Physical Therapy Rehabilitation Science

  • 제6권2호
  • /
  • Pages.65-70
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  • 2017
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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The reliability of the nonradiologic measures of thoracic spine rotation in healthy adults

  • Hwang, Donggi (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University) ;
  • Lee, Ju Hyeong (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University) ;
  • Moon, Seongyeon (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University) ;
  • Park, Soon Woo (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University) ;
  • Woo, Juha (Department of Physical Therapy, College of Health Science and Social Welfare, Sahmyook University) ;
  • Kim, Cheong (Department of Health Management, College of Health Science and Social Welfare, Sahmyook University)
  • 투고 : 2017.05.17
  • 심사 : 2017.06.14
  • 발행 : 2017.06.30
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초록

Objective: The purpose of this study was to examine the intertester reliability and validity of four nonradiologic measurements of thoracic spine rotation in healthy adults. Design: Descriptive laboratory study. Methods: This study was conducted on 20 male and 20 female university students aged between 19 and 26. To measure thoracic rotation, a goniometer, a bubble inclinometer, a dual inclinometer, and a smartphone application-clinometer were used. The measurement was performed twice for each device and the same measurement was performed by two examiners. The measurements were performed in the lumbar locked position. The arm in the direction of rotation was taken back and placed onto the back of the lumbar region. With right and left trunk rotation, the head was rotated together but remained in the center line so that the axial rotation was maintained. Both examiners performed the measuring procedures and directly handled the measuring instrument. All measurement results were recorded by the recorder. Results: The range of motion (ROM) of thoracic rotation in lumbar locked position for all four devices was 47 degrees. The intra-rater reliability estimates ranged from 0.738 to 0.906 (p<0.05). The inter-rater reliability estimates ranged from 0.736 to 0.853 (p<0.05). The goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer showed high validity (p<0.05). This result indicates that all four devices may be used by the same examiner and by other examiners obtaining follow-up measurement. Conclusions: The use of the goniometer, bubble inclinometer, dual inclinometer, and smartphone clinometer for measurements in the lumbar locked posture are reliable and valid nonradiologic measures of thoracic rotational ROM in healthy adults.

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참고문헌

  1. Nash CL Jr, Moe JH. A study of vertebral rotation. J Bone Joint Surg Am 1969;51:223-9. https://doi.org/10.2106/00004623-196951020-00002
  2. White AA 3rd. Analysis of the mechanics of the thoracic spine in man. An experimental study of autopsy specimens. Acta Orthop Scand Suppl 1969;127:1-105.
  3. Gregersen GG, Lucas DB. An in vivo study of the axial rotation of the human thoracolumbar spine. J Bone Joint Surg Am 1967;49:247-62. https://doi.org/10.2106/00004623-196749020-00003
  4. Kebaetse M, McClure P, Pratt NA. Thoracic position effect on shoulder range of motion, strength, and three-dimensional scapular kinematics. Arch Phys Med Rehabil 1999;80:945-50. https://doi.org/10.1016/S0003-9993(99)90088-6
  5. Fernandez-de-las-Penas C, Palomeque-del-Cerro L, Rodriguez-Blanco C, Gomez-Conesa A, Miangolarra-Page JC. Changes in neck pain and active range of motion after a single thoracic spine manipulation in subjects presenting with mechanical neck pain: a case series. J Manipulative Physiol Ther 2007;30:312-20. https://doi.org/10.1016/j.jmpt.2007.03.007
  6. Theodoridis D, Ruston S. The effect of shoulder movements on thoracic spine 3D motion. Clin Biomech (Bristol, Avon) 2002; 17:418-21. https://doi.org/10.1016/S0268-0033(02)00026-8
  7. Fujimori T, Iwasaki M, Nagamoto Y, Ishii T, Kashii M, Murase T, et al. Kinematics of the thoracic spine in trunk rotation: in vivo 3-dimensional analysis. Spine (Phila Pa 1976) 2012;37:E1318-28. https://doi.org/10.1097/BRS.0b013e318267254b
  8. Willems JM, Jull GA, J KF. An in vivo study of the primary and coupled rotations of the thoracic spine. Clin Biomech (Bristol, Avon) 1996;11:311-6. https://doi.org/10.1016/0268-0033(96)00017-4
  9. Chen J, Solinger AB, Poncet JF, Lantz CA. Meta-analysis of normative cervical motion. Spine (Phila Pa 1976) 1999;24:1571-8. https://doi.org/10.1097/00007632-199908010-00011
  10. Dvorak J, Antinnes JA, Panjabi M, Loustalot D, Bonomo M. Age and gender related normal motion of the cervical spine. Spine (Phila Pa 1976) 1992;17(10 Suppl):S393-8. https://doi.org/10.1097/00007632-199210001-00009
  11. Glaws KR, Juneau CM, Becker LC, Di Stasi SL, Hewett TE. Intra- and inter-rater reliability of the selective functional movement assessment (SFMA). Int J Sports Phys Ther 2014;9: 195-207.
  12. Krzyzanowicz R, Baker R, Nasypany A, Gargano F, Seegmiller J. Patient outcomes utilizing the selective functional movement assessment and mulligan mobilizations with movement on recreational dancers with sacroiliac joint pain: a case series. Int J Athl Ther Train 2015;20:31-7. https://doi.org/10.1123/ijatt.2014-0066
  13. Goshtigian GR, Swanson BT. Using the selective functional movement assessment and regional interdependence theory to guide treatment of an athlete with back pain: a case report. Int J Sports Phys Ther 2016;11:575-95.
  14. Cook EG, Kiesel KB. Selective functional movement assessment. Physical Therapy Course Manual Edited. Danville, VA: Functional Movement; 2004.
  15. Johnson KD, Kim KM, Yu BK, Saliba SA, Grindstaff TL. Reliability of thoracic spine rotation range-of-motion measurements in healthy adults. J Athl Train 2012;47:52-60. https://doi.org/10.4085/1062-6050-47.1.52
  16. Edmondston SJ, Aggerholm M, Elfving S, Flores N, Ng C, Smith R, et al. Influence of posture on the range of axial rotation and coupled lateral flexion of the thoracic spine. J Manipulative Physiol Ther 2007;30:193-9. https://doi.org/10.1016/j.jmpt.2007.01.010
  17. Pearcy MJ, Tibrewal SB. Axial rotation and lateral bending in the normal lumbar spine measured by three-dimensional radiography. Spine (Phila Pa 1976) 1984;9:582-7. https://doi.org/10.1097/00007632-198409000-00008
  18. Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther 1987;67:1867-72. https://doi.org/10.1093/ptj/67.12.1867
  19. Rome K, Cowieson F. A reliability study of the universal goniometer, fluid goniometer, and electrogoniometer for the measurement of ankle dorsiflexion. Foot Ankle Int 1996;17:28-32. https://doi.org/10.1177/107110079601700106
  20. Audette I, Dumas JP, Cote JN, De Serres SJ. Validity and between- day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther 2010;40:318-23. https://doi.org/10.2519/jospt.2010.3180
  21. Nitschke JE, Nattrass CL, Disler PB, Chou MJ, Ooi KT. Reliability of the American Medical Association guides' model for measuring spinal range of motion. Its implication for wholeperson impairment rating. Spine (Phila Pa 1976) 1999;24:262-8. https://doi.org/10.1097/00007632-199902010-00013
  22. Milani P, Coccetta CA, Rabini A, Sciarra T, Massazza G, Ferriero G. Mobile smartphone applications for body position measurement in rehabilitation: a review of goniometric tools. PM R 2014; 6:1038-43. https://doi.org/10.1016/j.pmrj.2014.05.003
  23. Shin SH, Ro du H, Lee OS, Oh JH, Kim SH. Within-day reliability of shoulder range of motion measurement with a smartphone. Man Ther 2012;17:298-304. https://doi.org/10.1016/j.math.2012.02.010
  24. Charlton PC, Mentiplay BF, Pua YH, Clark RA. Reliability and concurrent validity of a Smartphone, bubble inclinometer and motion analysis system for measurement of hip joint range of motion. J Sci Med Sport 2015;18:262-7. https://doi.org/10.1016/j.jsams.2014.04.008

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