Garrett T R, Youdas J W, Madson T J
Physical Therapy Program, Mayo School of Health-Related Sciences, Rochester, MN.
J Orthop Sports Phys Ther. 1993 Mar;17(3):155-60. doi: 10.2519/jospt.1993.17.3.155.
We believe there is a need to identify a practical method for determining objective measurement of forward head posture. In our study, we determined the within-tester and between-tester reliabilities for clinical measurements of static, sitting, forward head posture using the cervical range of motion (CROM) instrument. Repeated measurements were made using a standardized protocol on 40 patients seated in a standardized position. The seven testers had from 1 to 8 years of clinical experience. All measurements were recorded by the same investigator. The intraclass correlation coefficient (ICC[1,1]) was used to quantitate within-tester and between-tester reliability. Measurements of forward head position performed by the same physical therapist had high reliability (ICC = 0.93). Good reliability (ICC = 0.83) was demonstrated when different physical therapists measured the forward head posture of the same patient. We concluded that measurements of forward head posture made by physical therapists trained in the correct use of the CROM instrument are reliable. This reliability is important for determining the effectiveness of treatment programs. On the basis of our data, the CROM instrument will assist clinicians in the objective evaluation and reassessment of the patient population demonstrating forward head posture.
我们认为有必要确定一种用于客观测量头部前倾姿势的实用方法。在我们的研究中，我们使用颈椎活动度（CROM）仪器测定了静态坐姿下头部前倾姿势临床测量的测试者内和测试者间信度。对40名坐在标准位置的患者按照标准化方案进行重复测量。这七位测试者有1至8年的临床经验。所有测量均由同一名研究者记录。组内相关系数（ICC[1,1]）用于量化测试者内和测试者间信度。同一名物理治疗师进行的头部前倾位置测量具有较高的信度（ICC = 0.93）。当不同的物理治疗师测量同一名患者的头部前倾姿势时，显示出良好的信度（ICC = 0.83）。我们得出结论，接受过正确使用CROM仪器培训的物理治疗师所进行的头部前倾姿势测量是可靠的。这种信度对于确定治疗方案的有效性很重要。根据我们的数据，CROM仪器将有助于临床医生对表现出头部前倾姿势的患者群体进行客观评估和重新评估。
