es zu beobachten, ob eine durch eine ver?nderte dentale Okklusion hervorgerufene Ver?nderung im Mandibulabereich einen direkten Einfluss auf die aktive und passive physiologische HWS-Beweglichkeit aus?bt. Neben der Gruppenauswertung wurden die 61 Probanden zus?tzlich von einem Zahnarzt in die verschiedenen Angle-Klassifikationen (Klasse 1, 2a, 2b und 3) eingeteilt und auf Unterschiede untersucht. Bei allen Probanden wurde die physiologische Beweglichkeit der HWS mit dem CROM Device gemessen und der Flexions-Rotations-Test (FRT) f?r die passive physiologische Bewegungs?berpr?fung mit einem digitalen Goniometer durchgef?hrt. Die Messungen erfolgten jeweils 2-mal innerhalb eines kurzen Zeitabstands, und zwar einmal ohne und einmal mit Ver?nderung der Okklusion durch einen Papierstreifen. Beim Vergleich der beiden Messungen der gesamten Stichprobe zeigte sich eine signifikant vergr??erte Beweglichkeit in jeder gemessenen Bewegungsrichtung. Zwischen den Angle-Klassifikationen waren keine signifikanten Unterschiede zu beobachten.

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Does altered mandibular position and dental occlusion influence upper cervical movement: A cross–sectional study in asymptomatic people

Cited by 14 publications

References 42 publications

The C0-C2 axial rotation test: normal values, intra- and inter-rater reliability and correlation with the flexion rotation test in normal subjects

The C0-C2 axial rotation test: normal values, intra- and inter-rater reliability and correlation with the flexion rotation test in normal subjects

Reliability and validity of clinically accessible smartphone applications to measure joint range of motion: A systematic review

Hat eine kurzfristige dentale okklusale Veränderung Einfluss auf das zervikale physiologische Bewegungsausmaß bei gesunden Probanden?

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