Alaranta H, Hurri H, Heliövaara M, Soukka A, Harju R
Rehabilitation Unit, Invalid Foundation (ORTON), Helsinki, Finland.
Scand J Rehabil Med. 1994 Sep;26(3):147-54.
A sample of 508 male and female white-collar and blue-collar employees aged 35 to 54 years were examined clinically to determine the reliability of spinal flexibility measurements using inclinometers and a tape measure, and to determine the normal values of cervical sagittal movements, lateral flexion, lumbar flexion and extension, trunk rotation and sidebending. Spinal flexibility decreased with advancing age, particularly among the blue-collar workers. Male predominance was observed in lumbar flexion and rotation and female predominance in cervical flexion-extension-movement. Spinal flexibility was negatively related to the experience of disabling pain. The strongest connections were between cervical flexion-extension-movement and neck pain, and between trunk sidebending and low back pain during the preceding year. The interobserver reliabilities were found to be generally good for all these measurements, and trunk sidebending showed the highest reliability coefficients. The intraobserver reproducibility (checked at a one-year interval) was acceptable only for cervical flexion-extension movement, cervical sidebending and trunk sidebending.
对508名年龄在35至54岁之间的男性和女性白领及蓝领员工进行了临床检查，以确定使用倾角仪和卷尺测量脊柱柔韧性的可靠性，并确定颈椎矢状面运动、侧屈、腰椎屈伸、躯干旋转和侧弯的正常值。脊柱柔韧性随年龄增长而下降，在蓝领工人中尤为明显。腰椎屈伸和旋转以男性为主，颈椎屈伸运动以女性为主。脊柱柔韧性与致残性疼痛的经历呈负相关。最强的关联存在于颈椎屈伸运动与颈部疼痛之间，以及躯干侧弯与前一年的下背部疼痛之间。发现所有这些测量的观察者间信度总体良好，躯干侧弯显示出最高的信度系数。观察者内再现性（间隔一年检查）仅在颈椎屈伸运动、颈椎侧弯和躯干侧弯方面是可接受的。
