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Related Experiment Videos

Measuring passive cervical motion: a study of reliability

N Nilsson1

  • 1Nordic Institute of Chiropractic, Odense, Denmark.

Journal of Manipulative and Physiological Therapeutics
|June 1, 1995
PubMed
Summary
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This study found that while the same examiner can reliably measure passive cervical range of motion, different examiners show less reliable results. Further research is needed to understand the reasons for interexaminer variability in cervical range of motion assessments.

Area of Science:

  • Chiropractic research
  • Biomechanics
  • Clinical assessment

Background:

  • Assessing passive cervical range of motion (pROM) is crucial in clinical practice.
  • Reliability of pROM measurements is essential for accurate diagnosis and treatment monitoring.
  • Previous studies have shown variable reliability for cervical range of motion assessments.

Purpose of the Study:

  • To evaluate the inter- and intraexaminer reliability of passive cervical range of motion measurements.
  • To determine the consistency of pROM assessments performed by different clinicians.
  • To assess the repeatability of pROM measurements by a single clinician.

Main Methods:

  • A blinded, repeated measures design was employed.
  • Two blinded examiners assessed passive cervical range of motion in 14 asymptomatic volunteers.

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  • Measurements were taken three times per subject with 20-minute intervals, using a strap-on head goniometer.

    • Main Results:

    • Intraexaminer reliability was found to be acceptable, with Pearson's r values ranging from 0.61 to 0.86.
    • Interexaminer reliability was less than acceptable, with Pearson's r values ranging from 0.29 to 0.66.
    • Measurements included lateral flexion, rotation, flexion, and extension in six directions.

    Conclusions:

    • Passive cervical range of motion can be reliably measured by the same examiner on different occasions.
    • Reliability between different examiners for passive cervical range of motion was not acceptable in this study.
    • Further investigation is required to determine if methodological issues or examiner training contributed to low interexaminer reliability.