Prodoehl Janey, Ringer Madeline, Morrissey Nicole, Johnson Amy, Harding Natalie, Hess Judith Burton
Physical Therapy Program and College of Dental Medicine, Midwestern University, Downers Grove, Illinois.
OrthoIllinois, Huntley, Illinois.
J Manipulative Physiol Ther. 2024 Jan-Jun;47(1-4):22-32. doi: 10.1016/j.jmpt.2024.08.011. Epub 2024 Oct 1.
The purpose of this study was to examine the intrarater reliability and criterion validity of a digital goniometer for measuring cervical range of motion including an active sitting version of the cervical flexion rotation test, an important clinical measure for capturing upper cervical dysfunction.
A cross-sectional study (n = 18; 78% women) examined total cervical and upper cervical active ranges of motion (flexion, extension, side bending, rotation) measured concurrently using 3 measurement methods (a digital goniometer, the cervical range-of-motion instrument, and 3-dimensional motion analysis). Intraclass correlation coefficient (2,1), Pearson correlation coefficients (digital goniometer versus 3-dimensional motion analysis), and minimum detectable change were calculated.
There was moderate to excellent intrarater reliability for the digital goniometer and good to excellent criterion validity of the digital goniometer for all cervical motions except left lateral flexion which was moderate (0.70). The sitting upper cervical flexion rotation test showed good to excellent reliability and validity. The minimal detectable change for the digital goniometer ranged from 3 to 8 degrees across cervical motions.
In individuals without neck pain, a digital goniometer device was a reliable, valid, and an easy-to-administer clinical tool for measuring total cervical range of motion as well as for capturing upper cervical motion.
本研究旨在检验一种数字测角仪在测量颈椎活动范围方面的评分者内信度和效标效度，该测量包括颈椎屈曲旋转试验的主动坐位版本，这是一种用于检测上颈椎功能障碍的重要临床测量方法。
一项横断面研究（n = 18；78%为女性）使用三种测量方法（数字测角仪、颈椎活动范围测量仪和三维运动分析）同时检查颈椎和上颈椎的总主动活动范围（屈曲、伸展、侧屈、旋转）。计算组内相关系数（2,1）、Pearson相关系数（数字测角仪与三维运动分析）以及最小可检测变化。
数字测角仪的评分者内信度为中等至优秀，对于除左侧屈（为中等，0.70）之外的所有颈椎运动，数字测角仪的效标效度为良好至优秀。坐位上颈椎屈曲旋转试验显示出良好至优秀的信度和效度。数字测角仪在颈椎运动中的最小可检测变化范围为3至8度。
对于无颈部疼痛的个体，数字测角仪是一种可靠、有效且易于使用的临床工具，可用于测量颈椎总活动范围以及捕捉上颈椎运动。
