颈椎感觉运动控制的测量：连续线性运动测试的可靠性

Measurement of cervical sensorimotor control: the reliability of a continuous linear movement test.

作者信息

Michiels Sarah, Hallemans Ann, Van de Heyning Paul, Truijen Steven, Stassijns Gaetane, Wuyts Floris, De Hertogh Willem

机构信息

Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Otorhinolaryngology, Antwerp University Hospital, Edegem, Belgium.

Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Otorhinolaryngology, Antwerp University Hospital, Edegem, Belgium; Multidisciplinary Motor Centre Antwerp, University of Antwerp, Antwerp, Belgium.

出版信息

Man Ther. 2014 Oct;19(5):399-404. doi: 10.1016/j.math.2014.02.004. Epub 2014 Mar 7.

DOI:10.1016/j.math.2014.02.004

PMID:24656424

Abstract

BACKGROUND

Cervical sensorimotorcontrol (cSMC) is traditionally assessed by head repositioning accuracy (HRA) measurements. A disadvantage of the HRA measurements is their static character and lack of visual feedback. In 2008, Sjölander et al. developed a continuous linear movement test (CLMT). This CLMT uses several kinematic parameters, such as reduced range of motion (ROM), velocity and movement smoothness, to quantify altered sensorimotor functions.

OBJECTIVE

Investigate the inter and intra rater reliability of a CLMT.

DESIGN

Reliability study.

METHODS

Fifty asymptomatic adults were recruited. Five outcome measures were obtained: the time (t) needed to perform one movement, variation in time (var-t), ROM, peak velocity (peak-v) and Jerk index (Cj). A 3D analysis of cervical movements during the CLMT was made using ZEBRIS™. MATLAB™ was used to process data provided by the ZEBRIS™ device. These data were used to calculate ICC or κw-values, depending on the normality of the distribution, using SPSS.

RESULTS

The intra rater reliability shows slight to moderate agreement for t (ICC: 0.19-0.42 and κw: 0.42) and peak-v (κw: 0.27-0.47), moderate to substantial agreement for var-t (ICC: 0.54-0.73) and ROM (ICC: 0.43-0.65) and fair to substantial agreement for Cj (κw: 0.27-0.69). The inter rater reliability shows moderate to almost perfect agreement for t (ICC: 0.54-0.93), almost perfect agreement for var-t (κw: 0.81-0.96) and ROM (ICC: 0.86-0.95), slight to moderate agreement for peak-v (κw: -0.03-0.44) and slight to fair agreement for Cj (κw: 0.00-0.31).

CONCLUSION

Time and ROM are presently the most reliable outcome measures. However, it must be noted that the discriminant validity of the time parameters needs further investigation.

摘要

背景

传统上通过头部重新定位精度（HRA）测量来评估颈椎感觉运动控制（cSMC）。HRA测量的一个缺点是其静态特性以及缺乏视觉反馈。2008年，舍兰德等人开发了一种连续线性运动测试（CLMT）。该CLMT使用多个运动学参数，如运动范围（ROM）减小、速度和运动平滑度，来量化感觉运动功能的改变。

目的

研究CLMT的评分者间和评分者内信度。

设计

信度研究。

方法

招募了50名无症状成年人。获得了五项结果指标：完成一次运动所需的时间（t）、时间变化（var-t）、ROM、峰值速度（peak-v）和急动指数（Cj）。使用ZEBRIS™对CLMT期间的颈椎运动进行三维分析。使用MATLAB™处理ZEBRIS™设备提供的数据。使用SPSS根据分布的正态性计算ICC或κw值。

结果

评分者内信度显示，t（ICC：0.19 - 0.42和κw：0.42）和peak-v（κw：0.27 - 0.47）的一致性为轻度至中度，var-t（ICC：0.54 - 0.73）和ROM（ICC：0.43 - 0.65）的一致性为中度至高度，Cj（κw：0.27 - 0.69）的一致性为一般至高度。评分者间信度显示，t（ICC：0.54 - 0.93）的一致性为中度至几乎完美，var-t（κw：0.81 - 0.96）和ROM（ICC：0.86 - 0.95）的一致性为几乎完美，peak-v（κw： - 0.03 - 0.44）的一致性为轻度至中度，Cj（κw：0.00 - 0.31）的一致性为轻度至一般。