Reliability of Measurements of Cervical Spine Range of Motion—Comparison of Three Methods

Youdas, James W.; Carey, James R.; Garrett, T. J.

doi:10.1093/ptj/71.2.98

Cited by 435 publications

(267 citation statements)

References 8 publications

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“…The rotation inclinometer has a magnetic needle with its accuracy reinforced by magnets placed over the subject's shoulders. Several studies have reported that the CROM device is a reliable 4,11,23,39 and valid 13,25,[32][33][34] instrument for assessing active cervical ROM, including rotation. 11,34 Rotation movement of the cervical spine was specifically assessed because of the finding in a previous study of patients with neck pain that cervical rotation ROM increased significantly when the scapulae were passively elevated.…”

Section: Methodsmentioning

confidence: 99%

Influence of Scapular Position on Cervical Rotation Range of Motion

Andrade¹,

Azevedo²,

Lorentz³

et al. 2008

J Orthop Sports Phys Ther

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GUILHERME TRIVELLATO ANDRADE, PT¹ DANIEL CAMARA AZEVEDO, PT, MSc¹ IGOR DE ASSIS LORENTZ, PT² RODRIGO S. GALO NETO, PT² VICTOR SADALA DO PINHO, PT² RAFAEL T. R. FERRAZ GONÇALVES, PT² MARY KATE MCDONNELL, PT, DPT, OCS³ PT, PhD 4Influence of Scapular Position on Cervical Rotation Range of Motion I mpairments in alignment of the cervical spine and scapulae are commonly cited as possible sources of pain and dysfunction 3,30,31 and range-of-motion (ROM) limitations. 20 The scapulae and the cervical spine are anatomically linked through the cervicoscapular muscles: the upper trapezius and the levator scapulae. Changes of the alignment of either the scapulae or the cervical spine can potentially influence the biomechanics of the other by altering the tension at the cervicoscapular muscles. 15 scapula is located between the spinous process of the second and seventh thoracic vertebrae. 14,16,21,27 When the superior angle of the scapula is located below the spinous process of the second thoracic vertebra, the scapula is considered to be depressed. 16,27 It has been proposed that a depressed scapular alignment affects neck function potentially through increasing compressive loading in the neck region, 36 through the transfer of weight from the upper extremities by way of the attachments of the cervicoscapular muscles. 15 A depressed scapular alignment has also been proposed to be related to neck pain, 27,30 and is associated with decreased pressure pain threshold (PPT) in the upper trapezius region. 1 When a depressed scapular alignment is identified in individuals with cervical dysfunction, passively elevating the scapulae can decrease symptoms 27,30,36 and improve ROM. 36 Several studies have investigated the influence of age, 5,7,10,13,17,22,35,38,40 sex, 7,10,13,17,22,35,38,40 and craniocervical posture 7,8,26,38 on cervical ROM. However, we are unaware of any studies examining the influence of scapular alignment on cervical ROM in a young healthy population. Assessing healthy subjects could allow us to understand the effect of scapular alignment on cervical spine movement without the influence of pain.The purpose of the current study was to compare (1) active cervical rotation ROM between healthy young subjects It has been suggested that an ideal vertical scapular alignment is when the STUDY DESIGN: Cross-sectional study, quasiexperimental design. OBJECTIVES:To compare the active cervical rotation range of motion (ROM) between healthy young subjects with a neutral vertical scapular alignment and subjects with scapular depression, and to examine the influence of modifying the vertical position of the scapulae on active cervical rotation ROM. BACKGROUND:Altered scapular alignment is proposed to be related to neck dysfunction and pain. Changes in the alignment of either the scapulae or the cervical spine can potentially influence the biomechanics of the other by altering the tension at the cervicoscapular muscles. METHODS AND MEASURES:Fifty-eight college age students with neutral vertical scapular alignment (NS group,...

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Section: Methodsmentioning

confidence: 99%

Influence of Scapular Position on Cervical Rotation Range of Motion

Andrade¹,

Azevedo²,

Lorentz³

et al. 2008

J Orthop Sports Phys Ther

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“…The reduced motion may reflect a mechanical problem with the specific joint caused by stroke. The range of motion is a very useful indicator to quantify the performance of movement, and an important factor in most impairment guides as well [19,20]. In this paper, the mean value of joint angle during isometric contraction was defined in the range of motion as Eq.…”

Section: Range Of Motionmentioning

confidence: 99%

A single task assessment system of upper-limb motor function after stroke

Pan

Jin

et al. 2016

THC

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Abstract. BACKGROUND: Nowadays, stroke is a leading cause of disability in adults. Assessment of motor performance has played an important role in rehabilitation for post stroke patients. Therefore, it is quite important to develop an automatic assessment system of motor function. OBJECTIVE: The purpose of this study is to assess the performance of the single task upper-limb movements quantitatively among stroke survivors. METHODS: Eleven normal subjects and thirty-five subjects with stroke were involved in this study. The subjects, who were wearing the micro-sensor motion capture system, performed shoulder flexion in a sitting position. The system recorded threedimensional kinematics data of limb movements in quaternions. By extracting the significant features from these data, we built a linear model to acquire the functional assessment score (FAS). RESULTS: All of the kinematics features have a significant statistical difference (P < 0.05) between patients and healthy people, while the feature values have a high correlation with Fugl-Meyer (FM) scores (r > 0.5, p < 0.05), indicating that these features are able to reflect the level of motion impairment. Furthermore, most samples of the linear model locate in the confidence interval after regression, with the residual approaching a normal distribution. These results show that the FAS is capable of motor function assessment for stroke survivors. CONCLUSION: These findings represent an important step towards a system that can be utilized for precise single task motor evaluation after stroke, applicable to clinical research and as a tool for rehabilitation.

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“…The neurologic findings on exam were highly correlated to the pathology found during surgery according to Yoss et al [14]. Cervical range of motion is often tested in patients who complain of neck pain and radicular symptoms [15]. Patients often have impairment in their range of motion and limitation in their function.…”

Section: Resultsmentioning

confidence: 93%

Cervical Radiculopathy: A Review

2011

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Background Cervical radiculopathy is defined as a syndrome of pain and/or sensorimotor deficits due to compression of a cervical nerve root. Understanding of this disease is vital for rapid diagnosis and treatment of patients with this condition, facilitating their recovery and return to regular activity. Purpose This review is designed to clarify (1) the pathophysiology that leads to nerve root compression; (2) the diagnosis of the disease guided by history, physical exam, imaging, and electrophysiology; and (3) operative and non-operative options for treatment and how these should be applied. Methods The PubMed database was searched for relevant articles and these articles were reviewed by independent authors. The conclusions are presented in this manuscript.

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Reliability of Measurements of Cervical Spine Range of Motion—Comparison of Three Methods

Cited by 435 publications

References 8 publications

Influence of Scapular Position on Cervical Rotation Range of Motion

Influence of Scapular Position on Cervical Rotation Range of Motion

A single task assessment system of upper-limb motor function after stroke

Cervical Radiculopathy: A Review

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