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Related Experiment Videos

Meta-analysis of normative cervical motion.

J Chen1, A B Solinger, J F Poncet

  • 1Research Department, Life Chiropractic College West, Hayward, California, USA.

Spine
|August 24, 1999
PubMed
Summary

This meta-analysis found that clinical procedures are as crucial as technology for accurate cervical range of motion measurements. More research is needed to establish reliable methods and normative values.

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Clinical validity and stability of active and passive cervical range of motion with regard to total and unilateral uniplanar motion.

Spine·1999

Area of Science:

  • Biomechanics
  • Physical Therapy
  • Orthopedics

Background:

  • Cervical range of motion (CROM) studies lack standardized instruments and analyses, hindering clinical application.
  • Previous literature reviews have not quantitatively synthesized CROM data.
  • Identifying reliable CROM measurement methods and normative values is challenging.

Purpose of the Study:

  • To identify reliable and valid methods for measuring active and passive cervical range of motion.
  • To estimate normative values for cervical range of motion.
  • To address the lack of quantitative synthesis in CROM literature.

Main Methods:

  • Meta-analysis of normative cervical range of motion literature.
  • Summary statistics applied to range of motion and reliability values.

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  • Grouping data by technology and motion type, deriving means and variabilities.
  • Assessing clinical validity through discrepancies, variabilities, and correlations.

    • Main Results:

    • Nine technologies for CROM measurement were identified.
    • Passive motion exceeded active motion; range of motion decreased with age.
    • Women generally exhibited greater CROM than men.
    • Variations within technologies were substantial, highlighting the importance of clinical procedures.
    • Reliability testing is insufficient for most CROM technologies.

    Conclusions:

    • Clinical procedures are as critical as technology accuracy for CROM.
    • Further research is required to establish a gold standard for normative CROM values.
    • An instrument reliable for all cervical motions needs identification.