| Three-dimensional head kinematics and cervical range of motion in the diagnosis of patients with neck trauma. | |
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MedLine Citation:
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PMID: 8734397 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To create a statistical model using three-dimensional (3D) head kinematics and range of motion (ROM) to distinguish between people with whiplash syndrome and asymptomatic controls. STUDY DESIGN: Cross-sectional study to estimate validity of diagnostic measures. METHODS: Fifty-one asymptomatic controls (most of whom were women), 18-35 yr old and 30 matched whiplash trauma patients seeking care from suburban outpatient clinics were sought. 3D kinematic parameters of head motion were obtained during tracking tasks (e.g., flexion, extension, etc.) and cervical ROM was measured via a head mounted inclinometer. Their level of pain and disability was assessed via a self-administered neck disability index questionnaire and visual analog pain scale (VAS). RESULTS: A scoring system of biomechanical abnormalities derived from the vertical piercing point, its second derivative and symmetry during oblique tasks. The scores ranged from a minimum of 0 to a maximum of 3. A cutoff of > or = 0.5 correctly identified the greatest number of subjects and minimized false positives (sensitivity 77%, specificity 82%, likelihood ratio 4.5). ROM performed similarly well at a cutoff of 1 SD below the normative mean (sensitivity 77%, specificity 84%, likelihood ratio 3.9). CONCLUSIONS: There is potential for biomechanical analysis to objectively detect abnormalities. The statistical model yielded moderate to high sensitivity and specificity using 3D helical-axis parameters of the head and standard ROM. The model development will continue via this process in future studies. These data could be a first step toward the creation of useful, noninvasive protocols for the diagnosis and management of soft tissue trauma of the neck. |
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Authors:
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P J Osterbauer; K Long; T A Ribaudo; E A Petermann; A W Fuhr; S J Bigos; G T Yamaguchi |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of manipulative and physiological therapeutics Volume: 19 ISSN: 0161-4754 ISO Abbreviation: J Manipulative Physiol Ther Publication Date: 1996 May |
Date Detail:
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Created Date: 1996-11-12 Completed Date: 1996-11-12 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7807107 Medline TA: J Manipulative Physiol Ther Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 231-7 Citation Subset: IM |
Affiliation:
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Gait Laboratory, Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Biomechanics* Case-Control Studies Cross-Sectional Studies Female Humans Kinetics Male Models, Statistical Pain Measurement Range of Motion, Articular Reproducibility of Results Sensitivity and Specificity Whiplash Injuries / diagnosis*, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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