Clinical trial NCT04806087: A New Method To Measure Cervical Proprioception
Official title: Validity And Reliability Of A New Method To Measure Cervical Proprioception
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Proprioception
Position Sense
Keywords: reliability
validity
cervical
proprioception
rehabilitation
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2021-03-19
Enrollment: 86
Sex: ALL
Minimum age (years): 18
Maximum age (years): 35
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The sample consist of volunteer, healthy participants.

Brief summary: To evaluate cervical proprioception (CP), frontal plane target platforms defined Revel technique measurement commonly used as an alternative to the Cervical Range of Motion (CROM) device in laser measurements for the head repositioning accuracy (HRA) test. However, when evaluating CP, the plane where the movement of the atlanto-axial joint takes place is the horizontal plane. Therefore, the investigators aimed to investigate the validity and reliability of CP measurements conducted via AOS PropPoint® device on the horizontal and frontal platforms, and the investigators hypothesized that horizontal platform measurement is more reliable and valid than frontal plane measurement.

Detailed description: It has been reported in a number of studies that methods utilizing laser are practical, easy, portable, and inexpensive in clinical use, a standardized and branded laser apparatus and system have not been identified. This has caused problems about whether the laser equipment used in the literature is valid and reliable in the evaluation of cervical proprioception (CP). Besides, the head repositioning accuracy (HRA) test, which was designed before for CP assessment and standardized with trigonometric equations, carries out measurements in the frontal plane. In addition, cervical rotation in the atlanto-axial joint occurs in the horizontal plane. Therefore, the investigators presume that evaluating the biomechanical motion occurring in the horizontal plane and transferring it directly to the horizontal plane will be more practical and reliable for practitioners.

The subjects' HRA values were measured through AOS ProPoint® device in the horizontal and frontal platforms and also through the CROM device. Each measurement was repeated bilaterally three times, and they were averaged. To validate the measurement method, a comparison between the CROM device used as the gold standard and the measurement values was made. Test-retest and inter-rater reliability scores were calculated to evaluate the reliability of the horizontal measurement method.

Eligibility criteria: Inclusion Criteria:

* age 18 to 35 years
* bilateral cervical rotation of 30 degrees and above
* being a volunteer.

Exclusion Criteria:

* all kinds of orthopedic and neurological problems that might cause head, eye and neck movement limitation; having a pacemaker, platinum, dental braces, etc., which might affect the magnetic field; and the presence of epilepsy.

Primary outcomes:
measure: Horizontal Plane Target Platform Measurement with AOS PropPoint® Device
timeFrame: Baseline
Secondary outcomes:
measure: Frontal Plane Target Platform Measurement with AOS PropPoint® Device
timeFrame: Baseline
measure: Cervical Proprioception assesment with Cervical Range of Motion Device (CROM)
timeFrame: Baseline
measure: Horizontal Plane Target Platform Measurement with AOS PropPoint® Device
timeFrame: Within a 5-to-7-day period after the first assessment
measure: Frontal Plane Target Platform Measurement with AOS PropPoint® Device
timeFrame: Within a 5-to-7-day period after the first assessment
measure: Cervical Proprioception assesment with Cervical Range of Motion Device (CROM)
timeFrame: Within a 5-to-7-day period after the first assessment
Other outcomes:
Locations:
city: İstanbul
country: Turkey
facility: Istanbul University-Cerrahpasa
Study officials:
affiliation: Bahçeşehir University
name: Aygül Köseoğlu, PT
role: STUDY_CHAIR
affiliation: İstanbul University- Cerrahpasa
name: Ebru K Mutlu
role: PRINCIPAL_INVESTIGATOR
affiliation: Bahçeşehir University
name: Dilber Çoskunsu
role: STUDY_DIRECTOR
References:
citation: Revel M, Andre-Deshays C, Minguet M. Cervicocephalic kinesthetic sensibility in patients with cervical pain. Arch Phys Med Rehabil. 1991 Apr;72(5):288-91.
citation: Roren A, Mayoux-Benhamou MA, Fayad F, Poiraudeau S, Lantz D, Revel M. Comparison of visual and ultrasound based techniques to measure head repositioning in healthy and neck-pain subjects. Man Ther. 2009 Jun;14(3):270-7. doi: 10.1016/j.math.2008.03.002. Epub 2008 Jun 2.
citation: Chen X, Treleaven J. The effect of neck torsion on joint position error in subjects with chronic neck pain. Man Ther. 2013 Dec;18(6):562-7. doi: 10.1016/j.math.2013.05.015. Epub 2013 Jun 26.
citation: Audette I, Dumas JP, Cote JN, De Serres SJ. Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther. 2010 May;40(5):318-23. doi: 10.2519/jospt.2010.3180.