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Spinal mobility: sagittal range of motion measured with the SpinalMouse, a new non-invasive device

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Abstract

Introduction

In this paper the SpinalMouse, a new computerised external device for measuring sagittal spinal range of motion (ROM), was tested for inter-rater reliability and use in clinical practice.

Materials and methods

To assess inter-rater reliability, two investigators each measured 111 subjects.

Results

Correlation coefficients were found to be r=0.90 for flexion, r=0.85 for extension and r=0.90 for total inclination. Intra-class coefficients were 0.95 for flexion, 0.92 for extension and 0.95 for total inclination. A poor agreement (kappa=0.22) was found for the presence of outliers from normal values for intersegmental ROM.

Conclusion

We conclude the device is a useful, reliable tool for measuring sagittal spinal ROM in clinical practice, considering the small load it confers on patients and the short amount of time the measurement involves. The SpinalMouse might be more accurate after following the recommendations we make.

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References

  1. Chen SP, Samo DG, Chen EH, Crampton AR, Conrad KM, Egan L, Mitton J (1997) Reliability of three lumbar sagittal motion measurement methods: surface inclinometers. J Occup Environ Med 39:217–223

    CAS  PubMed  Google Scholar 

  2. Chiou WK, Lee YH, Chen WJ, Lin YH (1996) A non invasive protocol for the determination of lumbar spine mobility. Clin Biomech 11:474–480

    Article  Google Scholar 

  3. Dillard J, Trafimow J, Andersson GB, Cronin K (1991) Motion of the lumbar spine. Reliability of two measurement techniques. Spine 16:321–324

    CAS  PubMed  Google Scholar 

  4. Dodd CA, Fergusson CM, Pearcy MJ, Houghton GR (1986) Vertebral motion measured using biplanar radiography before and after Harrington rod removal for unstable thoracolumbar fractures of the spine. Spine 11:452–455

    CAS  PubMed  Google Scholar 

  5. Dopf CA, Mandel SS, Geiger DF, Mayer PJ (1994) Analysis of spine motion variability using a computerized goniometer compared to physical examination. A prospective clinical study. Spine 19:586–595

    CAS  PubMed  Google Scholar 

  6. Johnsson R, Selvik G, Stromqvist B, Sunden G (1990) Mobility of the lower lumbar spine after posterolateral fusion determined by roentgen stereophotogrammetric analysis. Spine 15:347–350

    CAS  PubMed  Google Scholar 

  7. Keeley J, Mayer TG, Cox R, Gatchel RJ, Smith J, Mooney V (1986) Quantification of lumbar function. Part 5. Reliability of range-of-motion measures in the sagittal plane and an in vivo torso rotation measurement technique. Spine 11:31–35

    CAS  PubMed  Google Scholar 

  8. Knop C, Fabian HF, Bastian L, Blauth M (2001) Late results of thoracolumbar fractures after posterior instrumentation and transpedicular bone grafting. Spine 26:88–99

    Article  CAS  PubMed  Google Scholar 

  9. Lee YH, Chiou WK, Chen WJ, Lee MY, Lin YH (1995) Predictive model of intersegmental mobility of lumbar spine in the sagittal plane from skin markers. Clin Biomech 10:413–420

    Article  Google Scholar 

  10. Leferink VJM, Zimmerman KW, Veldhuis EFM, Vergert EM ten, Duis HJ ten (2001) Thoracolumbar spinal fractures: radiological results of transpedicular fixation combined with transpedicular cancellous bone graft and posterior fusion in 183 patients. Eur Spine J 10:517–523

    CAS  PubMed  Google Scholar 

  11. Lim TH, Eck JC, An HS, McGrady LM, Harris GF, Haughton VM (1997) A noninvasive, three-dimensional spinal motion analysis method. Spine 22:1996–2000

    Article  CAS  PubMed  Google Scholar 

  12. Lindsey RW, Dick W, Nunchuck S, Zach G (1993) Residual intersegmental spinal mobility following limited pedicle fixation of thoracolumbar spine fractures with the fixateur interne. Spine 18:474–478

    CAS  PubMed  Google Scholar 

  13. Madson TJ, Youdas JW, Suman VJ (1999) Reproducibility of lumbar spine range of motion measurements using the back range of motion device. J Orthop Sports Phys Ther 29:470–477

    CAS  PubMed  Google Scholar 

  14. Mannion A, Troke M (1999) A comparison of two motion analysis devices used in the measurement of lumbar spinal mobility. Clin Biomech 14:612–619

    Article  CAS  Google Scholar 

  15. Mayer RS, Chen IH, Lavender SA, Trafimow JH, Andersson GB (1995) Variance in the measurement of sagittal lumbar spine range of motion among examiners, subjects, and instruments. Spine 20:1489–1493

    CAS  PubMed  Google Scholar 

  16. Mayer TG, Kondraske G, Beals SB, Gatchel RJ (1997) Spinal range of motion. Accuracy and sources of error with inclinometric measurement. Spine 22:1976–1984

    Article  CAS  PubMed  Google Scholar 

  17. Mellin G (1986) Measurement of thoracolumbar posture and mobility with a Myrin inclinometer. Spine 11:759–762

    CAS  PubMed  Google Scholar 

  18. Meyers CR, Blesh TE (1962) Measurement in physical education. Ronald Press, New York

  19. Miyasaka K, Ohmori K, Suzuki K, Inoue H (2000) Radiographic analysis of lumbar motion in relation to lumbosacral stability. Investigation of moderate and maximum motion. Spine 25:732–737

    Article  CAS  PubMed  Google Scholar 

  20. Muller R, Buttner P (1994) A critical discussion of intraclass correlation coefficients. Stat Med 13:2465–2476

    CAS  PubMed  Google Scholar 

  21. Ng JK, Kippers V, Richardson CA, Parnianpour M (2001) Range of motion and lordosis of the lumbar spine: reliability of measurement and normative values. Spine 26:53–60

    Article  CAS  PubMed  Google Scholar 

  22. Portek I, Pearcy MJ, Reader GP, Mowat AG (1983) Correlation between radiographic and clinical measurement of lumbar spine movement. Br J Rheumatol 22:197–205

    CAS  PubMed  Google Scholar 

  23. Post RB, Leferink VJM (2003) Sagittal range of motion after a spinal fracture; does ROM correlate with functional outcome? Eur Spine J (in press)

  24. Schlegel JD, Smith JA, Schleusener RL (1996) Lumbar motion segment pathology adjacent to thoracolumbar, lumbar, and lumbosacral fusions. Spine 21:970–981

    CAS  PubMed  Google Scholar 

  25. Shrout PE, Fleiss JL (1979) Intraclass correlations: uses in assessing rater reliability. Psychol Bull 86:420–428

    Article  Google Scholar 

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Post, R.B., Leferink, V.J.M. Spinal mobility: sagittal range of motion measured with the SpinalMouse, a new non-invasive device. Arch Orthop Trauma Surg 124, 187–192 (2004). https://doi.org/10.1007/s00402-004-0641-1

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  • DOI: https://doi.org/10.1007/s00402-004-0641-1

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