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Cervical extensor endurance test: a reliability study.

Deepak Sebastian1, Raghu Chovvath1, Ramesh Malladi1

  • 1Institute of Therapeutic Sciences, Residency in Orthopaedic Physical Therapy, Fellowship in Orthopaedic Manual Physical Therapy, Alternative Rehab Inc., 20319 Farmington Road, Livonia, MI 48152, USA.

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Summary

This study found the cervical extensor endurance test (CEET) has very good inter-rater reliability for identifying neck extensor weakness in patients with neck pain. The CEET can help clinicians assess superficial versus deep extensor strength.

Keywords:
EnduranceNeck extensionNeck painReliabilitySpecial test

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Area of Science:

  • Musculoskeletal physical therapy
  • Cervical spine biomechanics
  • Clinical assessment tools

Background:

  • Neck extensor weakness is linked to cervical pain and dysfunction.
  • Differentiating superficial versus deep neck extensor weakness is clinically relevant.
  • Reliable assessment methods are needed for neck extensor function.

Purpose of the Study:

  • To evaluate the inter-rater reliability of the cervical extensor endurance test (CEET).
  • To determine if the CEET can differentiate weakness in superficial versus deep neck extensors.
  • To assess the CEET's utility in a symptomatic population with neck pain.

Main Methods:

  • 30 patients with neck pain were examined by two physical therapists.
  • The CEET involved assessing the ability to sustain a chin tuck position.
  • Inter-rater reliability was calculated using Cohen's kappa statistic.

Main Results:

  • The CEET demonstrated 'very good' inter-rater reliability (kappa = 0.800).
  • The test showed potential in differentiating superficial versus deep neck extensor weakness.
  • Specific indicators for deep and superficial extensor weakness were observed.

Conclusions:

  • The CEET is a reliable and potentially effective tool for assessing neck extensor weakness.
  • The CEET can aid clinicians in differentiating superficial and deep neck extensor function.
  • Further research comparing CEET to a gold standard is warranted.