颈椎活动度的正常参考值：儿童和成人的系统综述。
Normative values of cervical range of motion for both children and adults: A systematic review.
机构信息
Fysio-Experts, Hazerswoude-Rijndijk, the Netherlands.
Fysio-Experts, Hazerswoude-Rijndijk, the Netherlands.
出版信息
Musculoskelet Sci Pract. 2020 Oct;49:102182. doi: 10.1016/j.msksp.2020.102182. Epub 2020 May 19.
STUDY DESIGN
Systematic review.
OBJECTIVE
To synthesize studies reporting normative values of active cervical range of motion (ROM) in healthy children and adults.
SUMMARY OF BACKGROUND DATA
Evaluating active cervical ROM is part of routine assessment of patients with neck pain. Interpretation of outcomes necessitates having normative data per age category. Currently available normative values differ across studies, perhaps due to (the measurement properties of) the devices used.
METHODS
A systematic review according to PRISMA guidelines was conducted. Electronic searches included EMBASE, MEDLINE, Web of Science, Cochrane, CINAHL and Google Scholar databases from inception to August 2018. Included studies had to involve healthy subjects in which active cervical ROM was assessed or when determining normative values was the aim of the study. Methodological quality of the included studies was assessed using an adapted version of the QUADAS. A mean value was re-calculated for the total group in case data were presented per gender per age-category only. When possible, data were pooled.
RESULTS
From 2151 unique hits, 217 articles were selected for full text assessment, after which 162 articles were excluded. Data were extracted from 55 articles using 16 different measurement devices. Twenty-five studies were rated as being of "low risk of bias". Only data from studies evaluating the CROM device and Zebris could be pooled.
CONCLUSIONS
This systematic review revealed that although a large number of studies assessed normative data for active cervical ROM, the methodological quality of most studies was low and the heterogeneity between studies was high. Only the normative data for active cervical ROM using the CROM device seems to be useful. Overall, reference values for measuring active cervical ROM is unclear for most measurement devices. Normative values of cervical range of motion for both children and adults: a systematic review.
研究设计
系统评价。
目的
综合报告健康儿童和成人主动颈椎活动范围（ROM）的正常值的研究。
背景资料概要
评估主动颈椎 ROM 是评估颈部疼痛患者的常规评估的一部分。解释结果需要按年龄类别提供正常数据。目前可用的正常值因研究而异，这可能是由于所使用的设备（的测量特性）。
方法
根据 PRISMA 指南进行了系统评价。电子搜索包括 EMBASE、MEDLINE、Web of Science、Cochrane、CINAHL 和 Google Scholar 数据库，从创建到 2018 年 8 月。纳入的研究必须涉及健康受试者，其中评估了主动颈椎 ROM，或者确定正常值是研究的目的。使用 QUADAS 的改编版本评估纳入研究的方法学质量。如果数据仅按性别和年龄组呈现，则重新计算总组的平均值。在可能的情况下，汇总数据。
结果
从 2151 个独特的命中中，选择了 217 篇文章进行全文评估，之后排除了 162 篇文章。使用 16 种不同的测量设备从 55 篇文章中提取数据。25 项研究被评为“低偏倚风险”。只有评估 CROM 设备和 Zebris 的研究的数据可以汇总。
结论
本系统评价表明，尽管有大量研究评估了主动颈椎 ROM 的正常值，但大多数研究的方法学质量较低，研究之间的异质性较高。只有使用 CROM 设备评估主动颈椎 ROM 的正常值似乎是有用的。总体而言，对于大多数测量设备，测量主动颈椎 ROM 的参考值尚不清楚。儿童和成人颈椎活动范围的正常值：系统评价。
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