Pellecchia G L, Bohannon R W
Division of Health Professions, College of Education, Nursing and Health Professions, University of Hartford, CT, USA.
J Manipulative Physiol Ther. 1998 Sep;21(7):443-7.
To describe a new method for measuring lateral neck flexion range of motion (ROM), document the reliability of the method and present estimates of normal.
One hundred thirty-five subjects ranging in age from 14-95 yr. Two physical therapists with 13 and 2 yr of experience, respectively, served as testers.
Measurement of active lateral neck flexion ROM using a universal goniometer modified by the placement of a portion of a small paper clip through the axis. The goniometer arms were aligned with the subject's nose, and the free-swinging paper clip (pendulum) was used as a marker. The more experienced therapist measured lateral flexion of 100 subjects to establish intratester reliability and estimates of normal. Both therapists measured 35 subjects to determine intertester reliability.
Degrees of lateral neck flexion.
Intraclass correlation coefficients for intratester reliability exceeded 0.90. Coefficients for intertester reliability were 0.86 and 0.65. ROM decreased with increasing age.
The modified goniometer is inexpensive, easy to use and can yield high intratester reliability and satisfactory intertester reliability. The estimates of normal provide preliminary values with which a patient's lateral neck flexion ROM can be compared.
描述一种测量颈部侧屈活动度（ROM）的新方法，记录该方法的可靠性并给出正常值估计。
135名年龄在14至95岁之间的受试者。两名分别有13年和2年经验的物理治疗师担任测试者。
使用一种改良的通用测角器测量颈部主动侧屈ROM，该测角器通过将一小段回形针穿过轴心进行改良。测角器的臂与受试者的鼻子对齐，自由摆动的回形针（摆锤）用作标记。经验更丰富的治疗师测量了100名受试者的侧屈以确定测试者内可靠性和正常值估计。两名治疗师都测量了35名受试者以确定测试者间可靠性。
颈部侧屈度数。
测试者内可靠性的组内相关系数超过0.90。测试者间可靠性系数分别为0.86和0.65。ROM随年龄增长而降低。
改良后的测角器价格便宜、易于使用，可产生较高的测试者内可靠性和令人满意的测试者间可靠性。正常值估计提供了可用于与患者颈部侧屈ROM进行比较的初步值。
