Intrarater and Inter-rater Reliability of Active Cervical Range of Motion in Patients With Nonspecific Neck Pain Measured With Technological and Common Use Devices: A Systematic Review With Meta-regression

Rondoni, Angie; Rossettini, Giacomo; Ristori, Diego; Gallo, Fabio; Strobe, Marco; Giaretta, Federico; Battistin, Andrea; Testa, Marco

doi:10.1016/j.jmpt.2017.07.002

Cited by 28 publications

(23 citation statements)

References 36 publications

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“…(11) Was the execution of the reference standard described in sufficient detail to permit its replication? (12) Were withdrawals from the study explained? (13) Were the statistical methods appropriate for the purpose of the study?…”

Section: T a G G E D H 1 Discussiont A G G E D E N Dmentioning

confidence: 99%

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Validity and Reliability of Smartphones in Assessing Spinal Kinematics: A Systematic Review and Meta-analysis

Sedrez

Furlanetto

Gelain

et al. 2020

Journal of Manipulative and Physiological Therapeutics

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Objective: Advances in mobile technology have led to the development of smartphones, whose applications present numerous utilities, such as the analysis of human movement based on inertial sensors. The purpose of this review was to investigate validity and reliability of smartphones in assessing the kinematics of the human spine. Methods: A systematic search was performed on MEDLINE, Embase, Scopus, and LILACS databases, as well as manual searches. The included studies evaluated psychometric properties of smartphones in assessing kinematic variables of the spine (range of motion [ROM], speed, and acceleration). Two independent reviewers performed the selection, reading, data extraction, and risk of bias assessment of the studies. Results: Of the 2651 articles initially found, 9 were included and had their results for ROM analyzed. The metaanalyses for validity showed very high correlation coefficients in the evaluation of cervical flexion, extension, and lateral flexion; high ones in the evaluation of cervical rotation; and also high ones for intrarater and interrater reproducibility of all cervical movements. The meta-analyses for interrater reproducibility showed high correlation coefficients in the evaluation of lumbar flexion and very high ones for intrarater reproducibility. Conclusion:The use of smartphones for assessing the ROM of cervical flexion, extension, and lateral flexion and lumbar flexion is feasible. Their use for assessing thoracic rotation is potentially viable, but further validation studies are still needed to ensure a safe use. There is a lack of validation studies that evaluate the applicability of this device in assessing other kinematic characteristics, such as speed and acceleration.

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Section: T a G G E D H 1 Discussiont A G G E D E N Dmentioning

confidence: 99%

“…There is no cutoff point to define the risk of bias of the studies. 12 So we set a cutoff point of 75%, and the studies were classified as low risk of bias if they met 75% or more of the applicable items of the checklist.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Validity and Reliability of Smartphones in Assessing Spinal Kinematics: A Systematic Review and Meta-analysis

Sedrez

Furlanetto

Gelain

et al. 2020

Journal of Manipulative and Physiological Therapeutics

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show abstract

“…The studies were appraised for methodological quality using the Downs & Black scale, 13 which assesses observational studies and clinical trials. Because there is no consensus on a single cutoff point for defining risk of bias, 14 the scores were interpreted using a percentage of 75% or higher. Studies were therefore defined as high quality if 75% of applicable checklist items were scored as "yes," that is, 9 of the 12 assessed items.…”

Section: Assessment Of the Risk Of Bias And The Level Of Evidencementioning

confidence: 99%

Kinematic Characteristics of Sit-to-Stand Movements in Patients With Low Back Pain: A Systematic Review

Sedrez

Mesquita

Gelain

et al. 2019

Journal of Manipulative and Physiological Therapeutics

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“…In challenging cases with conditions like scoliosis and short neck, the inexperienced investigator may have difficulty finding the neutral position of the neck or locating the bony prominence of C7. In addition to the experience and training of the examiners, digitization of the assessment tools [11] and direction of cervical motions also play a crucial role in reliability and validity of measurements [12].…”

Section: Introductionmentioning

confidence: 99%

Smartphone Application with Virtual Reality Goggles for the Reliable and Valid Measurement of Active Craniocervical Range of Motion

Chang

Chen

et al. 2019

Diagnostics

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Objective: This study aimed to determine the intra-rater and inter-rater reliability and validity of a hybrid device, combining virtual reality goggles, a magnetometer and an inclinometer application for smartphones, to measure craniocervical range. Summary of Background Data: Accurate evaluation of craniocervical range of motion is important for early detection of certain diseased conditions and monitoring the progress of interventions. The universal goniometer is widely used for the measurement but it requires experienced practitioners. Whether a combination of virtual reality goggles and smartphone applications can provide the same or better performance compared with the goniometer is still unknown. Methods: Forty-one healthy adults from the department of physical medicine and rehabilitation were recruited for craniocervical range examination (flexion, extension, side-bending to the right or left and rotating to the right or left) by using the hybrid device and universal goniometer. Using the hybrid device, repeated measurements were performed twice by a primary rater and once by a second rater. The primary rater also conducted a measurement using the universal goniometer in the same cohort. The intra-rater and inter-rater reliability (intra-class correlation coefficient (ICC)) were calculated using the two-way random effect model, whereas the validity was examined by the Pearson correlation coefficient and Bland-and-Altman plot. The interval between the first and second sessions of the measurement for intra-rater reliability was set at 30 min. Results: Excellent intra-rater (ICC ≥ 0.925) and inter-rater (ICC ≥ 0.880) reliability was noted for the hybrid device. The minimal detectable changes from intra-observer and inter-observer comparisons ranged between 4.12° and 7.42° in all six directions. The Bland-and-Altman plot revealed small mean differences (≤1.68°) between the hybrid device and universal goniometer. Both instruments had highly correlated measurements of craniocervical motion (r values ≥ 0.918). Conclusion: For healthy participants, excellent intra-rater and inter-rater reliability was noted for the hybrid device, and the measurements were consistent with the universal goniometer measurements. Future studies are needed to examine whether the device can perform similarly for patients with neck disorders.

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Intrarater and Inter-rater Reliability of Active Cervical Range of Motion in Patients With Nonspecific Neck Pain Measured With Technological and Common Use Devices: A Systematic Review With Meta-regression

Abstract: The use of expensive devices to measure ACROM in adults with nonspecific neck pain does not seem to improve the reliability of the assessment. Side bending had a lower level of intrarater reliability.

Cited by 28 publications

References 36 publications

Validity and Reliability of Smartphones in Assessing Spinal Kinematics: A Systematic Review and Meta-analysis

Validity and Reliability of Smartphones in Assessing Spinal Kinematics: A Systematic Review and Meta-analysis

Kinematic Characteristics of Sit-to-Stand Movements in Patients With Low Back Pain: A Systematic Review

Smartphone Application with Virtual Reality Goggles for the Reliable and Valid Measurement of Active Craniocervical Range of Motion

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