在线动态检查期间颈椎活动度数量的检查者间信度和效度
Interexaminer Reliability and Validity of Quantity of Cervical Mobility during Online Dynamic Inspection.
作者信息
Leonet-Tijero Leire, Corral-de-Toro Jaime, Rodríguez-Sanz Jacobo, Hernández-Secorún Mar, Abenia-Benedí Hugo, Lucha-López María Orosia, Monti-Ballano Sofía, Müller-Thyssen-Uriarte Julián, Tricás-Vidal Héctor, Hidalgo-García César, Tricás-Moreno José Miguel
机构信息
Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
Physiotherapy Research Unit, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain.
出版信息
Diagnostics (Basel). 2022 Feb 21;12(2):546. doi: 10.3390/diagnostics12020546.
BACKGROUND
Physical therapists routinely measure range of motion (ROM) of cervical spine. The reliability of the cervical range of motion (CROM) device has been demonstrated in several studies, but current evidence on the validity and reliability of the visual inspection is contradictory. The aim is to assess the validity and interexaminer reliability of the online visual inspection of active cervical ROM in physiotherapy students.
METHODS
Flexion, extension, both lateral flexions and rotations of a single participant were measured using CROM. Online visual inspection of 18 physiotherapy students against CROM was registered.
RESULTS
The validity, against CROM, of the online visual inspection of the active ROM ranged from good to excellent (Intraclass Correlation Coefficient (ICC) 0.83-0.97). Interexaminer reliability of the online visual inspection had favorable outcomes in all cervical movements in the three physiotherapy courses (ICC 0.70-0.96), with the visual inspection of the rotations being the most reliable (ICC 0.93-0.97). Interexaminer reliability of the classification of mobility was poor to good (Kappa 0.03-0.90).
CONCLUSIONS
The interexaminer reliability and validity of the quantification of active cervical movement during online visual inspection was shown to be good to excellent for flexion-extension and lateral flexions and excellent for rotations.
背景
物理治疗师经常测量颈椎的活动范围（ROM）。多项研究已证实颈椎活动范围（CROM）装置的可靠性，但目前关于视觉检查有效性和可靠性的证据相互矛盾。目的是评估物理治疗专业学生主动颈椎活动范围在线视觉检查的有效性和检查者间可靠性。
方法
使用CROM测量一名参与者的前屈、后伸、双侧侧屈和旋转。记录18名物理治疗专业学生相对于CROM的在线视觉检查情况。
结果
主动活动范围在线视觉检查相对于CROM的有效性从良好到优秀（组内相关系数（ICC）为0.83 - 0.97）。在三门物理治疗课程中，在线视觉检查的检查者间可靠性在所有颈椎运动中都有良好结果（ICC为0.70 - 0.96），其中旋转的视觉检查最可靠（ICC为0.93 - 0.97）。活动度分类的检查者间可靠性从差到良好（kappa值为0.03 - 0.90）。
结论
在线视觉检查期间主动颈椎活动量化的检查者间可靠性和有效性在屈伸和侧屈方面显示为良好到优秀，在旋转方面为优秀。
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