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Eur Spine J. 2012 May;21(5):872-8. doi: 10.1007/s00586-011-2096-8. Epub 2011 Dec 3.

Reproducibility of the cervical range of motion (CROM) device for individuals with sub-acute whiplash associated disorders.

Author information

1
Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK. m.a.williams.3@warwick.ac.uk

Abstract

PURPOSE:

The objective of this study was to evaluate the reproducibility of the cervical range of motion device when measuring both active and passive range of motion in a group of individuals with sub-acute Whiplash Associated Disorders (WAD).

METHODS:

Participants were recruited as part of a large multi-centre Randomised Controlled Trial from UK emergency departments. Experienced research physiotherapists measured active and passive cervical spine movements in all directions. Both intra- and inter-observer reliability and agreement were assessed using the intra-class correlation coefficient, standard error of measurement and limits of agreement methods.

RESULTS:

Different groups of 39 and 19 subjects were included in the intra and inter-observer studies, respectively. The CROM device demonstrated substantial intra- and inter-observer reliability and agreement for all the active and passive half-cycle movements (ICC range 0.82-0.99) with the exception of one (passive right lateral flexion for inter-observer; ICC 0.77).

CONCLUSIONS:

The CROM device has proven to be a reproducible measurement method for a symptomatic WAD population using the measurement protocol described and can be used with confidence to differentiate individuals according to a single measurement.

PMID:
22139052
PMCID:
PMC3337911
DOI:
10.1007/s00586-011-2096-8
[Indexed for MEDLINE]
Free PMC Article

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