Wibault Johanna, Vaillant Jacques, Vuillerme Nicolas, Dedering Åsa, Peolsson Anneli
Department of Medical and Health Sciences, Division of Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Man Ther. 2013 Oct;18(5):403-9. doi: 10.1016/j.math.2013.02.004. Epub 2013 Mar 7.
This study had two purposes: to compare head repositioning accuracy (HRA) using the cervical range of motion (CROM) device between individuals with cervical radiculopathy caused by disc disease (CDD; n = 71) and neck- healthy individuals (n = 173); and to evaluate the test-retest reliability of the CROM device in individuals with CDD, and criterion validity between the CROM device and a laser in neck-healthy individuals, with quantification of measurement errors. Parameters of reliability and validity were expressed with intra- class- correlation coefficients (ICCs), and measurement errors with standard error of measurement (SEM) and Bland Altman limits of agreement. HRA (Mdn, IQR) differed significantly between individuals with CDD and neck- healthy individuals after rotation right 2.7° (6.0), 1.7° (2.7); and rotation left 2.7° (3.3), 1.3° (2.7) (p < = 0.021); 31% of individuals with CDD were classified as having impairment in HRA. The test-retest reliability of the CROM device in individuals with CDD showed ICCs of 0.79- 0.85, and SEMs of 1.4°- 2°. The criterion validity between the CROM device and the laser in neck-healthy individuals showed ICCs of 0.43- 0.91 and SEMs of 0.8°- 1.3°. The results support the use of the CROM device for quantifying HRA impairment in individuals with CDD in clinical practice; however, criterion validity between the CROM device and a laser in neck-healthy individuals was questionable. HRA impairment in individuals with CDD may be important to consider during rehabilitation and evaluated with the criterion established with the CROM device in neck-healthy individuals.
比较使用颈椎活动度（CROM）装置时，椎间盘疾病（CDD；n = 71）所致神经根型颈椎病患者与颈部健康个体（n = 173）之间的头部重新定位准确性（HRA）；评估CROM装置在CDD患者中的重测信度，以及在颈部健康个体中CROM装置与激光之间的效标效度，并对测量误差进行量化。信度和效度参数用组内相关系数（ICC）表示，测量误差用测量标准误（SEM）和布兰德-奥特曼一致性界限表示。CDD患者与颈部健康个体在向右旋转2.7°（6.0）、1.7°（2.7）；向左旋转2.7°（3.3）、1.3°（2.7）后，HRA（中位数，四分位距）存在显著差异（p <= 0.021）；31%的CDD患者被归类为HRA受损。CROM装置在CDD患者中的重测信度显示ICC为0.79 - 0.85，SEM为1.4° - 2°。CROM装置与激光在颈部健康个体中的效标效度显示ICC为0.43 - 0.91，SEM为0.8° - 1.3°。结果支持在临床实践中使用CROM装置量化CDD患者的HRA损伤；然而，CROM装置与激光在颈部健康个体中的效标效度存在疑问。在康复过程中，考虑CDD患者的HRA损伤可能很重要，并可根据颈部健康个体中用CROM装置建立的标准进行评估。
