A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study
Abstract Background The craniocervical flexion test (CCFT) is recommended when examining patients with neck pain related conditions and as a deep cervical retraining exercise option. During the execution of the CCFT the examiner should visually assess that the amount of craniocervical flexion range...
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doaj-559bbb8965cc4f5eb2fd844d48c930982020-11-25T04:12:26ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032020-11-0117111010.1186/s12984-020-00784-1A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational studyTomás Pérez-Fernández0Susan Armijo-Olivo1Sonia Liébana2Pablo José de la Torre Ortíz3Josué Fernández-Carnero4Rafael Raya5Aitor Martín-Pintado-Zugasti6Departamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU UniversitiesFaculty of Business and Social Sciences, University of Applied SciencesDepartamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU UniversitiesDepartamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU UniversitiesDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos UniversityDepartmento de Ingeniería de Sistemas de Información, Universidad San Pablo-CEU, CEU UniversitiesDepartamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU UniversitiesAbstract Background The craniocervical flexion test (CCFT) is recommended when examining patients with neck pain related conditions and as a deep cervical retraining exercise option. During the execution of the CCFT the examiner should visually assess that the amount of craniocervical flexion range of motion (ROM) progressively increases. However, this task is very subjective. The use of inertial wearable sensors may be a user-friendly option to measure and objectively monitor the ROM. The objectives of our study were (1) to measure craniocervical flexion range of motion (ROM) associated with each stage of the CCFT using a wearable inertial sensor and to determine the reliability of the measurements and (2) to determine craniocervical flexion ROM targets associated with each stage of the CCFT to standardize their use for assessment and training of the deep cervical flexor (DCF) muscles. Methods Adults from a university community able to successfully perform the CCFT participated in this study. Two independent examiners evaluated the CCFT in two separate sessions. During the CCFT, a small wireless inertial sensor was adhered to the centre of the forehead to provide real-time monitoring and to record craniocervical flexion ROM. The intra- and inter-rater reliability of the assessment of craniocervical ROM was calculated. This study was approved by the Research Ethics Committee of CEU San Pablo University (236/17/08). Results Fifty-six participants (18 males, 23 females; mean [SD] age, 21.8 [3.45] years) were included in the study and successfully completed the study protocol. All interclass correlation coefficient (ICC) values indicated good or excellent reliability of the assessment of craniocervical ROM using a wearable inertial sensor. There was high variability between subjects on the amount of craniocervical ROM necessary to achieve each stage of the CCFT. Conclusions The use of inertial sensors is a reliable method to measure the craniocervical flexion ROM associated with the CCFT. The great variability in the ROM limits the possibility to standardize a set of targets of craniocervical flexion ROM equivalent to each of the pressure targets of the pressure biofeedback unit.http://link.springer.com/article/10.1186/s12984-020-00784-1Movement disordersNeck musclesNeck painTemporomandibular joint disordersReproducibilityExercise |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tomás Pérez-Fernández Susan Armijo-Olivo Sonia Liébana Pablo José de la Torre Ortíz Josué Fernández-Carnero Rafael Raya Aitor Martín-Pintado-Zugasti |
spellingShingle |
Tomás Pérez-Fernández Susan Armijo-Olivo Sonia Liébana Pablo José de la Torre Ortíz Josué Fernández-Carnero Rafael Raya Aitor Martín-Pintado-Zugasti A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study Journal of NeuroEngineering and Rehabilitation Movement disorders Neck muscles Neck pain Temporomandibular joint disorders Reproducibility Exercise |
author_facet |
Tomás Pérez-Fernández Susan Armijo-Olivo Sonia Liébana Pablo José de la Torre Ortíz Josué Fernández-Carnero Rafael Raya Aitor Martín-Pintado-Zugasti |
author_sort |
Tomás Pérez-Fernández |
title |
A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study |
title_short |
A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study |
title_full |
A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study |
title_fullStr |
A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study |
title_full_unstemmed |
A novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study |
title_sort |
novel use of inertial sensors to measure the craniocervical flexion range of motion associated to the craniocervical flexion test: an observational study |
publisher |
BMC |
series |
Journal of NeuroEngineering and Rehabilitation |
issn |
1743-0003 |
publishDate |
2020-11-01 |
description |
Abstract Background The craniocervical flexion test (CCFT) is recommended when examining patients with neck pain related conditions and as a deep cervical retraining exercise option. During the execution of the CCFT the examiner should visually assess that the amount of craniocervical flexion range of motion (ROM) progressively increases. However, this task is very subjective. The use of inertial wearable sensors may be a user-friendly option to measure and objectively monitor the ROM. The objectives of our study were (1) to measure craniocervical flexion range of motion (ROM) associated with each stage of the CCFT using a wearable inertial sensor and to determine the reliability of the measurements and (2) to determine craniocervical flexion ROM targets associated with each stage of the CCFT to standardize their use for assessment and training of the deep cervical flexor (DCF) muscles. Methods Adults from a university community able to successfully perform the CCFT participated in this study. Two independent examiners evaluated the CCFT in two separate sessions. During the CCFT, a small wireless inertial sensor was adhered to the centre of the forehead to provide real-time monitoring and to record craniocervical flexion ROM. The intra- and inter-rater reliability of the assessment of craniocervical ROM was calculated. This study was approved by the Research Ethics Committee of CEU San Pablo University (236/17/08). Results Fifty-six participants (18 males, 23 females; mean [SD] age, 21.8 [3.45] years) were included in the study and successfully completed the study protocol. All interclass correlation coefficient (ICC) values indicated good or excellent reliability of the assessment of craniocervical ROM using a wearable inertial sensor. There was high variability between subjects on the amount of craniocervical ROM necessary to achieve each stage of the CCFT. Conclusions The use of inertial sensors is a reliable method to measure the craniocervical flexion ROM associated with the CCFT. The great variability in the ROM limits the possibility to standardize a set of targets of craniocervical flexion ROM equivalent to each of the pressure targets of the pressure biofeedback unit. |
topic |
Movement disorders Neck muscles Neck pain Temporomandibular joint disorders Reproducibility Exercise |
url |
http://link.springer.com/article/10.1186/s12984-020-00784-1 |
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