Validity and Reliability of an Inertial Measurement Unit–based 3-Dimensional Angular Measurement of Cervical Range of Motion

  • Author Footnotes
    1 T-L. Yoon and H-N. Kim contributed equally to this work.
    Tae-Lim Yoon
    Footnotes
    1 T-L. Yoon and H-N. Kim contributed equally to this work.
    Affiliations
    Department of Physical Therapy, College of Health & Medical Sciences, Cheongju University, Cheongju, Chungcheongbuk-do, Korea
    Search for articles by this author
  • Author Footnotes
    1 T-L. Yoon and H-N. Kim contributed equally to this work.
    Han-Na Kim
    Footnotes
    1 T-L. Yoon and H-N. Kim contributed equally to this work.
    Affiliations
    Department of Dental Hygiene, College of Health & Medical Sciences, Cheongju University, Cheongju, Chungcheongbuk-do, Korea
    Search for articles by this author
  • Ji-Hyun Min
    Correspondence
    Corresponding author: Ji-Hyun Min, PhD, Department of Dental Hygiene (08- 116), College of Health & Medical Sciences, Cheongju University, 298, Daesung-Ro, Cheongwon-Gu, Cheongju, 363-764 Korea. Tel.: +82 10 6727 7038.
    Affiliations
    Department of Dental Hygiene, College of Health & Medical Sciences, Cheongju University, Cheongju, Chungcheongbuk-do, Korea
    Search for articles by this author
  • Author Footnotes
    1 T-L. Yoon and H-N. Kim contributed equally to this work.

      Abstract

      Objective

      This study aimed to assess the reliability and validity of an inertial measurement unit (IMU)–based 3-dimensional (3D) angular measurement system for evaluating cervical range of motion.

      Methods

      Thirty-three healthy participants (21.9 ± 2.1 years; 162.0 ± 6.0 cm; 55.8 ± 9.0 kg; 21.2 ± 2.4 kg/m2) were evaluated. Kinematic data of the cervical joints were simultaneously obtained using the IMU 3D angular, goniometer, and photographic measurements during cervical flexion (0°, 30°, and 50°), extension (30°, 50°), side-bending (0°, 20°, 40°), and rotation (45°). Test–retest reliability was investigated in each measurement method. Concurrent validity was assessed with the direct comparison between the IMU 3D angular measurement and other methods.

      Results

      The IMU 3D angular measurement showed mostly good to high test–retest reliability with relatively small standard error of measurement and the minimal detectable change values. The concurrent validity of IMU 3D angular measurements in the cervical range of motion was mostly reasonable. However, the measurement bias between the 2 methods tended to be larger at the end range of each plane.

      Conclusion

      Using the IMU 3D angular measurement in cervical spine is recommended because of its mostly good to high reliability and reasonable validity. However, using the IMU 3D angular measurement at the end range of each plane should be carefully considered owing to the poorer validity.

      Key Indexing Terms

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