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The assessment of cervical sensory motor control: a systematic review focusing on measuring methods and their clinimetric characteristics.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Michiels, Sarah De Hertogh, Willem Truijen, Steven November, Danny Wuyts, Floris Van de Heyning, Paul
Description	Country affiliation: Belgium Author Affiliation: Michiels S ( Department of Health Sciences, Artesis University College of Antwerp, Antwerp, Belgium. sarah.michiels@artesis.be)
Abstract	BACKGROUND: Cervical sensorimotor control (CSMC) becomes increasingly important in the assessment and treatment of patients with neck pain. This review aims to compare commonly used CSMC measuring methods in terms of required tasks, measuring device and clinimetric properties. SEARCH METHODS: A systematic review of two databases, followed by methodological quality assessment (CBO guidelines). RESULTS: The methodological quality of 34 included articles was generally good (five to seven out of eight), the inter-rater agreement was excellent (κw=0.966, p<0.01). Following tasks were found: head repositioning accuracy to the neutral head position (HRA-to-NHP) and to a target position (HRA-to-target), a virtual reality test, a continuous linear movement technique (CLMT) and an object following non-linear movement technique (NLMT) (The Fly™). Test-retest reliability was fair to excellent (ICC 0.35-0.87) for the HRA-to-NHP, very bad to excellent (ICC 0.01-0.90) for the HRA-to-target, fair to good (ICC 0.25-0.77) for the virtual reality test and moderate to excellent (ICC: 0.60-0.86) for The Fly™. The reliability of the CLMT was not documented. The HRA-to-NHP, The Fly™ and the CLMT can discriminate between patients with neck complaints and controls (discriminant validity). Currently, only The Fly™ can discriminate between different patient populations (post-traumatic and non-traumatic neck pain). The sensitivity, specificity and responsiveness of the methods have to be assessed in future research. CONCLUSIONS: The dynamic method The Fly™ appears to be more reliable than the HRA-to-NHP and is able to discriminate between different patient populations. The diagnostic potential is to be confirmed in future research.
File Format	HTM / HTML
ISSN	09666362
Issue Number	1
Volume Number	38
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2013-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Research Support, Non-u.s. Gov't Discipline Orthopedics Movement Sensitivity And Specificity Proprioception Humans Neck Muscles Review Journal Article Neck Pain Physiopathology Posture Reproducibility Of Results Range Of Motion, Articular Physiology Diagnosis Motor Skills
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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