Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain.
Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain.
复制标题
DOI：
10.1186/1471-2474-13-215
复制
发表时间：
2012-10-31
影响因子：
2.3
通讯作者：
Maluf KS
中科院分区：
文献类型：
--
作者：
Shahidi B;Johnson CL;Curran-Everett D;Maluf KS
临床医生经常依赖对活动能力、力量和耐力损伤的主观分类来做出临床决策；然而，这些评估往往不可靠并且对变化缺乏敏感性。本研究的目的是确定患有或不患有慢性颈痛 (NP) 的个体的评估者间可靠性、最小可检测变化 (MDC) 以及定量颈胸测量的组间差异。 19 名 NP 患者和 20 名健康对照者参加了本病例对照研究。两名物理治疗师在不同的日子进行了 30 分钟的检查。手持式测力计、重力倾斜计、尺子和秒表分别用于量化颈椎运动范围（ROM）、颈肌力量和耐力以及肩胛胸肌长度和力量。对于大多数损伤测量，评估者间可靠性的组内相关系数显着大于零，点估计范围为 0.45 至 0.93。 NP组在大多数运动方向上颈椎活动度（P≤0.012）和肌力（P≤0.038）降低，颈椎伸肌耐力降低（P=0.029），菱形肌和斜方肌中部肌力降低（P≤0.049）。结果证明了获得客观的颈胸损伤测量的可行性，并且在一段时间内具有可接受的评估者间一致性。这些措施的临床实用性得到了 NP 患者活动能力、力量和耐力受损的证据的支持，相应的 MDC 值可以帮助建立临床显着变化的基准。
Clinicians frequently rely on subjective categorization of impairments in mobility, strength, and endurance for clinical decision-making; however, these assessments are often unreliable and lack sensitivity to change. The objective of this study was to determine the inter-rater reliability, minimum detectable change (MDC), and group differences in quantitative cervicothoracic measures for individuals with and without chronic neck pain (NP). Nineteen individuals with NP and 20 healthy controls participated in this case control study. Two physical therapists performed a 30-minute examination on separate days. A handheld dynamometer, gravity inclinometer, ruler, and stopwatch were used to quantify cervical range of motion (ROM), cervical muscle strength and endurance, and scapulothoracic muscle length and strength, respectively. Intraclass correlation coefficients for inter-rater reliability were significantly greater than zero for most impairment measures, with point estimates ranging from 0.45 to 0.93. The NP group exhibited reduced cervical ROM (P ≤ 0.012) and muscle strength (P ≤ 0.038) in most movement directions, reduced cervical extensor endurance (P = 0.029), and reduced rhomboid and middle trapezius muscle strength (P ≤ 0.049). Results demonstrate the feasibility of obtaining objective cervicothoracic impairment measures with acceptable inter-rater agreement across time. The clinical utility of these measures is supported by evidence of impaired mobility, strength, and endurance among patients with NP, with corresponding MDC values that can help establish benchmarks for clinically significant change.
登录
查看更多内容
影响因子：
--
作者：
Edmondston, Stephen;Bjoernsdottir, Gudny;Allison, Garry
通讯作者：
Allison, Garry
影响因子：
4.3
作者：
Phillips, BA;Lo, SK;Mastaglia, FL
通讯作者：
Mastaglia, FL
影响因子：
2.3
作者：
de Koning, Chantal H. P.;van den Heuvel, Sylvia P.;Hendriks, Erik J. M.
通讯作者：
Hendriks, Erik J. M.
影响因子：
3
作者：
Chiu, TTW;Lo, SK
通讯作者：
Lo, SK
影响因子：
2.1
作者：
Domenech, Manuel A.;Sizer, Phil S.;Brismee, Jean-Michel
通讯作者：
Brismee, Jean-Michel