Oliveira-Souza Ana Izabela Sobral, Carvalho Gabriela Ferreira, Florêncio Lidiane Lima, Fernández-de-Las-Peñas César, Dach Fabíola, Bevilaqua-Grossi Débora
Department of Biomechanics, Medicine and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
Department of Biomechanics, Medicine and Locomotor Apparatus Rehabilitation, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
J Manipulative Physiol Ther. 2020 Nov-Dec;43(9):874-881. doi: 10.1016/j.jmpt.2019.11.005. Epub 2020 Aug 27.
The aim of this study was to determine the reliability, standard error of measurement (SEM), and smallest detectable change (SDC) of the flexion rotation test (FRT) and cervical range of motion (CROM) assessed with the CROM device in individuals with and without migraine.
Twenty-five women with migraine (mean age, 35 years; standard deviation, 10 years) and 25 comparable headache-free women (mean age, 32 years; standard deviation, 11 years) participated in this study. C1/C2 mobility was assessed with the FRT, whereas global cervical range of motion was calculated using a CROM device. To assess the interrater reliability, tests were conducted on the same day at 20-minute intervals, by 2 independent assessors, and they were repeated after a 1-week interval by the same assessor to evaluate the intrarater reliability. The mean value of 3 repetitions was used to calculate the intraclass correlation coefficient ICC(2,k), SEM, and SDC.
The intrarater reliability was excellent (ICC > 0.83), and interrater reliability ranged from substantial to excellent (ICC > 0.77) for the FRT. The SEM ranged from 2.44° to 2.85°, and the SDC from 6.78° to 7.9°. Intrarater and interrater reliability for cervical range of motion was substantial to excellent (ICC > 0.65), with the SEM ranging from 2.03° to 5.46° and the SDC from 5.6° to 15.14°.
The results demonstrate that FRT and global cervical range of motion with a CROM device show high reliability in individuals with migraine. In addition, the SEM and SDC were relatively small. Both assessments can be used for clinical evaluation of the cervical spine in individuals with migraine.
本研究旨在确定在有偏头痛和无偏头痛的个体中，使用CROM装置评估的屈曲旋转试验（FRT）和颈椎活动范围（CROM）的可靠性、测量标准误差（SEM）和最小可检测变化（SDC）。
25名偏头痛女性（平均年龄35岁；标准差10岁）和25名无头痛的对照女性（平均年龄32岁；标准差11岁）参与了本研究。使用FRT评估C1/C2活动度，而使用CROM装置计算颈椎整体活动范围。为评估评分者间信度，由2名独立评估者在同一天每隔20分钟进行测试，并在1周后由同一名评估者重复测试以评估评分者内信度。使用3次重复测量的平均值计算组内相关系数ICC(2,k)、SEM和SDC。
FRT的评分者内信度极佳（ICC>0.83），评分者间信度从高到极佳（ICC>0.77）。SEM范围为2.44°至2.85°，SDC范围为6.78°至7.9°。颈椎活动范围的评分者内和评分者间信度从高到极佳（ICC>0.65），SEM范围为2.03°至5.46°，SDC范围为5.6°至15.14°。
结果表明，FRT和使用CROM装置测量的颈椎整体活动范围在偏头痛个体中显示出高可靠性。此外，SEM和SDC相对较小。这两种评估方法均可用于偏头痛个体颈椎的临床评估。
