Clinical measurement of head and shoulder posture variables
Clinical measurement of head and shoulder posture variables
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DOI：
10.2519/jospt.1996.23.6.353
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发表时间：
1996-06-01
影响因子：
6.1
通讯作者：
Wojtowicz, G
中科院分区：
文献类型：
--
作者：
Harrison, AL;BarryGreb, T;Wojtowicz, G
一个可靠的方法，是实际的临床使用测量头部姿势站立也没有在文献中得到证实。本研究的目的是：（1）建立一种可靠的方法，用于测量矢状面头部和肩部姿势，这对临床使用是实用的;（2）进行一项初步研究，比较非患者样本和有复发性颈椎疼痛病史的患者样本之间的平均值。本文介绍了一种测量头、肩与外踝关系矢状面姿势的方法，用水平臂上连接有水平尺的木工三角尺和水平臂上连接有水平尺的测角器，用三角尺从垂直参考点到耳屏，到肩轴，和外踝用C-7耳屏和耳屏眼角的角度计测量角度。由两名治疗师与15名非患者受试者进行了可靠性研究。测量水平和角度测量的评定者间可靠性的组内相关系数如下：1）耳屏与外踝：R = 0.87; 2）肩与外踝：R = 0.91; 3）耳屏与肩：R = 0.7; 4）耳屏-眼-水平角：R = 0.68; 5）C-7-耳屏-水平角：R = 0.34。在初步研究中，测量了47名非患者受试者（11名男性和30名女性，20-45岁）和10名颈椎疼痛患者受试者（1名男性和9名女性，23-43岁）。计算水平距离的平均值（cmi）为：耳屏至外踝（非患者：8。十四岁;患者：6.65）; 2）肩关节至外踝（非患者：5.41;患者：5.98）; 3）耳屏至肩关节（非患者：2.78;患者：0.56）。计算的角度测量平均值为：ii耳屏-眼-水平（非患者：18.78度;患者：21.57度）和2）C-7-耳屏-水平（非患者：49.34度;患者：49.43度。在本初步研究中，使用独立双样本t检验，未发现两个样本之间存在统计学显著差异。这项研究证明了一个可靠的和实用的方法，在临床上采取姿势测量，并介绍了一个试点研究比较病人和非病人样本。
A reliable method that is practical for clinical use for measuring head posture in standing has nor been demonstrated in the literature. The purposes oi this study were: Ij to produce a reliable method for measuring sagittal plane head and shoulder posture that is practical for clinical use and 2) to perform a pilot study to compare means between a nonpatient sample and a sample oi people who have a history of recurring cervical pain. A method oi measuring sagittal plane postural alignment oi the head and shoulder in relationship to the lateral malleolus was developed using a carpenter's tri-square with a line level attached to the horizontal arm and a goniometer with a line level attached to the horizontal arm. Horizontal measures were taken with the tri-square from a vertical reference point to the tragus oi the ear, to the shoulder axis, and to the lateral malleolus. Angular measures were taken with the goniometer of C-7-tragus with the horizontal and tragus-corner of the eye with the horizontal. A reliability study was performed by two therapists with 15 nonpatient subjects. Intraclass correlation coefficients measuring interrater reliability for horizontal and angular measures were as follows: 1) tragus to lateral malleolus: R = .87; 2) shoulder to lateral malleolus: R = .91; 3) tragus to shoulder: R = .7; 4) angle tragus-eye-horizon: R = .68; and 5) angle C-7-tragus-horizon: R = .34. In the pilot study, 47 nonpatient subjects (11 males and 30 females, 20-45 years) and 10 patient subjects with cervical pain (one male and nine females, 23-43 years) were measured. Means calculated for horizontal distances (in cmi were: ii tragus to lateral malleolus (nonpatients: 8. 14; patients: 6.65); 2) shoulder to lateral malleolus (nonpatients: 5.41; patients: 5.98); and 3) tragus to shoulder (nonpatients: 2.78; patients: .56). Means calculated for angular measures were: ii tragus-eye-horizon (nonpatients: 18.78 degrees; patients: 21.57 degrees) and 2) C-7-tragus-horizon (nonpatients: 49.34 degrees; patients: 49.43 degrees. No statistically significant differences were found between the two samples in this pilot study using an independent two-sample t test. This study demonstrates a reliable and practical method for taking postural measurements in the clinic and describes a pilot study for comparing a patient and a nonpatient sample.