Lumbar Range of Motion: Influence of Time of Day and Individual Factors on Measurements

Ensink, Franz-bernhard M.; Saur, Petra; Frese, Knut; Seeger, D.; Hildebrandt, J.

doi:10.1097/00007632-199606010-00012

Cited by 72 publications

(40 citation statements)

References 16 publications

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“…Some studies found gender, age, height, obesity and sitting-to-standing ratio to affect ROM [1,3,10,14,29,35], while others could not find any correlation between [11,24,29,30]. ROM is not only affected by anthropometric data but also affected by factors such as pain [11,29,30], motivation [7], time of day [11] and sport [5]. Furthermore, from cadaver studies we have learned that motion of the spine is increased to a certain degree of degeneration and decreased beyond that [17,33,36,45].…”

Section: Discussionmentioning

confidence: 98%

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Quack

Schenk²,

Laeubli³

et al. 2006

Eur Spine J

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To find out whether segmental magnetic resonance imaging (MRI) findings such as intervertebral disc degeneration (DD) and facet joint osteoarthritis (FJO) are associated with motion deficiencies as seen in common mobility tests and observed range of motion (ROM). A total of 112 female subjects, nurses and office workers, with and without low back pain, were examined by clinical experts, and lumbar mobility was measured including modified Schober, fingertip-to-floor distance (FTFD) and ZEBRIS motion analysis. An MRI of the lumbar spine was made. Mobility findings were correlated with segmental morphologic changes as seen on MRI at the levels of L1-2 through L5-S1. Only a few statistically significant correlations between MRI findings and the results of the mobility tests could be found. Lateral bending was weakly and negatively correlated to DD and FJO but only on the level of L5-S1. The FTFD showed a weak positive correlation to endplate changes on the level of L4-5. When ROM is observed by clinical experts, there are several significant relationships between MRI findings and the observed motion. There is a highly significant segmental correlation between DD and disc form alteration as seen on MRI on the level of single motion segments. Pain history and current pain level did not moderate any association between MRI and mobility. There is no clear relationship between the structural changes represented by MRI and the measured mobility tests used in this study. Our findings suggest that close observation of spinal motion may provide at least equal information about the influence of spinal structures on motion than the commonly used measured mobility tests do.

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Section: Discussionmentioning

confidence: 98%

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Quack

Schenk²,

Laeubli³

et al. 2006

Eur Spine J

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show abstract

“…More clinically friendly, inexpensive techniques include goniometers [16,[18][19][20][21], inclinometers [17,[22][23][24][25][26][27] and flexicurves [28][29][30][31]. Goniometers and inclinometers are secured or held directly over previously palpated vertebrae, producing a measure that is limited to a single thoracic, lumbar, or sacral region of the spine [16,17,19,22,25].…”

Section: Introductionmentioning

confidence: 99%

Preliminary study: reliability of the spinal wheel. A novel device to measure spinal postures applied to sitting and standing

et al. 2009

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Postural re-education is an integral part of physiotherapy management in patients with back pain. Although the link between posture and back pain is largely unknown, postural re-education is performed on the premise of optimizing spinal alignment to minimize stresses on the passive structures of the spine, to facilitate optimal muscular support and thus to prevent possible damage and further pain. A reliable and clinically meaningful measurement of spinal postures to monitor such interventions remains challenging. This study evaluated within-day (intra-tester, inter-tester) and between-day (test-retest) reliability of a novel spinal wheel device measuring thoracic and lumbar postures during sitting and standing. 17 healthy volunteers (age 39.5 ± 5.4, BMI 25 ± 9.2; 9 males) were measured three times, by three testers, on two separate occasions (1 week apart). The angular change between C7 and T12 and between T12 and S1 provided thoracic and lumbar curvatures, respectively. Intra-class correlation coefficient (ICC) with 95% confidence intervals and typical error were calculated. Excellent reliability was demonstrated with intra-tester ICCs between 0.947 and 0.980 and typical error between 1.7°and 3.7°and intertester ICCs between 0.949 and 0.986 and typical error between 2.0°and 4.7°. Test-retest reliability was high with ICCs 0.719-0.908 and typical error between 4.0°and 7.4°. In conclusion, the spinal wheel demonstrated excellent within-day and high between-day reliability. The device may be used in conjunction with 2D camcorder to provide clinically useful visual evaluation of postures for assessment, intervention monitoring, and feedback during postural re-education.

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“…Finally, measurements with the CROM on day 1 and day 2 were taken at 48-hour intervals, always at the same time of the day so as to eliminate any effects resulting from variation in ROM at different times in the day. 9 These precautions should be considered when the CROM device is being used in the clinical setting to insure good reliability and validity of the measures.…”

mentioning

confidence: 99%

Validity and Between-Day Reliability of the Cervical Range of Motion (CROM) Device

Audette

Dumas²,

Côté³

et al. 2010

Journal of Orthopaedic & Sports Physical Therapy

291

200

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Study Design Clinical measurement, validity and intrarater reliability study. Objectives (1) To confirm the validity and assess between-day test-retest reliability of cervical spine motion measurements made with the cervical range of motion (CROM) device in flexion, extension, bilateral rotation, and bilateral side flexion; (2) to provide meaningful information to clinicians about the standard error of measurement and the minimal detectable change for the CROM device. Background Range of motion is a common outcome measure used in the assessment of the cervical spine. The CROM device is one of the tools used to measure cervical range of motion in the clinical setting. However, its psychometric properties are not well established, especially for measurements taken on separate days. Methods Quasi-experimental design with 1 group comparison. Twenty healthy adults (9 men and 11 women) participated in this study. Cervical range of motion was simultaneously recorded with the CROM device and the Fastrak motion analysis system for all 6 cervical movements mentioned above. The CROM device was placed on the participant's head consistent with standard clinical procedures. Two Fastrak sensors were positioned with 1 on the forehead and 1 over the spinous process of the T6 vertebra. Test-retest reliability of measurements made with the CROM device was assessed, as well as its standard error of measurement and minimal detectable change, with measures taken on 2 separate days spaced 48 hours apart. Results Values obtained by the 2 measuring devices yielded Pearson correlation coefficients ranging between 0.93 and 0.98. Test-retest reliability of measurements of cervical range of motion using the CROM was found to be good, with ICCs ranging between 0.89 and 0.98. The standard errors of measurement across the 6 movements ranged from 1.6° to 2.8° and the minimal detectable changes across the 6 movements ranged from 3.6° to 6.5°. Conclusions The measurements made with the CROM were shown to be reliable in all movement directions. J Orthop Sports Phys Ther 2010;40(5):318–323.doi:10.2519/jospt.2010.3180

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Lumbar Range of Motion: Influence of Time of Day and Individual Factors on Measurements

Abstract: For the reliability of a measurement, it is important to investigate lumbar range of motion at the same time of day.

Cited by 72 publications

References 16 publications

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Do MRI findings correlate with mobility tests? An explorative analysis of the test validity with regard to structure

Preliminary study: reliability of the spinal wheel. A novel device to measure spinal postures applied to sitting and standing

Validity and Between-Day Reliability of the Cervical Range of Motion (CROM) Device

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