Journal of Manipulative and Physiological Therapeutics
Volume 33, Issue 2 , Pages 138-155 , February 2010

A Systematic Review of Reliability and Validity Studies of Methods for Measuring Active andPassive Cervical Range of Motion

  • Mark A. Williams, BSc (Hons) Physiotherapy

      Affiliations

    • Research Fellow (clinical trials), Clinical Trials Unit, University of Warwick, Coventry, United Kingdom
    • Corresponding Author InformationSubmit requests for reprints to: Mark A. Williams, BSc (Hons) Physiotherapy, Research Fellow (clinical trials), Clinical Trials Unit, Warwick Medical School, University of Warwick, Gibbett Hill Road, Coventry CV4 7AL, United Kingdom
    • ,
  • Christopher J. McCarthy, PhD

      Affiliations

    • Associate Professor, Clinical Trials Unit, University of Warwick, Coventry, United Kingdom
    • ,
  • Angeliki Chorti, MSc

      Affiliations

    • PhD Student, Clinical Trials Unit, University of Warwick, Coventry, United Kingdom
    • ,
  • Matthew W. Cooke, PhD

      Affiliations

    • Professor of Emergency Medicine, University of Warwick, Coventry, United Kingdom
    • ,
  • Simon Gates, PhD

      Affiliations

    • Senior Research Fellow, Clinical Trials Unit, University of Warwick, Coventry, United Kingdom

Received 20 May 2009 ,Revised 23 August 2009 ,Accepted 22 September 2009.

References 

  1. Nilsson N. Measuring passive cervical motion: a study of reliability. J Manipulative Physiol Ther. 1995;18:293–297
  2. Spitzer WO, Skovron ML, Salmi LR, et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining “whiplash” and its management. Spine. 1995;20(8 Suppl):1S–73S
  3. Hartling L, Brison RJ, Ardern C, Pickett W. Prognostic value of the Quebec Classification of Whiplash-Associated Disorders. Spine. 2001;26:36–41
  4. Bogduk N, Mercer S. Biomechanics of the cervical spine. I: Normal kinematics. Clin Biomech (Bristol, Avon). 2000;15:633–648
  5. Youdas JW, Carey JR, Garrett TR. Reliability of measurements of cervical spine range of motion-comparison of three methods. Phys Ther. 1991;71:98–104
  6. Jordan K, Dziedzic K, Jones PW, Ong BN, Dawes PT. The reliability of the three-dimensional FASTRAK measurement system in measuring cervical spine and shoulder range of motion in healthy subjects. Rheumatology (Oxford, England). 2000;39:382–388
  7. Streiner D, Norman G. Health measurement scales: A practical guide to their development and use. 3rd ed. New York: Oxford University Press; 2003;
  8. McDowell I. Measuring health: a guide to rating scales and questionnaires. 3rd ed. New York: Oxford University Press; 2006;
  9. Chen J, Solinger AB, Poncet JF, Lantz CA. Meta-analysis of normative cervical motion. Spine. 1999;24:1571–1578
  10. Antonaci F, Ghirmai S, Bono G, Nappi G. Current methods for cervical spine movement evaluation: a review. Clin Exp Rheumatol. 2000;18(2 Suppl 19):S45–S52
  11. Jordan K. Assessment of published reliability studies for cervical spine range-of-motion measurement tools. J Manipulative Physiol Ther. 2000;23:180–195
  12. de Koning C, van den Heuvel S, Staal J, Smits-Engelsman B, Hendriks E. Clinimetric evaluation of active range of motion measures in patients with non-specific neck pain: a systematic review. Eur Spine J. 2008;17:905–921
  13. van der Wurff P, Hagmeijer R, Meyne W. Clinical tests of the sacroiliac joint. A systemic methodological review. Part 1: reliability. Man Ther. 2000;5:30–36
  14. van der Wurff P, Meyne W, Hagmeijer R. Clinical tests of the sacroiliac joint. Man Ther. 2000;5:89–96
  15. Stochkendahl MJ, Christensen HW, Hartvigsen J, et al. Manual examination of the spine: a systematic critical literature review of reproducibility. J Manipulative Physiol Ther. Jul-Aug 2006;29(6):475-85, 485 e471-410.
  16. van Trijffel E, Anderegg Q, Bossuyt P, Lucas C. Inter-examiner reliability of passive assessment of intervertebral motion in the cervical and lumbar spine: a systematic review. Man Ther. 2005;10:256–269
  17. Egger M, Smith GD, Altman DG. Systematic reviews in health care-meta-analysis in context. London: BMJ Books; 2001;
  18. Swinkels R, Bouter L, Oostendorp R, van den Ende C. Impairment measures in rheumatic disorders for rehabilitation medicine and allied health care: a systematic review. Rheumatol Int. 2005;25:501–512
  19. Hoving JL, Pool JJ, van Mameren H, et al. Reproducibility of cervical range of motion in patients with neck pain. BMC Musculoskelet Disord. 2005;6:59
  20. Love S, Gringmuth RH, Kazemi M, Cornacchia P, Schmolke M. Interexaminer and intraexaminer reliability of cervical passive range of motion using the CROM and Cybex 320 EDI. J Can Chiropr Assoc. 1998;42:222–228
  21. Tousignant M, Boucher N, Bourbonnais J, Gravelle T, Quesnel M, Brosseau L. Intratester and intertester reliability of the Cybex electronic digital inclinometer (EDI-320) for measurement of active neck flexion and extension in healthy subjects. Man Ther. 2001;6:235–241
  22. Zwart J. Neck mobility in different headache disorders. Headache. 1997;37:6–11
  23. Amiri M, Jull G, Bullock-Saxton J. Measuring range of active cervical rotation in a position of full head flexion using the 3D Fastrak measurement system: an intra-tester reliability study. Man Ther. 2003;8:176–179
  24. Jordan K, Haywood K, Dziedzic K, et al. Assessment of the 3-dimensional Fastrak measurement system in measuring range of motion in ankylosing spondylitis. J Rheumatol. 2004;31:2207–2215
  25. Sterling M, Jull G, Carlsson Y, Crommert L. Are cervical physical outcome measures influenced by the presence of symptomatology. Physiother Res Int. 2002;7:113–121
  26. Morphett A, Crawford C, Lee D. The use of electromagnetic tracking technology for measurement of passive cervical range of motion: a pilot study. J Manipulative Physiol Ther. 2003;26:152–159
  27. Assink N, Bergman GJ, Knoester B, Winters JC, Dijkstra PU, Postema K. Interobserver reliability of neck-mobility measurement by means of the flock-of-birds electromagnetic tracking system. J Manipulative Physiol Ther. 2005;28:408–413
  28. Cleland J, Childs J, Fritz J, Whitman J. Interrater reliability of the history and physical examination in patients with mechanical neck pain. Arch Phys Med Rehabil. 2006;87:1388–1395
  29. Pellecchia G, Bohannon R. Active lateral neck flexion range of motion measurements obtained with a modified goniometer: reliability and estimates of normal. J Manipulative Physiol Ther. 1998;21:443–447
  30. Agarwal S, Allison G, Singer K. Reliability of the spin-T cervical goniometer in measuring cervical range of motion in an asymptomatic Indian population. J Manipulative Physiol Ther. 2005;28:487–492
  31. Haynes M, Edmondston S. Accuracy and reliability of a new, protractor-based neck goniometer. J Manipulative Physiol Ther. 2002;25:579–586
  32. Maksymowych W, Mallon C, Richardson R, et al. Development and validation of a simple tape-based measurement tool for recording cervical rotation in patients with ankylosing spondylitis: comparison with a goniometer-based approach. J Rheumatol. 2006;33:2242–2249
  33. Tucci S, Hicks J, Gross E, Campbell W, Danoff J. Cervical motion assessment: a new, simple and accurate method. Arch Phys Med Rehabil. 1986;67:225–230
  34. Peolsson A, Hednlund R, Ertzgaard S, Oberg B. Intra- and inter-tester reliability and range of motion of the neck. Physiother Can. 2000;233–242
  35. Hole DE, Cook JM, Bolton JE. Reliability and concurrent validity of two instruments for measuring cervical range of motion: effects of age and gender. Man Ther. 1995;1:36–42
  36. Olson S, O'Connor D, Birmingham G, Broman P, Herrera L. Tender point sensitivity, range of motion, and perceived disability in subjects with neck pain. J Orthop Sports Phys Ther. 2000;30:13–20
  37. Youdas JW, Garrett TR, Suman VJ, Bogard CL, Hallman HO, Carey JR. Normal range of motion of the cervical spine: an initial goniometric study. Phys Ther. 1992;72:770–780
  38. Lee H, Nicholson LL, Adams RD. Cervical range of motion associations with subclinical neck pain. Spine. 2004;29:33–40
  39. Nilsson N, Christensen HW, Hartvigsen J. The interexaminer reliability of measuring passive cervical range of motion, revisited. J Manipulative Physiol Ther. 1996;19:302–305
  40. Rheault W, Albright B, Byers C, et al. Intertester reliability of the cervical range of motion device. J Orthop Sports Phys Ther. 1992;15:147–150
  41. Malmstrom EM, Karlberg M, Melander A, Magnusson M. Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer/compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability. Spine. 2003;28:E433–440
  42. Bush KW, Collins N, Portman L, Tillett N. Validity and Intertester Reliability of Cervical Range of Motion Using Inclinometer Measurements. J ManManipulative Ther. 2000;8:52–61
  43. Pile K, Laurent M, Salmond C, Best M, Pyle E, Moloney R. Clinical assessment of ankylosing spondylitis: a study of observer variation in spinal measurements. Br J Rheumatol. 1991;30:29–34
  44. Bulgheroni M, Antonaci F, Ghirmai S, Sandrini G, Nappi G, Pedotti A. A 3D kinematic method for evaluating voluntary movements of the cervical spine in humans. Funct Neurol. 1998;13:239–245
  45. Antonaci F, Bulgheroni M, Ghirmai S, et al. 3D kinematic analysis and clinical evaluation of neck movements in patients with whiplash injury. Cephalalgia. 2002;22:533–542
  46. Christensen H, Nilsson N. The reliability of measuring active and passive cervical range of motion: an observer-blinded and randomized repeated-measures design. J Manipulative Physiol Ther. 1998;21:341–347
  47. Lantz CA, Chen J, Buch D. Clinical validity and stability of active and passive cervical range of motion with regard to total and unilateral uniplanar motion. Spine. 1999;24:1082–1089
  48. Mannion A, Klein G, Dvorak J, Lanz C. Range of global motion of the cervical spine: intraindividual reliability and the influence of measurement device. Eur Spine J. 2000;9:379–385
  49. Petersen C, Johnson R, Schuit D. Reliability of cervical range of motion using the OSI CA 6000 spine motion analyser on asymptomatic and symptomatic subjects. Man Ther. 2000;5:82–88
  50. Petersen C, Schuit D, Johnson R, Knecht H, Levine P. Agreement of measures obtained radiographically and by the OSI CA-6000 Spine Motion Analyzer for cervical spinal motion. Man Ther. 2008;13:200–205
  51. Chiu T, Sing K. Evaluation of cervical range of motion and isometric neck muscle strength: reliability and validity. Clin Rehabil. 2002;16:851–858
  52. Haywood K, Garratt A, Jordan K, Dziedzic K, Dawes P. Spinal mobility in ankylosing spondylitis: reliability, validity and responsiveness. Rheumatology (Oxford). 2004;43:750–757
  53. Cagnie B, Cools A, De Loose V, Cambier D, Danneels L. 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. J Manipulative Physiol Ther. 2007;30:450–455
  54. Dvir Z, Gal-Eshel N, Shamir B, Prushansky T, Pevzner E, Peretz C. Cervical motion in patients with chronic disorders of the cervical spine: a reproducibility study. Spine. 2006;31:E394–E399
  55. Strimpakos N, Sakellari V, Gioftsos G, et al. Cervical spine ROM measurements: optimizing the testing protocol by using a 3D ultrasound-based motion analysis system. Cephalalgia. 2005;25:1133–1145
  56. Bertilson B, Grunnesjö M, Strender L. Reliability of clinical tests in the assessment of patients with neck/shoulder problems-impact of history. Spine. 2003;28:2222–2231
  57. Viikari-Juntura E. Interexaminer reliability of observations in physical examinations of the neck. Phys Ther. 1987;67:1526–1532
  58. Fjellner A, Bexander C, Faleij R, Strender L. Interexaminer reliability in physical examination of the cervical spine. J Manipulative Physiol Ther. 1999;22:511–516
  59. Hoppenbrouwers M, Eckhardt M, Verkerk K, Verhagen A. Reproducibility of the measurement of active and passive cervical range of motion. J Manipulative Physiol Ther. 2006;29:363–367
  60. Pool J, Hoving J, de Vet H, van Mameren H, Bouter L. The interexaminer reproducibility of physical examination of the cervical spine. J Manipulative Physiol Ther. 2004;27:84–90
  61. Van Suijlekom H, De Vet H, Van Den Berg S, Weber W. Interobserver reliability in physical examination of the cervical spine in patients with headache. Headache. 2000;40:581–586
  62. Mayer T, Brady S, Bovasso E, Pope P, Gatchel R. Noninvasive measurement of cervical tri-planar motion in normal subjects. Spine. 1993;18:2191–2195
  63. Wolfenberger V, Bui Q, Batenchuk GA. comparison of methods of evaluating cervical range of motion. J Manipulative Physiol Ther. 2002;25:154–160
  64. Syed F, Oza A, Vanderby R, Heiderscheit B, Anderson PA. method to measure cervical spine motion over extended periods of time. Spine. 2007;32:2092–2098
  65. Alund M, Larsson S. Three-dimensional analysis of neck motion. A clinical method. Spine. 1990;15:87–91
  66. Hermann KM, Reese CS. Relationships among selected measures of impairment, functional limitation, and disability in patients with cervical spine disorders. Phys Ther. 2001;81:903–914
  67. Agarwal S, Allison G, Singer K. Validation of the spin-T goniometer, a cervical range of motion device. J Manipulative Physiol Ther. 2005;28:604–609
  68. Tousignant M, de Bellefeuille L, O'Donoughue S, Grahovac S. Criterion validity of the cervical range of motion (CROM) goniometer for cervical flexion and extension. Spine. 2000;25:324–330
  69. Tousignant M, Duclos E, Lafleche S, et al. Validity study for the cervical range of motion device used for lateral flexion in patients with neck pain. Spine. 2002;27:812–817
  70. Tousignant M, Smeesters C, Breton AM, Breton E, Corriveau H. 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;36:242–248
  71. Wang SF, Teng CC, Lin KH. Measurement of cervical range of motion pattern during cyclic neck movement by an ultrasound-based motion system. Man Ther. 2005;10:68–72
  72. Littlewood C, May S. Measurement of range of movement in the lumbar spine-what methods are valid? A systematic review. Physiotherapy. 2007;93:201–211
  73. May S, Littlewood C, Bishop A. Reliability of procedures used in the physical examination of non-specific low back pain: a systematic review. Aust J Physiother. 2006;52:91–102
  74. Dvir Z, Werner V, Peretz C. The effect of measurement protocol on active cervical motion in healthy subjects. Physiother Res Int. 2002;7:136–145
  75. Dvir Z, Penso-Zabludowski E. The effects of protocol and test situation on maximal vs. submaximal cervical motion: medicolegal implications. Int J Legal Med. 2003;117:350–355
  76. Association AM. Guides to the evaluation of permanent impairment. AMA: Chicago; 1993;

PII: S0161-4754(09)00321-2

doi: 10.1016/j.jmpt.2009.12.009

Journal of Manipulative and Physiological Therapeutics
Volume 33, Issue 2 , Pages 138-155 , February 2010

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