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Reliability of Cervicocephalic Proprioception Assessment: A Systematic Review.

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Summary

Cervicocephalic proprioceptive (CCP) tests for sense of position and movement are reliable and valid when using specific equipment and performing six repetitions. Joint position error greater than 4.5° may indicate impaired sense of position.

Keywords:
HeadKinesthesisNeckNeurophysiologyPhysical examinationProprioception

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Area of Science:

  • Neuroscience
  • Rehabilitation Science
  • Biomechanics

Background:

  • Cervicocephalic proprioception (CCP) is crucial for head and neck stability.
  • Assessing CCP function is important for diagnosing and managing various neurological and musculoskeletal conditions.
  • The reliability and validity of CCP tests require systematic evaluation.

Approach:

  • A systematic review and meta-analysis was conducted.
  • Searched 7 databases up to April 14, 2021.
  • Utilized QAREL and QUADAS-2 tools for quality appraisal.

Key Points:

  • Reliability and validity of CCP tests depend on equipment and repetitions.
  • Six repetitions are generally needed for good reliability.
  • Joint position error >4.5° suggests impaired sense of position.

Conclusions:

  • CCP tests for sense of position and movement demonstrate reliability and validity under specific conditions.
  • Head tracking and head to neutral tests show promise, particularly with six repetitions.
  • Further research is needed for sense of force tests in clinical populations.