Youdas J W, Carey J R, Garrett T R
Physical Therapy Program, Mayo School of Health-Related Sciences, Rochester, MN 55905.
Phys Ther. 1991 Feb;71(2):98-104; discussion 105-6. doi: 10.1093/ptj/71.2.98.
To determine reliabilities within and between persons measuring cervical active range of motion (AROM) three methods were examined: use of a cervical-range-of-motion (CROM) instrument, use of a universal goniometer (UG), and visual estimation (VE). Measurements were made on 60 patients with orthopedic disorders of the cervical spine who were divided into three groups of 20 subjects each. All subjects were tested in a standardized seated position using operationally defined goniometric placements and nongoniometric estimation techniques. Cervical flexion and extension, lateral flexion, and rotation were measured. Intraclass correlation coefficients (ICCs) were used to quantify within-tester and between-tester reliability. We found that goniometric measurements of AROM of the cervical spine made by the same physical therapist had ICCs greater than .80 when made with the CROM device or the UG. When different physical therapist measured the same patient's cervical AROM, the CROM device had ICCs greater than .80, whereas the UG and VE generally had ICCs less than .80.
为了确定测量颈椎主动活动范围（AROM）时个体内和个体间的可靠性，研究了三种方法：使用颈椎活动范围（CROM）仪器、使用通用角度计（UG）和视觉估计（VE）。对60例患有颈椎骨科疾病的患者进行了测量，这些患者被分为三组，每组20名受试者。所有受试者均在标准化坐姿下进行测试，使用操作性定义的角度测量位置和非角度测量估计技术。测量了颈椎的前屈、后伸、侧屈和旋转。组内相关系数（ICC）用于量化测试者内和测试者间的可靠性。我们发现，同一名物理治疗师使用CROM设备或UG测量颈椎AROM时，ICC大于0.80。当不同的物理治疗师测量同一患者的颈椎AROM时，CROM设备的ICC大于0.80，而UG和VE的ICC通常小于0.80。
