Reproducibility of the cervical range of motion (CROM) device for individuals with sub-acute whiplash associated disorders

Williams, Mark A.; Williamson, Esther; Gates, Simon; Cooke, Matthew

doi:10.1007/s00586-011-2096-8

Cited by 48 publications

(38 citation statements)

References 24 publications

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“…The amount of the active cervical range of motion (CROM) in both the horizontal and vertical planes was also measured before and after an intervention using the CROM measurement device (Performance Attainments Associates, USA; http://www.spineproducts.com/) (Williams et al 2012). The CROM device consists of two gravity dependent goniometers and one compass dial on a head-mounted frame allowing measurement of ROM in three planes.…”

Section: Methodsmentioning

confidence: 99%

The influence of cervical movement on eye stabilization reflexes: a randomized trial

Ischebeck

Vries

Wingerden³

et al. 2017

Exp Brain Res

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To investigate the influence of the amount of cervical movement on the cervico-ocular reflex (COR) and vestibulo-ocular reflex (VOR) in healthy individuals. Eye stabilization reflexes, especially the COR, are changed in neck pain patients. In healthy humans, the strength of the VOR and the COR are inversely related. In a cross-over trial the amplitude of the COR and VOR (measured with a rotational chair with eye tracking device) and the active cervical range of motion (CROM) was measured in 20 healthy participants (mean age 24.7). The parameters were tested before and after two different interventions (hyperkinesia: 20 min of extensive active neck movement; and hypokinesia: 60 min of wearing a stiff neck collar). In an additional replication experiment the effect of prolonged (120 min) hypokinesia on the eye reflexes were tested in 11 individuals. The COR did not change after 60 min of hypokinesia, but did increase after prolonged hypokinesia (median change 0.220; IQR 0.168, p = 0.017). The VOR increased after 60 min of hypokinesia (median change 0.155, IQR 0.26, p = 0.003), but this increase was gone after 120 min of hypokinesia. Both reflexes were unaffected by cervical hyperkinesia. Diminished neck movements influences both the COR and VOR, although on a different time scale. However, increased neck movements do not affect the reflexes. These findings suggest that diminished neck movements could cause the increased COR in patients with neck complaints.

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Section: Methodsmentioning

confidence: 99%

The influence of cervical movement on eye stabilization reflexes: a randomized trial

Ischebeck

Vries

Wingerden³

et al. 2017

Exp Brain Res

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“…At 12 months' follow-up, 25% in NSE, 34% in NSEB and 42% in the PPA group reported they trained completely or almost completely according to their exercise program and 54% (NSE) respectively 35% (NSEB and PPA) trained to some extent (p = .09). Of the total group (n = 216), individuals below the cut-off reference values in NME, AROM and grip strength had signi cantly higher NDI at baseline compared with those in line with or above the reference values: below the reference values, NDI median 34 Table 2. In dorsal NME, there were signi cant between-group differences: both females and males improved in the NSE and NSEB groups compared to the PPA group (F = 3.6, p < .01).…”

Section: Resultsmentioning

confidence: 99%

“…Ventral NME was tested rst with the patient supine, positioned with straight legs, arms alongside the body, and head and cervical spine in a neutral position. The participants were given instructions to nod slightly, retract their chin, and raise their head just above the examination (34). The participants were sitting upright with neutral pelvic position, hips and knees at 90° and arms resting in the lap.…”

Section: Neck Muscle Endurance (Nme)mentioning

confidence: 99%

Randomized controlled trial of exercise interventions for chronic whiplash-associated disorders: One-year follow-up of the effect on neck muscle endurance, active cervical range of motion and grip strength.

Peterson

Ludvigsson

Peolsson³

2020

Preprint

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Abstract Background: Years after whiplash injury, more than 40 % of people experience persistent neck pain and disability, called whiplash-associated disorders (WAD). The relations between neck related function, neck pain and disability are inconclusive and need to be further investigated. The aims were; a) to compare the effect of three different exercise interventions – neck-specific exercise (NSE), NSE with a behavioral approach (NSEB) and prescribed physical activity (PPA) – on neck-muscle endurance (NME), active cervical range of motion (AROM), grip strength and pain intensity immediately before and after the tests, and b) to compare neck-disability in individuals who are below or above the cut-off for normative reference values of healthy individuals regarding NME, AROM and grip strength.Methods: This is a secondary analysis of a randomized controlled multicenter study including 12 months’ follow-up. A total of 216 individuals with chronic WAD grades II or III were recruited. Data were recorded at baseline, 3, 6, and 12 months. Linear mixed models were used and sub-group analyses were evaluated with non-parametric tests.Results: NSE and NSEB resulted in greater improvements compared to PPA (p < .01) and were maintained at 12 months’ follow-up in ventral (only males) and dorsal NME, AROM and pain intensity during testing. In grip strength, there were no significant between-group differences (p > 0.05). There were no significant differences between the NSE and NSEB groups (p > .05). Sub-group analyses revealed improvement in disability at 12 months follow-up in NSE and/or NSEB for individuals both below and above the cut-off reference value in NME and AROM. More severe disability was seen in individuals below the reference values both at baseline and 12 months’ follow-up. Individuals in the PPA group below the reference values in NME and AROM reported increasing disability at 12 months compared to baseline.Conclusion: The results suggest that neck-specific exercises (NSE, NSEB) improved clinical function and decreased disability in chronic WAD compared to PPA. The results may imply that higher neck-related clinical function can be important for reduced disability. Trial Registration: ClinicalTrials.gov: NCT01528579, date of registration: February 8, 2012, retrospectively registered; https://clinicaltrials.gov/ct2/show/NCT0152857

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“…We used a goniometer with established validity and reliability to measure active CROM. 12,[23][24][25][26] The researcher demonstrated the required movements before each measurement.…”

Section: The Crom Instrumentmentioning

confidence: 99%

Patient's Subjective Impression of Cervical Range of Motion

Langenfeld

Bastiaenen

Sieben

et al. 2018

Spine

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Reproducibility of the cervical range of motion (CROM) device for individuals with sub-acute whiplash associated disorders

Cited by 48 publications

References 24 publications

The influence of cervical movement on eye stabilization reflexes: a randomized trial

The influence of cervical movement on eye stabilization reflexes: a randomized trial

Randomized controlled trial of exercise interventions for chronic whiplash-associated disorders: One-year follow-up of the effect on neck muscle endurance, active cervical range of motion and grip strength.

Patient's Subjective Impression of Cervical Range of Motion

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