Inter-tester reliability of passive intervertebral and active movements of the cervical spine

Piva, Sara R.; Erhard, Richard E.; Childs, John D.; Browder, David A.

doi:10.1016/j.math.2005.09.001

Cited by 84 publications

(72 citation statements)

References 25 publications

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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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“…Under the conditions used in this investigation, examiners could not consider concurrent pain responses, which have been found to improve psychometric values under experimental conditions. 27 The experienced clinicians, in particular, may not have had the opportunity to use other observations upon which they routinely depend for assistance in decision-making, including other communication results, observations, specific examination findings, and well-developed skills in pattern recognition. While perhaps better isolating this particular task and its interpretation, this investigation also suggests the important nature of the clinician's complete appreciation and assessment of a patient's presentation.…”

Section: Limitationsmentioning

confidence: 99%

“…Bias in analysis of reliability is readily introduced when subjects of PIVM palpation are known to be symptomatic or asymptomatic as occurred in multiple investigations. [23][24][25][26][27][28] Knowledge of patient history, specifically pertaining to the cervical spine, has been found to affect the prevalence of positive findings. 29 The categorization of palpatory findings is also a consideration in these studies.…”

Section: Introductionmentioning

confidence: 99%

“…[30][31][32] The majority of the studies used a simple Cohen's kappa statistic in assessing inter-examiner reliability, but often did so in a manner to dichotomize the examiners assessment of the joint mobility into two rather stark categories of either pathomechanically limited or not limited. 17,18,24,[26][27][28]33,34 This type of designation essentially negates the ranges of mobility which naturally occur in the joints. Only two studies used a weighted kappa statistic, 23,25 perhaps more consistent with gradations of mobility as might actually occur in the population.…”

Section: Introductionmentioning

confidence: 99%

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A simulated passive intervertebral motion task: observations of performance in a cross-sectional study

Hazle

Nitz

2012

Journal of Manual & Manipulative Therapy

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Introduction: Passive motion palpation is an integral component in examination, diagnosis or classification, and treatment of persons with mechanical disorders of the cervical spine. If the magnitude of force application during passive movement assessment is associated with greater palpatory accuracy has not been established. Methods: This investigation used a novel mechanical model as a basis for assessing the palpatory force of students and clinicians. The model included multiple palpable resistance and displacement levels similar to that observed in humans. The ability of the subjects to discriminate the various levels of resistance and displacement offered by the model was concurrently measured. Results: Large variability occurred in the amount of force applied by the subjects in completing the palpatory examination. The data indicated no major differences in palpatory accuracy across the student and clinician groups with different training and experience levels beyond basic competency. Those subjects applying less force in the palpatory exam demonstrated greater accuracy of palpatory assessment with one measure. Discussion: The data indicate training and experience had minimal relationship to palpatory interpretation precision beyond the basic level and individual natural discriminatory ability may be a factor in accuracy of palpatory skill. The results demonstrate remarkable inconsistency in palpatory force among examiners and suggest that palpatory accuracy may be related to less force application.

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“…These 2 techniques have been described elsewhere. 17 Indications for thoracic dysfunction were limited forward flexion, with increased in distal symptoms and decreased left thoracic rotation. High-velocity, smallamplitude cervical manipulation was done with the goal of increasing the opening of the left intervertebral foramen between C5 and C6 in an attempt to release compression of the C6 spinal nerve on the left.…”

Section: Treatment and Outcomesmentioning

confidence: 99%

Cervical Radiculopathy or Parsonage-Turner Syndrome: Differential Diagnosis of a Patient With Neck and Upper Extremity Symptoms

Mamula¹,

Erhard²,

Piva³

2005

J Orthop Sports Phys Ther

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3Study Design: Resident's case problem. Background: The signs and symptoms of cervical radiculopathy (CR) warrant the consideration of several other conditions in CR's differential diagnosis. One condition that may mimic CR, which is not well known amongst physical therapists, is Parsonage-Turner syndrome (PTS). PTS is characterized by an onset of intense pain that typically subsides within days to weeks. However, as pain subsides, weakness and/or paralysis may develop in upper extremity muscles. The purpose of this resident's case problem is to describe a patient who presented to our clinic with a diagnosis of CR, but had findings consistent with PTS. Diagnosis: The patient was a 43-year-old male referred to physical therapy with a diagnosis of CR. He had a previous episode of CR 1 year ago that was treated successfully. He had positive magnetic resonance imaging findings of structural abnormalities suggestive of causative factors for CR. The patient was treated for CR with thoracic and cervical spine manipulations and intermittent cervical traction. The initial acute severe pain subsided, but weakness in the upper extremity worsened. Diagnosis of PTS was made upon exclusion of other potential confounding diagnoses and the findings of fibrillation potentials and positive waves in electrodiagnostic studies. Discussion: CR and PTS are characterized by pain in the cervical spine, shoulder, and upper extremity. CR generally has an insidious onset, while PTS has a rapid onset of intense pain. Symptoms of CR are exacerbated with neck movements, while symptoms related to PTS should not be exacerbated with neck movements. In patients that do not respond to conventional therapy and have a progression of upper extremity muscle weakness, regardless of decreased pain, the diagnosis of PTS should be considered. J Orthop Sports Phys Ther 2005;35:659-664.

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Inter-tester reliability of passive intervertebral and active movements of the cervical spine

Cited by 84 publications

References 25 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

A simulated passive intervertebral motion task: observations of performance in a cross-sectional study

Cervical Radiculopathy or Parsonage-Turner Syndrome: Differential Diagnosis of a Patient With Neck and Upper Extremity Symptoms

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