Inch, Louise and Murray, Mary and Allison, Katelyn and Lovaleker, Mita
(2021)
Intrasession Test-Retest Reliability of the Cervicocephalic Kinesthetic Sensibility Test used to Measure Cervical Joint Position Sense.
Master's Thesis, University of Pittsburgh.
(Unpublished)
This is the latest version of this item.
Abstract
INTRODUCTION: Cervical spine injuries and concussion present with similar mechanisms and nearly identical symptoms. Reliable measures of cervical proprioception could help determine if deficits exist. The aim of this study was to determine the intrasession reliability of the Cervicocephalic Kinesthetic Sensibility (CKS) test. Previous literature has only addressed Left and Right Axial Rotation, where this study addresses 3 planes of motion. METHODS: A descriptive, observational design was used to assess intrasession reliability. Seventeen subjects were included in this study (4 males, 13 females), 18-25 years old avg. Age (yrs.) (23.12±1.36), avg. Weight (kgs) (66.89±12.59), avg. Height (cm) (171±11.44). The dependent variables for this study included cervical joint position sense (JPS) error of the cervical spine in degrees (°). Cervical Flexion (CF), Cervical Extension (CE), Right Axial Rotation (RAR), Left Axial Rotation (LAR), Right Side-Bending (RSB) and Left Side-Bending (RSB) were assessed for JPS error. A chair was placed 90cm from the wall. A 40cm target was placed on the wall. The subject wore a helmet with a laser attached and Head Neutral (HN) was established prior to testing. The rater instructed the subject to position themselves in HN, close their eyes and flex their neck to end range of motion, then had them return to HN. The rater marked on the target where the laser landed. This was performed in the same manner for all 6 cervical motions. The intrasession test retest reliability was estimated calculating ICC(2,1) and ICC(2,3), 95% CI and P-values. Statistical significance was set a priori at alpha= 0.05, two-sided. RESULTS: The highest reproducibility for single measures ICC and average measures ICC was found in CF and LSB, CF ICC(2,1) = .404, LSB ICC(2,1) = .496, CF ICC(2,3) = .670, LSB ICC(2,3) = .747. Cervical Extension (CE), Right Axial Rotation (RAR), Left Axial Rotation (LAR) showed very low reproducibility for single measures ICC, however showed more acceptable average measures ICC. CONCLUSION: These results show a wide variability among reliability of the CKS test in 6 different cervical motions. Further evaluation of test-retest reliability is necessary to determine the usefulness of this tool to measure cervical proprioception.
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Details
| Item Type: |
University of Pittsburgh ETD
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| Status: |
Unpublished |
| Creators/Authors: |
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| ETD Committee: |
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| Date: |
21 January 2021 |
| Date Type: |
Publication |
| Defense Date: |
17 November 2020 |
| Approval Date: |
21 January 2021 |
| Submission Date: |
26 November 2020 |
| Access Restriction: |
No restriction; Release the ETD for access worldwide immediately. |
| Number of Pages: |
65 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Health and Rehabilitation Sciences > Sports Medicine and Nutrition |
| Degree: |
MS - Master of Science |
| Thesis Type: |
Master's Thesis |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
Cervical Proprioception, Cervical Characteristic, Concussion Assessment |
| Date Deposited: |
21 Jan 2021 19:55 |
| Last Modified: |
21 Jan 2021 19:55 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/40109 |
Available Versions of this Item
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Intrasession Test-Retest Reliability of the Cervicocephalic Kinesthetic Sensibility Test used to Measure Cervical Joint Position Sense. (deposited 21 Jan 2021 19:55)
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