Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

The Inter-Rater Reliability of Measurements of Active Craniocervical Range of Motion With Smartphone in Patients With Stroke

뇌졸중 환자에서 스마트폰 어플리케이션을 이용한 능동적 머리목관절 가동범위 측정에 관한 측정자간 신뢰도 연구

  • Park, Il-woo (Dept. of Physical Therapy, The Graduate School, Yonsei University) ;
  • Park, Kyue-nam (Dept. of Physical Therapy, College of Medical Science, Jeonju University) ;
  • Yi, Chung-hwi (Dept. of Physical Therapy, College of Health Science, Yonsei University) ;
  • Moon, Il-young (Dept. of Physical Therapy, The Graduate School, Yonsei University)
  • 박일우 (연세대학교 대학원 물리치료학과) ;
  • 박규남 (전주대학교 의과학대학 물리치료학과) ;
  • 이충휘 (연세대학교 보건과학대학 물리치료학과) ;
  • 문일영 (연세대학교 대학원 물리치료학과)
  • Received : 2018.12.18
  • Accepted : 2019.01.17
  • Published : 2019.02.19
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Numerous studies have used smartphone applications to measure the range of motion in different joints. In addition, studies measuring the active range of motion (AROM) of the craniocervical joint have revealed high reliability. However, the subjects in these studies were all healthy subjects. No study has yet been conducted to measure the inter-rater reliability for the AROM of the craniocervical joint in stroke patients. Objects: The purpose of this study was to investigate the inter-rater reliability of the AROM of the craniocervical joint using a smartphone. Methods: The participants included 21 subjects who had strokes (17 males and 4 females). Two raters evaluated six types of craniocervical AROM, including flexion, extension, lateral flexion to the hemiplegic side, lateral flexion to the non-hemiplegic side, rotation to the hemiplegic side, and rotation to the non-hemiplegic side, using a goniometer and a smartphone to investigate inter-rater reliability. The inter-rater reliability was analyzed by intraclass correlation coefficients (ICC). Results: The inter-rater reliability of the smartphone was good for extension, lateral flexion to the hemiplegic side, lateral flexion to the non-hemiplegic side, and rotation to the hemiplegic side [ICC(2,k)=.86~.88] and excellent for flexion [ICC(2,k)=.95]. The inter-rater reliability for rotation to the non-hemiplegic side was moderate [ICC(2,k)=.72]. Conclusion: These results suggest that the smartphone offers high inter-rater reliability for measurements of the craniocervical AROM in patients with stroke.

Keywords

References

  1. Arya KN, Pandian S, Verma R, et al. Movement therapy induced neural reorganization and motor recovery in stroke: A review. J Bodyw Mov Ther. 2011;15(4):528-537. http://doi.org/10.1016/j.jbmt.2011.01.023
  2. Atkinson G, Nevill AM. Statistical methods for assessing measurement error (reliability) in variables relevant to Sports Medicine. Sports Med. 1998;26(4):217-238. http://doi.org/10.2165/00007256-199826040-00002
  3. Behnoush B, Tavakoli N, Bazmi E, et al. Smartphone and universal goniometer for measurement of elbow joint motions: A comparative study. Asian J Sports Med. 2016;7(2):e30668. http://doi.org/10.5812/asjsm.30668
  4. Bennett SE, Schenk RJ, Simmons ED. Active range of motion utilized in the cervical spine to perform daily functional tasks. J Spinal Disord Tech. 2002;15(4):307-311. https://doi.org/10.1097/00024720-200208000-00008
  5. Bracco P, Deregibus A, Piscetta R. Effects of different jaw relations on postural stability in human subjects. Neurosci Lett. 2004;356(3):228-230. http://doi.org/10.1016/j.neulet.2003.11.055
  6. Chen K, Marsh EB. Chronic post-stroke fatigue: It may no longer be about the stroke itself. Clin Neurol Neurosurg. 2018;17(174):192-197. http://doi.org/10.1016/j.clineuro.2018.09.027
  7. Cramp MC, Greenwood RJ, Gill M, et al. Low intensity strength training for ambulatory stroke patients. Disabil Rehabil. 2006;28(13-14):883-889. http://doi.org/10.1080/09638280500535157
  8. Gajdosik RL, Bohannon RW. Clinical measurement of range of motion. Review of goniometry emphasizing reliability and validity. Phys Ther. 1987;67(12):1867-1872. https://doi.org/10.1093/ptj/67.12.1867
  9. Gao J, He W, Du LJ, et al. Quantitative ultrasound imaging to assess the biceps brachii muscle in chronic post-stroke spasticity: Preliminary observation. Ultrasound Med Biol. 2018;44(9):1931-1940. http://doi.org/10.1016/j.ultrasmedbio.2017.12.012
  10. Guzman J, Hurwitz EL, Carroll LJ, et al. A new conceptual model of neck pain: Linking onset, course, and care: The bone and joint decade 2000-2010 task force on neck pain and its associated disorders. J Manipulative Physiol Ther. 2009;32(2 Suppl):S17-S28. http://doi.org/10.1016/j.jmpt.2008.11.007
  11. Kottner J, Audige L, Brorson S, et al. Guidelines for reporting reliability and agreement studies (GRRAS) were proposed. Int J Nurs Stud. 2011;48(6):661-671. http://doi.org/10.1016/j.ijnurstu.2011.01.016
  12. Lan HC, Chen HY, Kuo LC, et al. The shift of segmental contribution ratio in patients with herniated disc during cervical lateral bending. BMC Musculoskelet Disord. 2014;15:273. http://doi.org/10.1186/1471-2474-15-273
  13. Oh DW, Kang TW, Kim SJ. Effect of stomatognathic alignment exercise on temporomandibular joint function and swallowing function of stroke patients with limited mouth opening. J Phys Ther Sci. 2013;25(10):1325-1329. http://doi.org/10.1589/jpts.25.1325
  14. O'Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation. 6th ed. MA, USA, F. A. Davis Company, 2013:138.
  15. Otter SJ, Agalliu B, Baer N, et al. The reliability of a smartphone goniometer application compared with a traditional goniometer for measuring first metatarsophalangeal joint dorsiflexion. J Foot Ankle Res. 2015;8:30. http://doi.org/10.1186/s13047-015-0088-3
  16. Page P. Sensorimotor training: A "global" approach for balance training. J Bodyw Mov Ther. 2006;10(1):77-84. https://doi.org/10.1016/j.jbmt.2005.04.006
  17. Page P, Frank CC, Lardner R. Assessment and Treatment of Muscle Imbalance: The Janda Approach. IL, USA, Human Kinetics, 2010:175.
  18. Park JH, Kwon YC. Standardization of Korean version of the mini-mental state examination (MMSE-K) for use in the elderly. Part II. Diagnostic validity. J Korean Neuropsychiatr Assoc. 1989;28(3):508-513.
  19. Portney LG, Watkins MP. Foundations of Clinical Research: Applications to practice. 3rd ed. Upper Saddle River, NJ, Prentice Hall Inc., 2009:594-595.
  20. Pourahmadi MR, Bagheri R, Taghipour M, et al. A new iPhone application for measuring active craniocervical range of motion in patients with non-specific neck pain: A reliability and validity study. Spine J. 2018;18(3):447-457. http://doi.org/10.1016/j.spinee.2017.08.229
  21. Pourahmadi MR, Ebrahimi Takamjani I, Sarrafzadeh J, et al. Reliability and concurrent validity of a new $iPhone^{(R)}$ goniometric application for measuring active wrist range of motion: A cross-sectional study in asymptomatic subjects. J Anat. 2017;230(3):484-495. http://doi.org/10.1111/joa.12568
  22. Schlager A, Ahlqvist K, Rasmussen-Barr E, et al. Inter- and intra-rater reliability for measurement of range of motion in joints included in three hypermobility assessment methods. BMC Musculoskelet Disord. 2018;19(1):376. http://doi.org/10.1186/s12891-018-2290-5
  23. Schmid AA, Miller KK, Van Puymbroeck M, et al. Yoga leads to multiple physical improvements after stroke, a pilot study. Complement Ther Med. 2014;22(6):994-1000. http://doi.org/10.1016/j.ctim.2014.09.005
  24. Shin SH, Ro du H, Lee OS, et al. Within-day reliability of shoulder range of motion measurement with a smartphone. Man Ther. 2012;17(4):298-304. http://doi.org/10.1016/j.math.2012.02.010
  25. Stenneberg MS, Busstra H, Eskes M, et al. Concurrent validity and interrater reliability of a new smartphone application to assess 3D active cervical range of motion in patients with neck pain. Musculoskelet Sci Pract. 2018;34:59-65. http://doi.org/10.1016/j.msksp.2017.12.006
  26. Stenneberg MS, Rood M, de Bie R, et al. To what degree does active cervical range of motion differ between patients with neck pain, patients with whiplash, and those without neck pain? A systematic review and meta-analysis. Arch Phys Med Rehabil. 2017;98(7):1407-1434. http://doi.org/10.1016/j.apmr.2016.10.003
  27. Streiner DL, Norman GR, Cairney J. Health Measurement Scales: A practical guide to their development and use. 5th ed. Oxford, UK, Oxford University Press, 2015:171.
  28. Theobald PS, Jones MD, Williams JM. Do inertial sensors represent a viable method to reliably measure cervical spine range of motion? Man Ther. 2012;17(1):92-96. http://doi.org/10.1016/j.math.2011.06.007
  29. Thibaut A, Chatelle C, Ziegler E, et al. Spasticity after stroke: Physiology, assessment and treatment. Brain Inj. 2013;27(10):1093-1105. http://doi.org/10.3109/02699052.2013.804202
  30. Tousignant-Laflamme Y, Boutin N, Dion AM, et al. Reliability and criterion validity of two applications of the iPhoneTM to measure cervical range of motion in healthy participants. J Neuroeng Rehabil. 2013;10(1):69. http://doi.org/10.1186/1743-0003-10-69
  31. Tousignant M, Smeesters C, Breton AM, et al. Criterion validity study of the cervical range of motion (CROM) device for rotational range of motion on healthy adults. J Orthop Sports Phys Ther. 2006;36(4):242-248. https://doi.org/10.2519/jospt.2006.36.4.242
  32. de Vet HC, Terwee CB, Mokkink LB, et al. Measurement in Medicine: A practical guide. Cambridge, UK, Cambridge University Press, 2011:124.
  33. Wallwork TL, Hides JA, Stanton WR. Intrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imaging. J Orthop Sports Phys Ther. 2007;37(10):608-612. http://doi.org/10.2519/jospt.2007.2418
  34. Williams MA, McCarthy CJ, Chorti A, et al. A systematic review of reliability and validity studies of methods for measuring active and passive cervical range of motion. J Manipulative Physiol Ther. 2010;33(2):138-155. http://doi.org/10.1016/j.jmpt.2009.12.009