Context: Technological advances have given smartphones the capabilities of sensitive clinical measurement equipment at lesser cost and higher availability. The Clinometer is a smartphone application that can be used to measure the joint range of motion in a clinical setting, but psychometric properties of the tool’s use measuring cervical range of motion (CROM) are not established. Objectives: The purpose of this study was to examine the validity and intrarater reliability of the Clinometer application for the measurement of CROM (ie, flexion, extension, rotation, lateral flexion) and to determine the minimal detectable change and SEM. Design: A blinded, repeated-measures correlational design was employed. Setting: The study was conducted collaboratively between 2 athletic training clinics. Participants: A convenience sample of healthy adults ages 18–30 years were recruited. Participants with any history in the last 3 months of cervical or thoracic pathology, pain, or any musculoskeletal injury were excluded. Main Outcome Measures: Three repetitions of each motion were measured by a primary researcher with a goniometer. The same researcher then conducted 3 blinded measurements with the Clinometer application following the same procedure. A second researcher, blinded to the goniometer measurements, recorded the results. Thirty minutes later, testing was repeated with the application. The Pearson correlation was calculated to determine validity of the application compared with goniometry. Results: The measurements between devices had moderate to excellent concurrent validity, with the coefficients ranging between 0.544 and 0.888, P < .01. Test–retest reliability of the CROM measurement using the application was moderate to excellent, with intraclass correlation coefficients ranging between .774 and .928. Across all movements, the SEM ranged from 1.17° to 2.01°, and the minimal detectable change ranged from 1.18° to 2.02°. Conclusion: The Clinometer application is a valid and reliable instrument for measuring active CROM. Level of evidence: clinical measurement, level 1b.

INTRODUCTION:Exercise is Medicine On Campus (EIM-OC) is a global initiative to promote physical activity among college students through collaboration between campus healthcare providers and EIM-OC professionals and has been a success at the University of North Carolina (UNC). With the advent of COVID-19 the University of North Carolina (UNC), like many other campuses, had to adapt to ensure continued success of EIM-OC. PURPOSE: Illustrate the three main changes EIM-OC members facilitated to the normal EIM process: ii) consultations with participants were moved from a physical location to a virtual platform and ii) alternative and accessible resources were identified, including in participants home towns; iii) novel strategies were adopted by the EIM-OC team to continue to educate health care providers about the importance of exercise. DISCUSSION: EIM-OC experienced an increase in referrals and follow-up meetings despite challenges presented by the COVID-19 pandemic closures. In particular, the change to virtual consultations was well-received by participants, possibly due to a lack of commute time, a less intimidating format or more flexibility in scheduling. Participants in EIM-OC still received tailored resource recommendations, including at-home workouts from on-demand and apps, local trails for outdoor exercise and guides to using virtual campus recreation activities. CONCLUSIONS: Following adaptations to the traditional EIM-OC process, referral and follow-up numbers increased compared to those prior to the pandemic. Physical activity recommendations can be modified successfully despite fitness facility closures and exercise access challenges associated with students living remotely. Remaining up to date on campus fitnessopportunities, researching high-quality fitness applications with live and on-demand features, and finding local socially-distant physical activities outdoors have enabled UNC students to remain active during the pandemic. Therefore, such changes could be implemented to other institutions to maintain physical activity among the college student body.