Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Introduction and Validation of 'bodygraph' for Measurement of Cervical Lateral Flexion


Affiliations
1 Assoc. Professor & Head-Deptt. of Physiotherapy, Banarasidas Chandiwala Institute of Physiotherapy, New Delhi, India
     

   Subscribe/Renew Journal


A new Goniometer cum posture evaluation tool 'Bodygraph' was developed; it consisted of a full-round goniometer and a fixation rod designed to hold it in different positions. The device features a fixation strap that fixes the bodygraph with the body of the patient. The advantage of this novel tool is that it can be used for both goniometry and posture evaluation. The purpose of this study was to test criterion validity and reliability of 'Bodygraph'. Measurements of cervical lateral flexion Range of Motion were taken on the 'Bodygraph' in two different setting for validity and reliability analysis. Fifty eight young healthy subjects (35 males&23 females; mean: age - 23.05 yr. height - 1.64 mtr. BMI - 20.65) participated in criterion validity analysis study and sixty young healthy individuals (36 males&24 females; mean: age - 23.65 yr. height - 1.65 mtr. BMI - 21.45) participated in reliability analysis. Observations for validity study were taken by an anatomist. A radiograph was taken concurrently to serve as the 'gold standard' for criterion validity study. Observations for reliability analysis were taken by three physiotherapists on four occasions. The Pearson product-moment correlation coefficient 'r' value for criterion validity of 'Bodygraph' was found to be 0.74 (p-value 0.000). The Intraclass Correlation Coefficient ICC value for Intratester reliability of 'Bodygraph' ranged from 0.96 to 0.98 (p-value 0.000). ICC value for Intertester reliability of 'Bodygraph' was found from 0.81 to 0.97 (p-value 0.000). The study concluded that the 'Bodygraph' can be considered to be valid and reliable for measurement of Range of Motion of cervical lateral flexion.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Writing Guides, Glossary of Key Terms, Colorado State University last visited on 07/01/07 at: http://writing.colostate.edu/guides/research/glossary/

  • Elizabeth Domholdt, Physical Therapy Research – Principles And Application : 1st Ed.: W B Saunders Company, 1993

  • Norkin, C.C., and Levangie, P.K., Joint Structure and Function – Comprehensive Analysis, 3rd Ed. India: Jaypee Brothers, 2001

  • Williams PL, Warwick R, Gray’s Anatomy, 37th Ed. UK: ELBS Churchill Livingstone, 1992

  • Head and Neck Musculature, Darryl Hosford, last visited on 16/06/07 at: http://www.ptcentral.com/ muscles/musclehead.html - pt central

  • Norkin, C.C., and White, D.J. Measurement of Joint Motion: A Guide to Goniometry, 2nd Ed. India: Jaypee Brothers, 1998

  • Boone DC, Azen SP, Lin CM, Spence C, Baron C and Lee L , Reliability of goniometric measurements using universal Goniometer, Phys Ther. 1978 Nov; 58(11):1355-90. Available from URL:http:// w w w . n c b i . n l m . n i h . g o v / e n t r e z /query.fcgi?db=pubmed&list_uids=704684 & cmd=Retrieve & indexed=google

  • N. Kadir, M. F. Grayson, A. A. J. Goldberg and Margaret C. Swain, ‘A NEW NECK GONIOMETER’ was developed and to determine inter-observer error, Rheumatology Rehabil. 1981 Nov;20 (4):219-26.

  • Available from URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve & db=PubMed & list_uids=7302468 & dopt=Abstract

  • Lucie Brosseau, Michel Tousignant et al ‘Intratester and intertester reliability and criterion validity of parallelogram and universal goniometer for active knee flexion in healthy subjects’, Physiotherapy Research International, 2 (3) page 150 - 166, 1997, Whurr Publishers Ltd.

  • Rothstein JM, Miller PJ, Roettger RF, To assess goniometric reliability in a clinical setting, Pys Ther. 1983 Oct; 63(10):1611-5. Available from URL: http://w w w . n c b i . n l m . n i h . g o v / e n t r e z / q u e r y . f c g i ? cmd=Retrieve & db=PubMed & list_uids=6622536 & dopt=Abstract

  • Fish DR, Wingate L., Assessment of accuracy and potential sources of error in goniometry by using a photographic reference standard, Phys Ther. 1985 Nov;65(11):1666-70. Available from URL: http:// w w w . n c b i . n l m . n i h . g o v / e n t r e z / q u e r y . f c g i ? cmd=Retrieve & db=PubMed & list_uids=4059329 & dopt=Abstract

  • Gogia PP, Braatz JH, Rose SJ, Norton BJ., To assess the intertester reliability of goniometric measurements at the knee and the validity of the clinical measurements by comparing them to measurements taken from roentgenograms, Phys Ther. 1987 Feb;67(2):192-5. Available from URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve & db=PubMed & list_uids=3809242 & dopt=Abstract

  • Petherick M, Rheault W, Kimble S, Lechner C, Senear V., To establish the concurrent validity of the universal goniometer and the fluid-based goniometer and to determine the intertester reliability of these two instruments, Phys Ther. 1988 Jun;68(6):966-9.Available from URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve & db=PubMed & list_uids=3375320 & dopt=Abstract

  • Greene BL, Wolf SL., To determine the clinical reliability of the Ortho Ranger compared to the reliability of the standard goniometer and to investigate the correlation between the Ortho Ranger and the goniometer for upper extremity joint movements in healthy adults, Arch Phys Med Rehabil. 1989 Apr;70(4):288-90. Available from URL:http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? db=pubmed & list_uids=2930342 & cmd=Retrieve & indexed=google

  • Goodwin J, Clark C, Deakes J, Burdon D, Lawrence C., To compared the reliability and interchangeable use of three currently available goniometers—a universal goniometer, a fluid goniometer, and an electrogoniometer, Disabil Rehabil. 1992 Jan-Mar;14(1):10-5. Available from URL: http://w w w . n c b i . n l m . n i h . g o v / e n t r e z / q u e r y . f c g i ? cmd=Retrieve & db=PubMed & list_uids=1586755 & dopt=Abstract

  • Mu-Jung Kao, Wen-Shuan, Chao-Ying Chen, Lee Lai Jiaming, I-Nan Lien, To compare Universal Goniometer. Electronic Digital Inclinometer, and Pendulum-liquid Inclinometer for validity and reliability in neck extension and flexion movements., Chinese electronic periodicals services 18wS2g(1993/09), ˜!k191-195. Available from URL:http://www.ceps.com.tw/ec/ecjnlarticleView.aspx? atliid=76086 & issueiid=6669 & jnliid=443

  • Armstrong AD, MacDermid JC, Chinchalkar S, Stevens RS, King GJ., To examine intratester, intertester, and inter-device reliability of range of motion measurements of the elbow and forearm, J Shoulder Elbow Surg. 1998 Nov-Dec;7(6):573-80. Available from URL:http://w w w . n c b i . n l m . n i h . g o v / e n t r e z / q u e r y . f c g i ? cmd=Retrieve & db=PubMed & list_uids=9883416 & dopt=Abstract

  • Stuart Love, RH Gringmuth, Mohsen Kazemi, Paolo Cornacchia, Michael Schmolke, To compare the interexaminer and the intraexaminer reliability of measuring passive flexion and extension ranges of motion of the cervical spine, using a Cybex 320 EDI (inclinometer) and a Cervical Range of Motion (CROM) instrument. Available from URL:http://www.ccachiro.org/client/cca/JCCA.nsf/objects/Interexaminer-December+1998/$file/Pages222-228.pdf

  • MacDermid JC, Chesworth BM, Patterson S, Roth JH., To determine the intratester and intertester reliability of goniometric measurement of passive lateral rotation ROM of the shoulder, J Hand Ther. 1999 Jul-Sep; 12(3):187-92. Available from URL: http://w w w . n c b i . n l m . n i h . g o v / e n t r e z / q u e r y . f c g i ? cmd=Retrieve & db=PubMed & list_uids=10459526 & dopt=Abstract

  • Tousignant, Michel MA, de Bellefeuille, et al, ‘To estimate the criterion validity of the Cervical Range of Motion goniometer using a healthy Spine. 25(3):324-330, February 1, 2000, Lippincott Williams & Wilkins. Available from URL:http://www.spinejournal.com/pt/re/spine/abstract.00007632-200002010-0001 1.htm;j sessionid=GD1L97 HRWG4n Wdtk L 5 n 4k8 Ctf0vMpGBq Sp 52GF12 lF2H7wtFm Stm! 348579258! 181195628!8091!-1

  • Kelly Weaver, Robert Price, Joseph Czerniecki, Bruce Sangeorzan, Design and validation of an instrument package designed to increase the reliability of ankle range of motion measurements, Journal of Rehabilitation Research and Development, Vol. 38 No. 5, September/October 2001. Available from URL: http://www.rehab.research.va.gov/jour/01/38/5/weave385.htm

  • Brosseau Lucie, Balmer Suzanne, Tousignant Michel, O’sullivan Joseph P, Goudreault Calina, Goudreault Melanie, To examine the intra- and intertester reliability of the universal goniometer (UG) and parallelogram goniometer (PG), and to assess the criterion validity of the same instruments on subjects with knee restrictions, Arch Phys Med Rehabil. 2001 Mar;82(3):396-402.

  • Available from URL : http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve & db=PubMed & list_uids=11245764 & dopt=Abstract

  • Mathieu Assal, MD; Jane B. Shofer, MS; Eric Rohr, MS; Robert Price, MS; Joseph Czerniecki, MD; Bruce J. Sangeorzan, MD Sprigle S, Flinn N, Wootten M, McCorry S. 2003, Assessment of an electronic goniometer designed to measure equinus contracture, Journal of Rehabilitation Research and Development Vol. 40, No. 3, 2003: Available from URL : http://www.rehab.research.va.gov/jour/03/40/3/pdf/Assal.pdf

  • Linda Engh, Marie Fall, Marianne Hennig, Anne Söderlund, To investigate the intra- and inter-rater reliability of a method aimed to measure the head position relative to shoulders with a universal goniometer, Physiotherapy Theory and Practice, Volume 19, Issue 3 September 2003 , pages 175 –182. Available from URL : http://www.informaworld.com/smpp/content~content=a713843651~db=all

  • Stephen Sprigle , Nannette Flinn, Mary Wootten and Stephanie McCorry, Development and testing of a pelvic goniometer designed to measure pelvic tilt and hip flexion, journal of clinical biomechanics Volume 18, Issue 52003 June. Available from URL: http://www.journals.elsevierhealth.com/periodicals/jclb/article/PIIS0268003303000494/abstract

  • Jan Lucas Hoving, Jan JM Pool, Henk van Mameren, Walter JLM Devillé, Willem JJ Assendelft, Henrica CW de Vet, Andrea F de Winter, Bart W Koes and Lex M Bouter, To test Reproducibility of cervical range of motion in patients with neck pain, BMC Musculoskeletal Disorders 2005, 6:59 doi:10.1186/1471-2474-6-59, Published 13 December 2005. Available from URL : http://www.biomedcentral.com/1471-2474/6/59/ abstract.


Abstract Views: 435

PDF Views: 0




  • Introduction and Validation of 'bodygraph' for Measurement of Cervical Lateral Flexion

Abstract Views: 435  |  PDF Views: 0

Authors

Sanjeev Gupta
Assoc. Professor & Head-Deptt. of Physiotherapy, Banarasidas Chandiwala Institute of Physiotherapy, New Delhi, India

Abstract


A new Goniometer cum posture evaluation tool 'Bodygraph' was developed; it consisted of a full-round goniometer and a fixation rod designed to hold it in different positions. The device features a fixation strap that fixes the bodygraph with the body of the patient. The advantage of this novel tool is that it can be used for both goniometry and posture evaluation. The purpose of this study was to test criterion validity and reliability of 'Bodygraph'. Measurements of cervical lateral flexion Range of Motion were taken on the 'Bodygraph' in two different setting for validity and reliability analysis. Fifty eight young healthy subjects (35 males&23 females; mean: age - 23.05 yr. height - 1.64 mtr. BMI - 20.65) participated in criterion validity analysis study and sixty young healthy individuals (36 males&24 females; mean: age - 23.65 yr. height - 1.65 mtr. BMI - 21.45) participated in reliability analysis. Observations for validity study were taken by an anatomist. A radiograph was taken concurrently to serve as the 'gold standard' for criterion validity study. Observations for reliability analysis were taken by three physiotherapists on four occasions. The Pearson product-moment correlation coefficient 'r' value for criterion validity of 'Bodygraph' was found to be 0.74 (p-value 0.000). The Intraclass Correlation Coefficient ICC value for Intratester reliability of 'Bodygraph' ranged from 0.96 to 0.98 (p-value 0.000). ICC value for Intertester reliability of 'Bodygraph' was found from 0.81 to 0.97 (p-value 0.000). The study concluded that the 'Bodygraph' can be considered to be valid and reliable for measurement of Range of Motion of cervical lateral flexion.

References