Reliability, construct and discriminative validity of clinical testing in subjects with and without chronic neck pain
René Jørgensen,René Jørgensen,Inge Ris,Deborah Falla,Birgit Juul-Kristensen,Birgit Juul-Kristensen +5 more
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TLDR
The majority of the tests evaluated showed satisfactory reliability and construct validity supporting their use in the clinical evaluation of patients with chronic neck pain, however, differences were within the limits of the minimal detectable change.Abstract:
The reliability of clinical tests for the cervical spine has not been adequately evaluated. Six cervical clinical tests, which are low cost and easy to perform in clinical settings, were tested for intra- and inter-examiner reliability, and two performance tests were assessed for test-retest reliability in people with and without chronic neck pain. Moreover, construct and between-group discriminative validity of the tests were examined. Twenty-one participants with chronic neck pain and 21 asymptomatic participants were included. Intra- and inter-reliability were evaluated for the Cranio-Cervical Flexion Test (CCFT), Range of Movement (ROM), Joint Position Error (JPE), Gaze Stability (GS), Smooth Pursuit Neck Torsion Test (SPNTT), and neuromuscular control of the Deep Cervical Extensors (DCE). Test-retest reliability was assessed for Postural Control (SWAY) and Pressure Pain Threshold (PPT) over tibialis anterior, infraspinatus and the C3-C4 segment. Intraclass Correlation Coefficient (ICC) for intra- and inter-examiner reliability was highest for ROM (range: 0.80 to 0.94), DCE (0.75 to 0.90) and CCFT (0.63 to 0.86). JPE had the lowest ICC (0.02 to 0.66). Intra- and inter-reliability for GS and SPNTT showed kappa ranging from 0.66 to 0.92, and 0.57 to 0.78 (prevalence adjusted), respectively. For the test-retest study, ICC was 0.83 to 0.89 for PPT and 0.39 to 0.79 for SWAY. Construct validity was satisfactory for all tests, except JPE. Significant between group discriminative validity was found for CCFT, ROM, GS, SPNTT and PPT, however, differences were within the limits of the minimal detectable change. The majority of the tests evaluated showed satisfactory reliability and construct validity supporting their use in the clinical evaluation of patients with chronic neck pain.read more
Citations
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Myoelectric manifestations of sternocleidomastoid and anterior scalene muscle fatigue in chronic neck pain patients
TL;DR: A predominance of type-II fibres in the neck pain patients and/or greater fatigability of the superficial cervical flexors in neckPain patients are suggested.
Journal ArticleDOI
Does increased superficial neck flexor activity in the craniocervical flexion test reflect reduced deep flexor activity in people with neck pain
Gwendolen Jull,Deborah Falla +1 more
TL;DR: The results affirm the interpretation that higher levels of activity of the superficial flexor muscles are an indicator of reduced deep cervical flexor activity in the craniocervical flexion test.
Journal ArticleDOI
Generalized Hyperalgesia in Children and Adults Diagnosed With Hypermobility Syndrome and Ehlers-Danlos Syndrome Hypermobility Type: A Discriminative Analysis
Mark Scheper,Verity Pacey,Lies Rombaut,Roger Adams,Louise Tofts,Patrick Calders,Leslie L. Nicholson,Raoul H.H. Engelbert +7 more
TL;DR: Whether generalized hyperalgesia is present in children with hypermobility syndrome (HMS)/EDS‐HT, explore potential differences in pressure‐pain thresholds between children and adults with HMS/EDS-HT, and determine the discriminative value of generalized hyperAlgesia are determined.
Journal ArticleDOI
Does a combination of physical training, specific exercises and pain education improve health-related quality of life in patients with chronic neck pain? A randomised control trial with a 4-month follow up.
Inge Ris,Inge Ris,Karen Søgaard,Bibi Gram,Karina Agerbo,Eleanor Boyle,Eleanor Boyle,Birgit Juul-Kristensen,Birgit Juul-Kristensen +8 more
TL;DR: This multi-modal intervention may be an effective intervention for chronic neck pain patients and show statistically significant improvement in physical HR-QoL, mentalHR-QOL, depression, cervical pressure pain threshold, cervical extension movement, muscle function, and oculomotion.
Journal ArticleDOI
Chronic neck pain patients with traumatic or non-traumatic onset: Differences in characteristics. A cross-sectional study
Inge Ris,Inge Ris,Birgit Juul-Kristensen,Birgit Juul-Kristensen,Eleanor Boyle,Eleanor Boyle,Alice Kongsted,Claus Manniche,Karen Søgaard +8 more
TL;DR: This study showed significant differences between chronic neck pain patients when differentiated into groups based on their onset of pain, however, no specific clinical test or self-reported characteristic could differentiate between the groups at an individual patient level.
References
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Journal ArticleDOI
The measurement of observer agreement for categorical data
J. R. Landis,Gary G. Koch +1 more
TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
Journal ArticleDOI
Statistical methods for assessing agreement between two methods of clinical measurement.
TL;DR: An alternative approach, based on graphical techniques and simple calculations, is described, together with the relation between this analysis and the assessment of repeatability.
Book
The design and analysis of clinical experiments
TL;DR: The Parallel Groups Design as mentioned in this paper is a special case of the Parallel Groups Study, and it is used to control for prognostic variables in linear regression analysis of linear regressions of linear models.