The Journal of Korean society of community based occupational therapy (대한지역사회작업치료학회지)

Korean Society of Community Based Occupational Therapy Association (대한지역사회작업치료학회)
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Usefulness of Smart Phone Application to Measure Cervical Range of Motion

목 관절가동범위 측정을 위한 스마트폰 어플리케이션의 유용성

  • Chun-Yeop, Lee (Dept. of Occupational Therapy, Kaya University) ;
  • Hae-Yoon, Song (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Jung-Min, Lee (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Moon-Young, Chang (Dept of Occupational Therapy, Inje University)
  • 이춘엽 (가야대학교 작업치료학과) ;
  • 송해윤 (인제대학교 대학원 작업치료학과) ;
  • 이정민 (인제대학교 대학원 작업치료학과) ;
  • 장문영 (인제대학교 작업치료학과)
  • Received : 2017.03.10
  • Accepted : 2017.04.18
  • Published : 2017.04.30
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Abstract

Objective : The purpose of this study was to estimate the reliability of cervical range of motion measurement in healthy adults using smart phone application and goniometer that can be easily applicated in clinical setting. Methods : The cervical range of motion was measured as the flexion, extension, right rotation, left rotation, right lateral flexion, and left lateral flexion. To measure the reliability of intra-rater and inter-rater reliability, the same examiner performed two measurements and the other examiner performed once, total measurement were performed three times. The order of tests was randomized and two examiners didn't know the results of measurements. Results : Thirty healthy adults were participated. The result of this study shows that there were are no significant differences in all movements except the right lateral flexion in comparison of average angle of smart phone application and goniometer. The intra-rater reliability of smart phone application and goniometer showed ICC as .841~.958 and the inter-rater reliability showed ICC as .720~.944 for all movements. Conclusion : These results suggest that smart phone application and goniometer have proven to be reliable in measuring the cervical range of motion. Smart phone application can be used as a useful tool in clinical setting due to fast and accurate measurements of cervical range of motion.

목적 : 건강한 성인을 대상으로 목의 관절가동범위를 측정하는데 임상에서 간편하게 적용할 수 있는 스마트폰 어플리케이션의 유용성을 확인하고자 한다. 연구방법 : 목의 관절가동범위는 스마트폰 어플리케이션과 각도계로 목의 굽힘, 폄, 오른쪽 돌림, 왼쪽 돌림, 오른쪽 가쪽 굽힘, 왼쪽 가쪽 굽힘의 움직임을 각각 측정하였다. 검사자내 신뢰도와 검사자간 신뢰도를 측정하기 위해 같은 검사자가 두 번, 다른 검사자가 한 번으로 총 세 번 측정을 실시하였다. 검사 순서는 무작위로 하였으며, 두 검사자는 서로 측정한 결과를 알지 못하게 하였다. 결과 : 연구에 참여한 대상자는 남자 9명, 여자 21명이었다. 실험 결과 스마트폰 어플리케이션과 각도계의 평균 각도 비교에서 오른쪽 가쪽 굽힘을 제외한 모든 항목에서 유의한 차이가 없는 것으로 나타났다(p>.05). 스마트폰 어플리케이션과 각도계의 검사자내 신뢰도는 전 움직임에서 ICC값이 .841~.958로, 검사자간 신뢰도는 전 움직임에서 ICC값이 .720~.944로 나타나 모두 높은 수준의 신뢰도를 보였다. 결론 : 스마트폰 어플리케이션과 각도계는 목의 관절가동범위를 측정하는데 신뢰할 수 있는 것으로 나타나, 스마트폰 어플리케이션은 관절가동범위에 신속하고 정확한 측정으로 인해 임상에서 유용한 도구로 활용할 수 있을 것이다.

Keywords

References

  1. Behnoush, B., Tavakoli, N., Bazmi, E., Fard, F. N., Hossein, M., Shahi, P., et al. (2016). Smartphone and universal goniometer for measurement of elbow joint motions: a comparative study. Asian Journal of Sports Medicine, 7(2), e30668.
  2. Bush, K. W., Collins, N., Portman, L., & Tillett, N. (2000). Validity and intertester reliability of cervical range of motion using inclinometer measurements. Journal of Manual & Manipulative Therapy, 8(2), 52-61. https://doi.org/10.1179/106698100790819546
  3. Caqnie, B., Cools, A., De Loose, V., Cambier, D., & Danneels, L. (2007). Reliability and normative database of the Zebris cervical range-of-motion system in healthy controls with preliminary validation in a group of patients with neck pain. Journal of Manipulative and Physiological Therapeutics, 30(6), 450-455. https://doi.org/10.1016/j.jmpt.2007.05.003
  4. Hoving, J. L., Pool, J. J., Mameren, H., Deville, W. J., Assendelft W. J., Vet, H. C., et al. (2005). Reproducibility of cervical range of motion in patients with neck pain. BioMed Central Musculoskeletal Disorders, 6, 59. https://doi.org/10.1186/1471-2474-6-59
  5. Hwang, K. H., Yoo, Y. S., & Cho, O. H. (2012). Smartphone overuse and upper extremity pain, anxiety, depression, and interpersonal relationships among college students. Journal of the Korean Contents Association, 12(10), 365-375. https://doi.org/10.5392/JKCA.2012.12.10.365
  6. Lee, G. C. et al. (2015). Statistics for Health Care. Seoul, a publishing company Hyunmoon.
  7. Marik, T. L., & Roll, S. C. (2017). Effectiveness of occupational therapy interventions for musculoskeletal shoulder conditions: a systematic review. American Journal of Occupational Therapy, 71(1), 7101180020.
  8. Muir, S. W., Corea, C. L., & Beaupre, L. (2010). Evaluating change in clinical status: reliability and measures of agreement for the assessment of glenohumeral range of motion. North American Journal of Sports Physical Therapy, 5(3), 98-110.
  9. Mullaney, M. J., McHugh, M. P., Johnson, C. P., Tyler, T. F. (2010). Reliability of shoulder range of motion comparing a goniometer to a digital level. Physiotherapy Theory and Practice, 26(5), 327-333. https://doi.org/10.3109/09593980903094230
  10. Occupational therapy's textbook compilation committee. (2016). Measurement and Assessment. Seoul, a publishing company of Beommun Education.
  11. Otter, S. J., Agalliu, B., Baer, N., Hales, G., Harvey, K., James, K., et al. (2015). The reliability of a smartphone goniometer application compared with a traditional goniometer for measuring first metatarsophalangeal joint dorsiflexion. Journal of Foot and Ankle Research, 8(30), 12. https://doi.org/10.1186/s13047-015-0070-0
  12. Pendleton, H. M., & Schultz-Krohn, W. (2012). Pedretti's occupational therapy (7th ed). St. Louis, MS: Mosby.
  13. Quek, J., Brauer, S. G., Treleaven, J., Pua, Y. H., Mentiplay, B., & Clark, R. A. (2014). Validity and intra-rater reliability of an Android phone application to measure cervical range-of-motion. Journal of NeuroEngineering and Rehabilitation, 11(1), 65. https://doi.org/10.1186/1743-0003-11-65
  14. Reese, N. B., & Bandy, W. D. (2002). Joint range of motion and muscle length testing. St. Louis, Missouri: Saunders Elservier.
  15. Shahidi, B., Johnson, C. L., Curran-Everett, D., & Maluf, K. S. (2012). Reliability and group differences in quantitative cervicothoracic measures among individuals with and without chronic neck pain. BioMed Central Musculoskeletal Disorders, 13, 215. https://doi.org/10.1186/1471-2474-13-215
  16. Shin, S. H., Ro, D. H., Lee, O. S., Oh, J. H., & Kim, S. H. (2012). Within-day reliability of shoulder range of motion measurement with a smartphone. Manual Therapy, 17(4), 298-304. https://doi.org/10.1016/j.math.2012.02.010
  17. Tousignant-Laflamme, Y., Boutin, N., Dion, A. M., & Vallee, C. A. (2013). Reliability and criterion validity of two applications of the iPhoneTM to measure cervical range of motion in healthy participants. Journal of NeuroEngineering and Rehabilitation, 10(1), 69. https://doi.org/10.1186/1743-0003-10-69
  18. Yang, H. S., Jeong, C. J., Yoo, Y. D., & Bae, S. H. (2016). Reliability study of hip range of motion measurement by smartphone inclinometer. Journal of The Korean Society of Integrative Medicine, 4(2), 89-96. https://doi.org/10.15268/ksim.2016.4.2.089

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