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Current methods for cervical spine movement evaluation: a review.

F Antonaci1, S Ghirmai, G Bono

  • 1Department of Neurological Sciences, University of Pavia. neuronet@libero.it

Clinical and Experimental Rheumatology
|May 29, 2000
PubMed
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Accurately measuring cervical spine mobility is challenging. Cybex and 3D kinematic analysis offer reliable methods for assessing cervical range of movement (ROM), with choices depending on clinical needs.

Area of Science:

  • Orthopedics
  • Biomechanics
  • Medical Imaging

Background:

  • Cervical spine mobility assessment is complex due to anatomical structure and compensatory movements.
  • Reliable measurement of cervical range of movement (ROM) is crucial for diagnosis and treatment.

Purpose of the Study:

  • To review and compare different methods for accurately measuring cervical spine mobility.
  • To identify the most reliable and reproducible techniques for cervical ROM assessment.

Main Methods:

  • Literature review of various instruments: X-rays, CT, MRI, goniometers, inclinometers, Cybex, and opto-electronic scanners.
  • Evaluation of reliability and reproducibility of each method for cervical ROM measurement.

Main Results:

Related Experiment Videos

  • Cybex and 3D kinematic analysis (Elite system) demonstrated the highest reliability and reproducibility.
  • Cybex is cost-effective for clinical screening, while the Elite system is suited for in-depth analysis.
  • Specific goniometers and Cybex are reliable for maximal cervical ROM screening.
  • X-rays and 3D kinematic analysis are optimal for diagnostic and follow-up evaluations of neck disorders.

Conclusions:

  • The choice of cervical ROM measurement method depends on the clinical objective: screening versus thorough investigation.
  • Cybex and 3D kinematic analysis are recommended as the most reliable methods for cervical spine mobility assessment.