一种用于测量非特异性颈痛患者主动颅颈运动范围的新 iPhone 应用程序：一项可靠性和有效性研究。
A new iPhone application for measuring active craniocervical range of motion in patients with non-specific neck pain: a reliability and validity study.
机构信息
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Madadkaran All., Shahnazari St., Madar Sq., Mirdamad Blvd., Tehran, 1545913187, Iran.
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Madadkaran All., Shahnazari St., Madar Sq., Mirdamad Blvd., Tehran, 1545913187, Iran; Neuromuscular Rehabilitation Research Center, Department of Physiotherapy, Semnan University of Medical Sciences, Basij Blvd., Semnan, 3519899951, Iran.
出版信息
Spine J. 2018 Mar;18(3):447-457. doi: 10.1016/j.spinee.2017.08.229. Epub 2017 Sep 7.
BACKGROUND CONTEXT
Measurement of cervical spine range of motion (ROM) is often considered to be an essential component of cervical spine physiotherapy assessment.
PURPOSE
This study aimed to investigate the reliability and validity of an iPhone application (app) (Goniometer Pro) for measuring active craniocervical ROM (ACCROM) in patients with non-specific neck pain.
STUDY DESIGN/SETTING: A cross-sectional study was conducted at the musculoskeletal biomechanics laboratory located at Iran University of Medical Sciences.
PATIENT SAMPLE
Forty non-specific neck pain patients participated in this study.
OUTCOME MEASURES
The outcome measure was the ACCROM, including flexion, extension, lateral flexion, and rotation.
METHOD
Following the recruitment process, ACCROM was measured using a universal goniometer (UG) and iPhone 7 app. Two blinded examiners each used the UG and iPhone to measure ACCROM in the following sequences: flexion, extension, lateral flexion, and rotation. The second (2 hours later) and third (48 hours later) sessions were carried out in the same manner as the first session. Intraclass correlation coefficient (ICC) models were used to determine the intra-rater and inter-rater reliability. The Pearson correlation coefficients were used to establish concurrent validity of the iPhone app. Minimum detectable change at the 95% confidence level (MDC) was also computed.
RESULTS
Good intra-rater and inter-rater reliability was demonstrated for the goniometer with ICC values of ≥0.66 and ≥0.70 and the iPhone app with ICC values of ≥0.62 and ≥0.65, respectively. The MDC ranged from 2.21° to 12.50° for the intra-rater analysis and from 3.40° to 12.61° for the inter-rater analysis. The concurrent validity between the two instruments was high, with r valuesof ≥0.63. The magnitude of the differences between the UG and iPhone app values (effect sizes) was small, with Cohen d values of ≤0.17.
CONCLUSIONS
The iPhone app possesses good reliability and high validity. It seems that this app can be used for measuring ACCROM.
背景
颈椎活动范围（ROM）的测量通常被认为是颈椎物理治疗评估的一个重要组成部分。
目的
本研究旨在探讨一种 iPhone 应用程序（Goniometer Pro）测量非特异性颈痛患者颅颈主动活动度（ACCROM）的可靠性和有效性。
研究设计/地点：这项横断面研究在伊朗医科大学的肌肉骨骼生物力学实验室进行。
患者样本
40 名非特异性颈痛患者参与了这项研究。
测量结果
ACCROM 包括屈曲、伸展、侧屈和旋转。
方法
在招募过程结束后，使用通用量角器（UG）和 iPhone 7 应用程序测量 ACCROM。两名盲法检查者分别使用 UG 和 iPhone 按以下顺序测量 ACCROM：屈曲、伸展、侧屈和旋转。第二（2 小时后）和第三（48 小时后）次测量以与第一次相同的方式进行。使用组内相关系数（ICC）模型确定测量者内和测量者间的可靠性。Pearson 相关系数用于建立 iPhone 应用程序的同时效度。还计算了 95%置信水平的最小可检测变化（MDC）。
结果
UG 的测量者内和测量者间可靠性良好，ICC 值分别为≥0.66 和≥0.70，iPhone 应用程序的 ICC 值分别为≥0.62 和≥0.65。在测量者内分析中，MDC 范围为 2.21°至 12.50°，在测量者间分析中，MDC 范围为 3.40°至 12.61°。两种仪器之间的同时效度较高，r 值≥0.63。UG 和 iPhone 应用程序值之间的差异大小（效应大小）较小，Cohen d 值≤0.17。
结论
iPhone 应用程序具有良好的可靠性和较高的有效性。它似乎可以用于测量 ACCROM。
Zotero 插件