Youdas J W, Garrett T R, Suman V J, Bogard C L, Hallman H O, Carey J R
Physical Therapy Program, Mayo School of Health-Related Sciences, Rochester, MN 55905.
Phys Ther. 1992 Nov;72(11):770-80. doi: 10.1093/ptj/72.11.770.
The purposes of this study were (1) to determine normal values for cervical active range of motion (AROM) obtained with a "cervical-range-of-motion" (CROM) instrument on healthy subjects whose ages spanned 9 decades, (2) to determine whether age and gender affect six cervical AROMs, and (3) to examine the intratester and intertester reliability of measurements obtained. Measurements were made on 337 subjects (171 females and 166 males) whose ages ranged from 11 to 97 years. Measurements were taken by five physical therapists with 7 to 30 years of clinical and teaching experience. Among male and female subjects of the same age, females had a greater AROM than did males for all AROMs except neck flexion. Among both males and females, each of the six cervical AROMs decreased significantly with age. From two pilot studies separate from the acquisition of the normal database, we determined our intratester and intertester reliabilities for making neck AROM measurements with the CROM instrument. We concluded that AROM measurements on the cervical spine with the CROM instrument demonstrated good intratester and intertester reliability, because the intraclass correlation coefficients were generally greater than .80.
（1）确定使用“颈部活动范围”（CROM）仪器对年龄跨度达9个十年的健康受试者所测得的颈椎主动活动范围（AROM）的正常值；（2）确定年龄和性别是否会影响六种颈椎AROM；（3）检验所获测量值的测试者内和测试者间信度。对337名年龄在11至97岁之间的受试者（171名女性和166名男性）进行了测量。测量由五名具有7至30年临床和教学经验的物理治疗师进行。在同一年龄段的男性和女性受试者中，除颈部前屈外，女性在所有AROM方面均比男性具有更大的活动范围。在男性和女性中，六种颈椎AROM均随年龄增长而显著降低。通过两项独立于正常数据库采集的初步研究，我们确定了使用CROM仪器进行颈部AROM测量时的测试者内和测试者间信度。我们得出结论，使用CROM仪器对颈椎进行的AROM测量显示出良好的测试者内和测试者间信度，因为组内相关系数通常大于0.80。
