Validity and reliability of two Smartphone applications to measure the lower and upper cervical spine range of motion in subjects with chronic cervical pain

Rodríguez-Sanz, Jacobo; Carrasco‐Uribarren, Andoni; Cabanillas‐Barea, Sara; Hidalgo-García, César; Fanlo-Mazas, Pablo; Lucha-López, María Orosia; Tricás-Moreno, José Miguel

doi:10.3233/bmr-181260

Cited by 23 publications

(33 citation statements)

References 25 publications

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“…Chronic neck pain is one of the most prevalent pathologies nowadays, accounting for 14.6% of all musculoskeletal health problems [1]. It is estimated that 50% of all adults experience some kind of neck pain at some point each year [2].…”

Section: Introductionmentioning

confidence: 99%

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Rodríguez-Sanz

Malo-Urriés

Corral-de-Toro

et al. 2020

IJERPH

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Chronic neck pain is one of today’s most prevalent pathologies. The International Classification of Diseases categorizes four subgroups based on patients’ associated symptoms. However, this classification does not encompass upper cervical spine dysfunction. The aim is to compare the short- and mid-term effectiveness of adding a manual therapy approach to a cervical exercise protocol in patients with chronic neck pain and upper cervical spine dysfunction. Fifty-eight subjects with chronic neck pain and upper cervical spine dysfunction were recruited (29 = Manual therapy + Exercise; 29 = Exercise). Each group received four 20-min sessions, one per week during four consecutive weeks, and a home exercise regime. Upper flexion and flexion-rotation test range of motion, neck disability index, craniocervical flexion test, visual analogue scale, pressure pain threshold, global rating of change scale, and adherence to self-treatment were assessed at the beginning, end of the intervention and at 3- and 6-month follow-ups. The Manual therapy + Exercise group statistically improved short- and medium-term in all variables compared to the Exercise group. Four 20-min sessions of Manual therapy + Exercise along with a home-exercise program is more effective in the short- to mid-term than an exercise protocol and a home-exercise program for patients with chronic neck pain and upper cervical dysfunction.

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Section: Introductionmentioning

confidence: 99%

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Rodríguez-Sanz

Malo-Urriés

Corral-de-Toro

et al. 2020

IJERPH

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“…They are practical for measuring a long period of movements, complicated movements, and movements outdoors or over varied terrain (Del Rosario, Redmond & Lovell, 2015). Most mobile technology today comes installed with a three-dimensional accelerometer, gyroscope, and a compass with sensitivity comparable to that of research-grade biomechanical equipment (Capecci et al, 2016; Rodriguez-Sanz et al, 2018). Using a smartphone as a testing device for movement velocity has become an appealing option for researchers, coaches, and clinicians (Bilney, Morris & Webster, 2003; Cruvinel-Cabral et al, 2018; Silsupadol, Teja & Lugade, 2017).…”

Section: Introductionmentioning

confidence: 99%

Test-retest reliability of a smartphone app for measuring core stability for two dynamic exercises

Guillén-Rogel

Franco-Escudero

Marín³

2019

PeerJ

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Background Recently, there has been growing interest in using smartphone applications to assess gait speed and quantify isometric core stability exercise intensity. The purpose of this study was to investigate the between-session reliability and minimal detectable change of a smartphone app for two dynamic exercise tests of the lumbopelvic complex. Methods Thirty-three healthy young and active students (age: 22.3 ± 5.9 years, body weight: 66.9 ± 11.3 kg, height: 167.8 ± 10.3 cm) participated in this study. Intraclass correlation coefficient (ICC), coefficient of variation (%CV), and Bland–Altman plots were used to verify the reliability of the test. The standard error of measurement (SEM) and the minimum detectable difference (MDD) were calculated for clinical applicability. Results The ICCs ranged from 0.73 to 0.96, with low variation (0.9% to 4.8%) between days of assessments. The Bland–Altman plots and one-sample t-tests (p > 0.05) indicated that no dynamic exercise tests changed systematically. Our analyses showed that SEM 0.6 to 1.5 mm/s-2) and MDD (2.1 to 3.5 mm/s-2). Conclusion The OCTOcore app is a reliable tool to assess core stability for two dynamic exercises. A minimal change of 3.5 mm/s-2 is needed to be confident that the change is not a measurement error between two sessions.

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“…In addition, co-morbidities, medications, special questions (red flags such as weight loss, spinal cord signs, vertebral artery) and sleeping behavior (numeric rating scale, 0 = good sleep; 10 = poor sleep) will be documented. The physical examination includes active (using a goniometer app [35,53,54]) and passive (examination of stiffness and pain [55]) movements of the cervical spine and shoulders. A thorough bedside neurological examination (BNE) will test the neurological integrity, including myotomal strength and reflex testing and sensory testing (soft touch, pinprick, warm/cold detection, cold hypersensitivity and vibration detection) [56][57][58].…”

Section: Plos Onementioning

confidence: 99%

Application and utility of a clinical framework for spinally referred neck-arm pain: A cross-sectional and longitudinal study protocol

Kapitza

Luedtke²,

Tampin

et al. 2020

PLoS ONE

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Background The clinical presentation of neck-arm pain is heterogeneous with varying underlying pain types (nociceptive/neuropathic/mixed) and pain mechanisms (peripheral/central sensitization). A mechanism-based clinical framework for spinally referred pain has been proposed, which classifies into (1) somatic pain, (2) neural mechanosensitivity, (3) radicular pain, (4) radiculopathy and mixed pain presentations. This study aims to (i) investigate the application of the clinical framework in patients with neck-arm pain, (ii) determine their somatosensory, clinical and psychosocial profile and (iii) observe their clinical course over time. Method We describe a study protocol. Patients with unilateral neck-arm pain (n = 180) will undergo a clinical examination, after which they will be classified into subgroups according to the proposed clinical framework. Standardized quantitative sensory testing (QST) measurements will be taken in their main pain area and contralateral side. Participants will have to complete questionnaires to assess function (Neck Disability Index), psychosocial factors (Tampa Scale of Kinesiophobia, Pain Catastrophizing Scale, Depression, anxiety and stress scale), neuropathic pain (Douleur Neuropathique 4 Questions, PainDETECT Questionnaire) and central sensitization features (Central Sensitization Inventory). Follow-ups at three, six and 12 months include the baseline questionnaires. The differences of QST data and questionnaire outcomes between and within groups will be analyzed using (M)AN(C)OVA and/or regression models. Repeated measurement analysis of variance or a linear mixed model will be used to calculate the differences between three, six, and 12 months outcomes. Multiple regression models will be used to analyze potential predictors for the clinical course. Conclusion The rationale for this study is to assess the usability and utility of the proposed clinical framework as well as to identify possible differing somatosensory and psychosocial phenotypes between the subgroups. This could increase our knowledge of the underlying pain mechanisms. The longitudinal analysis may help to assess possible predictors for pain persistency.

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Validity and reliability of two Smartphone applications to measure the lower and upper cervical spine range of motion in subjects with chronic cervical pain

Cited by 23 publications

References 25 publications

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Does the Addition of Manual Therapy Approach to a Cervical Exercise Program Improve Clinical Outcomes for Patients with Chronic Neck Pain in Short- and Mid-Term? A Randomized Controlled Trial

Test-retest reliability of a smartphone app for measuring core stability for two dynamic exercises

Application and utility of a clinical framework for spinally referred neck-arm pain: A cross-sectional and longitudinal study protocol

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