有和无颈部疼痛患者中立位和目标位试验的组内和组间可靠性。
Intra- and inter-rater reliability of neutral head position and target head position tests in patients with and without neck pain.
机构信息
Department of Physical Therapy, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
Department of Physical Therapy, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
出版信息
Braz J Phys Ther. 2017 Jul-Aug;21(4):259-267. doi: 10.1016/j.bjpt.2017.05.003. Epub 2017 May 19.
BACKGROUND
Cervical proprioception is a common term used in neck rehabilitation, and it is examined using neutral head position (NHP) and target head position (THP) tests.
OBJECTIVE
To investigate intra- and inter-rater reliability of the NHP and THP tests in patients with neck pain and in healthy controls.
METHODS
The intra-rater (between-day) and inter-rater (within-day) reliability of the NHP and THP tests were assessed in 36 patients with neck pain and 33 healthy subjects. NHP testing was evaluated in cervical extension, while THP testing was evaluated in six directions of cervical motion: cervical flexion, extension, side bending right, side bending left, rotation right, and rotation left.
RESULTS
The intra-rater reliability for the NHP tests had intraclass correlation coefficient (ICC) values of 0.74-0.78 and a standard error of measurement (SEM) of 1.78-1.88; the THP tests had ICC values of 0.70-0.83 and SEM of 1.45-2.45. Likewise, inter-rater reliability for NHP had ICC values of 0.74-0.79 and SEM of 1.79-1.87. For the THP test, the inter-rater reliability had ICC values of 0.62-0.84 and SEM of 1.50-2.23.
CONCLUSION
Intra- and inter-rater reliability ranged from good to very good agreement both for NHP and for THP tests of cervical proprioception.
背景
颈椎本体感觉是颈部康复中常用的术语，通过中立头位（NHP）和目标头位（THP）测试进行检查。
目的
研究颈椎本体感觉 NHP 和 THP 测试在颈痛患者和健康对照组中的内部和内部观察者信度。
方法
对 36 例颈痛患者和 33 例健康受试者进行 NHP 和 THP 测试的内部观察者（两天内）和外部观察者（同一天内）可靠性评估。NHP 测试评估颈椎伸展，THP 测试评估颈椎运动的六个方向：颈椎前屈、伸展、右侧侧屈、左侧侧屈、右侧旋转和左侧旋转。
结果
NHP 测试的内部观察者可靠性的组内相关系数（ICC）值为 0.74-0.78，测量误差（SEM）为 1.78-1.88；THP 测试的 ICC 值为 0.70-0.83，SEM 为 1.45-2.45。同样，NHP 的外部观察者可靠性的 ICC 值为 0.74-0.79，SEM 为 1.79-1.87。对于 THP 测试，内部观察者可靠性的 ICC 值为 0.62-0.84，SEM 为 1.50-2.23。
结论
无论是 NHP 还是 THP 颈椎本体感觉测试，内部和内部观察者信度均为良好至非常好的一致性。
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