Tatsios Petros I, Grammatopoulou Eirini, Dimitriadis Zacharias, Patsaki Irini, Gioftsos George, Koumantakis George A
Laboratory of Advanced Physiotherapy, Physiotherapy Department, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece.
Health Assessment & Quality of Life Laboratory, Physiotherapy Department, University of Thessaly, 35100 Lamia, Greece.
J Funct Morphol Kinesiol. 2025 Jul 16;10(3):269. doi: 10.3390/jfmk10030269.
: New smartphone-based methods for measuring cervical spine range of motion (CS-ROM) and posture are emerging. The purpose of this study was to assess the reliability and validity of three such methods in patients with non-specific chronic neck pain (NSCNP). : The within-day test-retest reliability of CS-ROM and forward head posture (craniovertebral angle-CVA) was examined in 45 patients with NSCNP. CS-ROM was simultaneously measured with an accelerometer sensor (KFORCE Sens) and a mobile phone device (iHandy and Compass apps), testing the accuracy of each and the parallel-forms reliability between the two methods. For construct validity, correlations of CS-ROM with demographics, lifestyle, and other cervical and thoracic spine biomechanically based measures were examined in 90 patients with NSCNP. Male-female differences were also explored. : Both methods were reliable, with measurements concurring between the two devices in all six movement directions (intraclass correlation coefficient/ICC = 0.90-0.99, standard error of the measurement/SEM = 0.54-3.09°). Male-female differences were only noted for two CS-ROM measures and CVA. Significant associations were documented: (a) between the six CS-ROM measures (R = 0.22-0.54, < 0.05), (b) participants' age with five out of six CS-ROM measures (R = 0.23-0.40, < 0.05) and CVA (R = 0.21, < 0.05), (c) CVA with two out of six CS-ROM measures (extension R = 0.29, = 0.005 and left-side flexion R = 0.21, < 0.05), body mass (R = -0.39, < 0.001), body mass index (R = -0.52, < 0.001), and chest wall expansion (R = 0.24-0.29, < 0.05). Significantly lower forward head posture was noted in subjects with a high level of physical activity relative to those with a low level of physical activity. : The reliability of both CS-ROM methods was excellent. Reductions in CS-ROM and increases in CVA were age-dependent in NSCNP. The significant relationship identified between CVA and CWE possibly signifies interconnections between NSCNP and the biomechanical aspect of dysfunctional breathing.
基于智能手机的测量颈椎活动范围（CS-ROM）和姿势的新方法正在兴起。本研究的目的是评估三种此类方法在非特异性慢性颈部疼痛（NSCNP）患者中的可靠性和有效性。
在45例NSCNP患者中检查了CS-ROM和头部前伸姿势（颅椎角 - CVA）的日内重测可靠性。使用加速度计传感器（KFORCE Sens）和移动电话设备（iHandy和Compass应用程序）同时测量CS-ROM，测试每种方法的准确性以及两种方法之间的平行形式可靠性。为了验证结构效度，在90例NSCNP患者中检查了CS-ROM与人口统计学、生活方式以及其他基于颈椎和胸椎生物力学测量之间的相关性。还探讨了男女差异。
两种方法都具有可靠性，在所有六个运动方向上两个设备的测量结果一致（组内相关系数/ICC = 0.90 - 0.99，测量标准误差/SEM = 0.54 - 3.09°）。仅在两项CS-ROM测量和CVA中发现了男女差异。记录到显著关联：（a）六种CS-ROM测量之间（R = 0.22 - 0.54，P < 0.05），（b）参与者年龄与六种CS-ROM测量中的五种（R = 0.23 - 0.40，P < 0.05）以及CVA（R = 0.21，P < 0.05）之间，（c）CVA与六种CS-ROM测量中的两种（伸展R = 0.29，P = 0.005和左侧弯曲R = 0.21，P < 0.05）、体重（R = -0.
39，P < 0.001）、体重指数（R = -0.52，P < 0.001）以及胸壁扩张（R = 0.24 - 0.29，P < 0.05）之间。相对于低体力活动水平的受试者，高体力活动水平的受试者头部前伸姿势明显更低。
两种CS-ROM方法的可靠性都非常好。在NSCNP中，CS-ROM的降低和CVA的增加与年龄相关。CVA和胸壁扩张之间确定的显著关系可能表明NSCNP与功能失调呼吸的生物力学方面之间存在相互联系。
