Ghorbani Faezeh, Kamyab Mojtaba, Azadinia Fatemeh
Orthotics and Prosthetics Department, Iran University of Medical Sciences, Tehran, Iran.
J Chiropr Med. 2020 Mar;19(1):38-48. doi: 10.1016/j.jcm.2019.10.004. Epub 2020 Sep 3.
The purpose of this study was to compare the reliabilities of the cervical range-of-motion (CROM) device and a dual digital inclinometer (as accepted clinical tools) and iPhone or Android smartphone applications (clinometer and compass; as new technologies) in measuring cervical range of motion in patients with neck pain.
Twenty participants (13 women, 7 men; age 19-33 years) with neck pain persisting for at least 4 weeks were enrolled. Neck movements were measured in each participant using 4 noninvasive devices in random order.
The CROM device showed excellent intra- and interrater reliabilities in assessing cervical range of motion except in right rotation for which it showed moderate intrarater reliability. The dual digital inclinometer demonstrated moderate to excellent intra- and interrater reliabilities. Cervical range of motion measurements using iPhone applications showed good to excellent intra- and interrater reliabilities, whereas Android applications had poor to excellent intra- and interrater reliabilities. Based on the validity results, all assessment tools differed from the CROM device depending on the direction of movement, although the iPhone applications showed fewer differences than the other 2 devices.
Generally, the CROM device showed the highest reproducibility, and iPhone applications showed more acceptable intra- and interrater reliabilities than the digital inclinometer and Android applications. The clinometer application of smartphones could be reliable in measuring frontal and sagittal cervical range of motion in patients with neck pain and in a sitting position. However, the compass application of the iPhone showed acceptable results, whereas that of the Android device could not be recommended for clinical use.
本研究旨在比较颈部活动范围（CROM）测量仪和双数字倾角仪（作为公认的临床工具）以及iPhone或安卓智能手机应用程序（测斜仪和指南针；作为新技术）在测量颈部疼痛患者颈部活动范围时的可靠性。
招募了20名颈部疼痛持续至少4周的参与者（13名女性，7名男性；年龄19 - 33岁）。使用4种非侵入性设备以随机顺序测量每位参与者的颈部活动。
CROM测量仪在评估颈部活动范围时显示出极好的组内和组间评分者可靠性，但在右旋转时其组内评分者可靠性为中等。双数字倾角仪显示出中等至极好的组内和组间评分者可靠性。使用iPhone应用程序测量颈部活动范围显示出良好至极好的组内和组间评分者可靠性，而安卓应用程序的组内和组间评分者可靠性则从差到极好不等。基于效度结果，所有评估工具根据运动方向与CROM测量仪不同，尽管iPhone应用程序显示出的差异比其他两种设备少。
总体而言，CROM测量仪显示出最高的可重复性，并且iPhone应用程序在组内和组间评分者可靠性方面比数字倾角仪和安卓应用程序更可接受。智能手机的测斜仪应用程序在测量颈部疼痛患者坐位时的颈部额状面和矢状面活动范围方面可能是可靠的。然而，iPhone的指南针应用程序显示出可接受的结果，而安卓设备的指南针应用程序不建议用于临床。
