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Skordis C, Mavrogenis A, Georgoudis G. Reliability of the Moover® 3D Inertial Motion Sensor in Greek Patients With Chronic Neck Pain in a Primary Care Urban Setting. Cureus 2024; 16:e66336. [PMID: 39246866 PMCID: PMC11377830 DOI: 10.7759/cureus.66336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2024] [Indexed: 09/10/2024] Open
Abstract
Introduction Neck pain has a high lifetime prevalence and represents a significant health issue. Reduced active cervical range of motion (ACROM) has been found in neck pain patients. Inertial sensor technology can provide objective measurements to assess the impaired ACROM. Purpose Primarily, this study investigated the inter- and intra-rater reliability of the Moover® three-dimensional (3D) inertial motion sensor (Sensor Medica, Rome, Italy) in Greek patients with non-specific chronic neck pain. Secondly, the intra-rater reliability of the Neck Disability Index (NDI) was also assessed. Methods Fifty patients (18 males and 32 females) suffering from non-specific chronic neck pain participated in this study. Two physiotherapists measured separately each participant's ACROM in three planes, within a 48-hour period. The participants' position and the sequence and direction of the three cervical movements (cervical rotation, lateral flexion, and flexion-extension) were standardized. Results The inter-rater reliability intraclass correlation coefficient (ICC) values were good to excellent ranging from 0.77 to 0.95 for the first measurement and 0.85 to 0.95 for the second (p < 0.001). The intra-rater reliability ICC values were moderate to excellent ranging from 0.74 to 0.92 for the first rater and good to excellent ranging from 0.83 to 0.94 for the secondrater (p < 0.001). Intra-rater reliability of the overall NDI was indicated as good, and ICC was 0.80 (95%CI: 0.65-0.89; p < 0.001). ICC values for all sections were significant and ranged from 0.40 to 0.88. Conclusion This study showed the reliability of the Moover 3D inertial sensor for ACROM measurement in Greek patients with chronic neck pain. The NDI scale also showed good intra-rater reliability in the same sample. Both intra- and inter-rater reliability of the Moover 3D were proven to be acceptable over a 48-hour period. The specific sensor might have a potential application in a clinical setting.
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Affiliation(s)
- Charalampos Skordis
- Department of Physiotherapy and Musculoskeletal Physiotherapy Research Laboratory, University of West Attica (UNIWA), Athens, GRC
| | - Andreas Mavrogenis
- 1st Orthopedic Department, Attikon University General Hospital, National and Kapodistrian University of Athens, Athens, GRC
| | - George Georgoudis
- Department of Physiotherapy and Musculoskeletal Physiotherapy Research Laboratory, University of West Attica (UNIWA), Athens, GRC
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Wang J, Wang R, Zhao P, Han T, Cui X, He Y, Li M. The reliability and validity of a novel wearable inertial sensor to measure the cervical proprioception. Med Eng Phys 2024; 125:104125. [PMID: 38508802 DOI: 10.1016/j.medengphy.2024.104125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 12/29/2023] [Accepted: 02/15/2024] [Indexed: 03/22/2024]
Abstract
BACKGROUND Proprioceptive function assessment is crucial in clinical practice for patients with chronic non-specific neck pain (CNNP) as it is a major issue affecting their condition. PURPOSE To verify the reliability and validity of baiobit sensor in measuring the neck proprioceptive function of CNNP patients. METHODS Fifty-three CNNP patients were recruited (36 females, 17 males; age range 21-60 years) and were assessed for cervical joint position error by two blinded raters using the Baiobit sensor and laser pointer devices. The second measurement was conducted by the same rater 48 h later. Intra and inter-rater reliability of the Baiobit sensor was evaluated using the intra-class correlation coefficient (ICC), while the validity of the Baiobit sensor was established using the Spearman correlation coefficient. RESULTS The Baiobit sensor demonstrated moderate to excellent intra-rater reliability in flexion, extension, left lateral flexion, right lateral flexion, and right rotation (ICCs=0.71∼0.85, 95 %CIs: 0.50∼0.91), left-rotation shows poor to good intra-rater reliability (ICC=0.56, 95 %CI: 0.25∼0.75). The Baiobit sensor also demonstrated moderate to excellent inter-rater reliability in flexion, extension, left lateral flexion, right lateral flexion, and right rotation (ICCs=0.80∼0.88, 95 %CIs: 0.65∼0.91), left-rotation shows poor to good intra-rater reliability (ICC=0.59, 95 %CI: 0.29∼0.76). Validity analysis showed that the Baiobit sensor had a range of low to high validity (r = 0.46∼0.88) for measuring cervical proprioception function, with lower validity observed in the left flexion direction. The Baiobit showed good absolute reliability with low SEM and MDC90 values (0.35°∼2.42°). CONCLUSION The new device could be used as an alternative tool to evaluate neck proprioception.
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Affiliation(s)
- Jialin Wang
- Sports Rehabilitation Research Center, China Institute of Sport Science, 11 Gymnasium Road, Dongcheng District, Beijing, China
| | - Ruirui Wang
- College of Sports Medicine and Physical Therapy, Beijing Sport University, 48 Xinyi Road, Haidian District, Beijing, China
| | - Peng Zhao
- Sports Rehabilitation Research Center, China Institute of Sport Science, 11 Gymnasium Road, Dongcheng District, Beijing, China.
| | - Tianran Han
- Sports Rehabilitation Research Center, China Institute of Sport Science, 11 Gymnasium Road, Dongcheng District, Beijing, China
| | - Xinwen Cui
- Sports Rehabilitation Research Center, China Institute of Sport Science, 11 Gymnasium Road, Dongcheng District, Beijing, China
| | - Yuwei He
- College of Sports Medicine and Physical Therapy, Beijing Sport University, 48 Xinyi Road, Haidian District, Beijing, China
| | - Meng Li
- College of Sports Medicine and Physical Therapy, Beijing Sport University, 48 Xinyi Road, Haidian District, Beijing, China
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Reliability and Validity of A Novel Device for Evaluating the Cervical Proprioception. Pain Ther 2023; 12:671-682. [PMID: 36867364 PMCID: PMC10199988 DOI: 10.1007/s40122-023-00487-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Accepted: 02/06/2023] [Indexed: 03/04/2023] Open
Abstract
INTRODUCTION In clinical practice, cervical proprioception is usually evaluated by calculating the cervical joint position error (JPE) with laser pointer devices (LPD) or cervical range-of-motion (CROM) instruments. As technology continues to improve, more and more advanced tools are used to evaluate cervical proprioception. The purpose of this study was to analyze the reliability and validity of the WitMotion sensor (WS) device in evaluating cervical proprioception, and to explore a cheaper, more convenient, and more practical testing tool. METHODS Twenty-eight healthy participants (16 women, 12 men; age 25-66 years) were recruited and evaluated for cervical joint position error with a WS and LPD by two independent observers. All participants repositioned their head to the target position and the deviation of repositioning was calculated using these two instruments. The intra- and inter-rater reliability of the instrument were determined by calculating the intraclass correlation coefficients (ICC), and the validity was analyzed by calculating the ICC and the Spearman's correlation. RESULTS The intra-rater reliability of the WS (ICCs = 0.682-0.774) was higher than that of the LPD (ICCs = 0.512-0.719) for measuring JPE of cervical flexion, right lateral flexion, and left rotation. However, the LPD (ICCs = 0.767-0.796) outperformed the WS (ICCs = 0.507-0.661) in cervical extension, left lateral flexion, and right rotation. For the inter-rater reliability, the ICC values obtained by the WS and the LPD were above 0.70 for all cervical movements except cervical extension and left lateral flexion (ICCs = 0.580-0.679). For the validity, the ICC values were moderate to good (ICCs > 0.614) for measuring JPE in all movements with the WS and the LPD. CONCLUSIONS Based on the high ICC values of reliability and validity, the novel device can be an alternative tool to evaluate cervical proprioception in clinical practice. TRIAL REGISTRATION This study was registered in the Chinese Clinical Trial Registry (ChiCTR2100047228).
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Onset and resolution failure of recurrent benign paroxysmal positional vertigo: the role of cervical range of motion. Eur Arch Otorhinolaryngol 2022; 279:2183-2192. [DOI: 10.1007/s00405-021-07226-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 12/17/2021] [Indexed: 11/03/2022]
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Rodríguez-Almagro D, Barassi G, Bertollo M, Obrero-Gaitán E, Di Iorio A, Prosperi L, Achalandabaso-Ochoa A, Lomas-Vega R, Ibáñez-Vera AJ. Manual Therapy Approach to the Extraocular Muscles in Migraine Treatment: A Preliminary Study. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2022; 1375:29-37. [DOI: 10.1007/5584_2021_704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Elizagaray-García I, Gil-Martínez A, Navarro-Fernández G, Navarro-Moreno AR, Sánchez-de-Toro-Hernández J, Díaz-de-Terán J, Lerma-Lara S. Inter, intra-examiner reliability and validity of inertial sensors to measure the active cervical range of motion in patients with primary headache. EXCLI JOURNAL 2021; 20:879-893. [PMID: 34177408 PMCID: PMC8222639 DOI: 10.17179/excli2021-3799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 05/05/2021] [Indexed: 11/17/2022]
Abstract
We analyzed the inter- and intra-examiner reliability of Werium inertial sensors and the cervical range of motion (CROM) instrument for the measurement of active CROM (AcROM) in patients with primary headache. Another objective is to analyze the validity of the inertial sensors (Werium). The literature has reported symptomatology features in patients diagnosed with primary headache similar to that of patients with cervicogenic headache. The International Classification of Headache (ICHD-III) established the presence of reduced AcROM as a diagnostic criterion for cervicogenic headache. Several instruments are used for this measurement, with limitations in their applicability in daily clinical practice. A prospective longitudinal repeated measures study was conducted to assess the intra- and inter-rater reliability and validity of Werium inertial sensors in 20 adults with chronic primary headache. For the inter-rater analysis, the intraclass correlation coefficient (ICC) values were above 0.75 for all movements, indicating a good level of reliability. For the intra-rater results, the ICC values obtained by the Werium inertial sensors for all cervical movements were good for rater A (ICC >0.80) and rater B (ICC >0.84). For the validity, the ICCs obtained by the Werium inertial sensors compared with the CROM instrument for all cervical movements were moderate for both raters (ICC > 0.70, respectively). Values obtained in the standard error of measurement, minimum detectable change at 90% and limits of agreement also indicated good agreement. Werium inertial sensors have shown good to excellent reliability results, both intra- and inter-examiner (ICC > 0.75). Likewise, when the sensors were compared with another validated instrument (CROM device) they obtained high reliability results (ICC > 0.70). These results plus its relatively low price and ease of use allow us to recommend it in daily clinical practice to measure AcROM in patients with chronic primary headache.
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Affiliation(s)
- Ignacio Elizagaray-García
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid. 28023 Madrid (Spain).,CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid (Spain).,Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid (Spain).,Instituto de Rehabilitación Funcional y Ciencias Aplicadas al Deporte (IRF-La Salle), Centro Superior Estudios Universitarios La Salle, Madrid, Spain
| | - Alfonso Gil-Martínez
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid. 28023 Madrid (Spain).,CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid (Spain).,Instituto de Rehabilitación Funcional y Ciencias Aplicadas al Deporte (IRF-La Salle), Centro Superior Estudios Universitarios La Salle, Madrid, Spain.,Instituto de Investigación Biosanitaria del Hospital Universitario La Paz, IdiPAZ, Madrid, Spain.,Unidad de Fisioterapia, Hospital Universitario La Paz, Madrid, Spain
| | - Gonzalo Navarro-Fernández
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid. 28023 Madrid (Spain).,CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid (Spain).,Instituto de Rehabilitación Funcional y Ciencias Aplicadas al Deporte (IRF-La Salle), Centro Superior Estudios Universitarios La Salle, Madrid, Spain
| | - Ana R Navarro-Moreno
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid. 28023 Madrid (Spain)
| | | | - Javier Díaz-de-Terán
- CranioSPain Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid (Spain).,Instituto de Investigación Biosanitaria del Hospital Universitario La Paz, IdiPAZ, Madrid, Spain.,Departamento de Neurología, Hospital Universitario La Paz, Madrid, Spain
| | - Sergio Lerma-Lara
- Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid. 28023 Madrid (Spain).,Motion in Brains Research Group, Centro Superior de Estudios Universitarios La Salle, 28023 Madrid (Spain).,Instituto de Rehabilitación Funcional y Ciencias Aplicadas al Deporte (IRF-La Salle), Centro Superior Estudios Universitarios La Salle, Madrid, Spain
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