Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Upper cervical instability: are clinical tests reliable?

E. Cattrysse1, R. A.H.M. Swinkels, R. A.B. Oostendorp

  • 1Faculty of Medicine and Pharmacology, Free University of Brussels, Brussels; Practice of Physical Therapy and Manual Therapy, Wuustwezel, Belgium

Manual Therapy
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Pressure algometry in manual therapy.

Manual therapy·1996
Same journal

Agreement between a physiotherapist and an orthopaedic surgeon regarding management and prescription of corticosteroid injection for patients with shoulder pain.

Manual therapy·2016
Same journal

Do subjects with acute/subacute temporomandibular disorder have associated cervical impairments: A cross-sectional study.

Manual therapy·2016
Same journal

Classification characteristics of a chronic low back pain population using a combined McKenzie and patho-anatomical assessment.

Manual therapy·2016
Same journal

How do they feel? Patients' perspectives on draping and dignity in a physiotherapy outpatient setting: A pilot study.

Manual therapy·2016
Same journal

What do patients value about spinal manipulation and home exercise for back-related leg pain? A qualitative study within a controlled clinical trial.

Manual therapy·2016
Same journal

Reliability of physical examination tests for the diagnosis of knee disorders: Evidence from a systematic review.

Manual therapy·2016
See all related articles

This study found the upper cervical flexion test to be reliable for assessing upper cervical instability in children with Down syndrome. However, other manual tests showed inconsistent reliability among examiners.

Area of Science:

  • Orthopedics
  • Pediatrics
  • Manual Therapy

Background:

  • Instability of the upper cervical region is a concern in children with Down syndrome.
  • Manual tests are commonly used to assess this instability.
  • Reliability of these tests is crucial for accurate diagnosis and management.

Purpose of the Study:

  • To evaluate the intra- and interobserver reliability of specific manual tests for upper cervical instability.
  • To assess the reliability of the lateral displacement test, Sharp-Purser test, and upper cervical flexion test.
  • To determine the consistency of findings across different examiners with varying experience levels.

Main Methods:

  • Eleven children with Down syndrome participated in the study.
  • Four independent examiners with different manual therapy experience levels conducted the tests.

Related Experiment Videos

  • Three specific manual tests were performed: lateral displacement, Sharp-Purser, and upper cervical flexion.
  • Test-retest scores were analyzed using percentage agreement, Brennan and Prediger's modified kappa, and the binomial test.

    • Main Results:

    • The upper cervical flexion test demonstrated significant test-retest agreement in three out of four examiners.
    • Interobserver agreement for the upper cervical flexion test was significant in four out of six examiner combinations.
    • The lateral displacement test and Sharp-Purser test showed no consistent significant intra- or interobserver reliability.

    Conclusions:

    • The upper cervical flexion test appears to be a reliable method for assessing upper cervical instability in children with Down syndrome.
    • Other manual tests investigated may not provide consistent results, highlighting the need for careful interpretation.
    • Further research is warranted to establish reliable manual assessment protocols for this population.