Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension

MacDermid, Joy C.; Arumugam, Vanitha; Vincent, Joshua I.; Payne, Kimberly L; So, Aubrey K

doi:10.1186/s12891-015-0578-2

Cited by 19 publications

(12 citation statements)

References 36 publications

(50 reference statements)

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“…Schober’s test for assessment of the range of motion, i.e. lumbar spine flexion was made by the researcher [14]. Schober’s test was measured before, after the two-week treatment and after 3 months follow-up.…”

Section: Methodsmentioning

confidence: 99%

Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

Gocevska¹,

Dimitrova²,

Gjerakaroska-Savevska³

2019

Open Access Maced J Med Sci

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BACKGROUND: Chronic low back pain lasts longer than 12 weeks and is characterised by pain, muscle weakness, reduced functional ability and psychosocial burden. AIM: To compare the effects of two physical modalities, high-intensity laser against ultrasound therapy in the treatment of patients with chronic low back pain. MATERIAL AND METHODS: This was a prospective, monocentric, controlled clinical study comprising a group of 54 patients at the age between 25 and 65 years. Patients were divided into two groups: examined group of 27 patients (high-intensity laser and exercises) and a control group of 27 patients (ultrasound therapy and exercises). The results were evaluated by the Numeric Pain Rating Scale, Oswestry Disability Index and Schober’s test. Clinical findings were evaluated at the same time points for all patients, before treatment, at two weeks and three months following treatment. Statistical analyses were made to compare the differences between the results obtained on admission and the two consecutive control check-ups. Statistical significance was defined as a P value < 0.05. RESULTS: The examined group showed statistically significantly better results than the control group after completion of the treatment (at two weeks) and at follow up after three months. CONCLUSION: This study has shown that patient with chronic low back pain treated with a high-intensity laser has significantly reduced low back pain, reduced disability and improved range of motion. Its positive effect maintained for three months. It seems to be an effective, safe and useful physical modality in the treatment of a patient with chronic low back pain.

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Section: Methodsmentioning

confidence: 99%

Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

Gocevska¹,

Dimitrova²,

Gjerakaroska-Savevska³

2019

Open Access Maced J Med Sci

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“…An Acumar digital inclinometer was used to assess ROM (see Figure 2 ) at the cervical spine (Csp). Digital inclinometry (DI) has been previously used in several trials assessing cervical, thoracic and lumbar spine ROM where all authors concluded moderate to good inter-rater reliability (ICC = 0.6–0.9) ( Prushansky et al, 2010 ; MacDermid et al, 2014 , 2015 ).…”

Section: Methodsmentioning

confidence: 99%

The Immediate Effect of Therapeutic Touch and Deep Touch Pressure on Range of Motion, Interoceptive Accuracy and Heart Rate Variability: A Randomized Controlled Trial With Moderation Analysis

Edwards

Young

Curtis

et al. 2018

Front. Integr. Neurosci.

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Background: There is paucity in the literature regarding the role of the interoceptive pathway through the insular cortex (IC), as well as heart rate variability (HRV) in relation to Osteopathic Manipulative Therapy (OMT) and deep-touch.Aims: The present study investigated whether both OMT treatment and deep-touch (a newly hypothesized treatment option) was effective at altering the interoceptive pathway and HRV, whilst OMT was only expected to be effective for increasing Range of Motion (ROM).Methods: Thirty-five healthy volunteers were randomly allocated into three conditions in a repeated measures crossover design; a control (laying supine on a plinth); deep-touch (head cradling); and an osteopathic mobilization therapeutic technique on the temporomandibular joint (TMJ). Interoceptive accuracy (IAc), HRV, as well as range of motion (ROM) for the TMJ area as well as the cervical spine (Csp) right and left measures were taken pre and post each condition setting.Results: Significant condition effects emerged from the deep-touch and mobilization interventions for IAc where increases were identified through planned comparisons. For the HRV measure (RMSSD), a significant effect emerged in the deep-touch condition (increase) but not in the mobilization or control conditions. ROM did not increase for any condition. IAc correlated with post-ROM outcomes in many cases and HRV moderated some of these relations.Conclusion: These results are discussed in the context of clinical practice, where cranial deep-touch maybe an effective treatment and modulator of the parasympathetic nervous systems, as well as the interoceptive system.

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“…All anatomical landmarks were palpated by the examiner, with the subject in upright standing, consistent with established techniques. [2][3][4]6,8 In one measurement, the landmarks were the palpated T12 spinous process and the palpated S2 region. In the other measurement, the landmarks were the palpated S2 region and 15-cm cephalad to it.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Two Handheld Digital Dual Inclinometry Techniques in the Measurement of Lumbar Flexion Active Range of Motion

Fletcher¹,

Taylor²,

Carroll³

et al. 2021

Journal of Sport Rehabilitation

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Context: An accurate assessment of lumbar spine active range of motion (AROM) is clinically important. Dual inclinometry is recommended as the optimal technique for measuring lumbar flexion AROM; however, the procedures differ in the literature. Objective: To compare 2 different handheld digital dual inclinometry (HDDI) techniques for evaluating lumbar flexion AROM. Design: The study was a repeated-measures design consisting of 2 trials. Setting: Laboratory. Participants: A sample of 69 adult volunteers (28 men and 41 women; mean age 23.8 [2.4] y) without pain or injury to their back, hips, or abdomen for at least 3 months participated in the study. Intervention: Using standardized methods, 1 trained tester performed 2 different HDDI measurements of standing lumbar flexion AROM on each subject. Each subject performed one repetition of AROM lumbar flexion per HDDI measurement. The HDDI measures differed in the process for placing the upper inclinometer, with one technique identifying the upper landmark by skilled palpation of the T12 spinous process and the other technique by measuring 15-cm cephalad to the S2 region landmark to approximate the location of the T12 spinous process. Main Outcome Measures: A dependent t test, Pearson correlation coefficient (r), the 95% limits of agreement, and Bland–Altman plots were used to examine agreement between the techniques. Results: Dependent t testing showed no significant differences between the techniques (mean difference = 1.2°, P = .11). A strong correlation existed between the 2 HDDI techniques (r = .80, P < .001). The Bland–Altman plot illustrated that 64 of the 69 data points were within the 95% limits of agreement for the 2 techniques. Conclusions: The findings suggest that HDDI measurements of lumbar flexion AROM are comparable when using either of the 2 HDDI techniques described. Clinicians can make an evidence-based choice for using either method of measuring lumbar flexion AROM.

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Reliability of three landmarking methods for dual inclinometry measurements of lumbar flexion and extension

Cited by 19 publications

References 36 publications

Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain

The Immediate Effect of Therapeutic Touch and Deep Touch Pressure on Range of Motion, Interoceptive Accuracy and Heart Rate Variability: A Randomized Controlled Trial With Moderation Analysis

Comparison of Two Handheld Digital Dual Inclinometry Techniques in the Measurement of Lumbar Flexion Active Range of Motion

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