Concurrent validity and interrater reliability of a new smartphone application to assess 3D active cervical range of motion in patients with neck pain

Martijn S. Stenneberg, Harm Busstra, Michel Eskes, Emiel van Trijffel, Erik Cattrysse, Gwendolijne G.M. Scholten-Peeters, Rob A. de Bie

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

BACKGROUND: There is a lack of valid, reliable, and feasible instruments for measuring planar active cervical range of motion (aCROM) and associated 3D coupling motions in patients with neck pain. Smartphones have advanced sensors and appear to be suitable for these measurements.

OBJECTIVES: To estimate the concurrent validity and interrater reliability of a new iPhone application for assessing planar aCROM and associated 3D coupling motions in patients with neck pain, using an electromagnetic tracking device as a reference test.

DESIGN: Cross-sectional study.

METHODS: Two samples of neck pain patients were recruited; 30 patients for the validity study and 26 patients for the reliability study. Validity was estimated using intraclass correlation coefficients (ICCs), and by calculating 95% limits of agreement (LoA). To estimate interrater reliability, ICCs were calculated. Cervical 3D coupling motions were analyzed by calculating the cross-correlation coefficients and ratio between the main motions and coupled motions for both instruments.

RESULTS: ICCs for concurrent validity and interrater reliability ranged from 0.90 to 0.99. The width of the 95% LoA ranged from about 5° for right lateral bending to 11° for total rotation. No significant differences were found between both devices for associated coupling motion analysis.

CONCLUSIONS: The iPhone application appears to be a useful discriminative tool for the measurement of planar aCROM and associated coupling motions in patients with neck pain. It fulfills the need for a valid, reliable, and feasible instrument in clinical practice and research. Therapists and researchers should consider measurement error when interpreting scores.

Original languageEnglish
Pages (from-to)59-65
Number of pages7
JournalMusculoskeletal science & practice
Volume34
Issue numberApril
Early online date16 Dec 2017
DOIs
Publication statusPublished - Apr 2018

Fingerprint

Neck Pain
Articular Range of Motion
Reproducibility of Results
Equipment and Supplies
Electromagnetic Phenomena
Smartphone
Cross-Sectional Studies
Research Personnel
Research

Keywords

  • Active range of motion
  • Assessment
  • Nonspecific neck pain
  • Reliability and validity
  • Smartphone

Cite this

Stenneberg, Martijn S. ; Busstra, Harm ; Eskes, Michel ; van Trijffel, Emiel ; Cattrysse, Erik ; Scholten-Peeters, Gwendolijne G.M. ; de Bie, Rob A. / Concurrent validity and interrater reliability of a new smartphone application to assess 3D active cervical range of motion in patients with neck pain. In: Musculoskeletal science & practice. 2018 ; Vol. 34, No. April. pp. 59-65.
@article{8f861310e65e40dba11f90290749fb6b,
title = "Concurrent validity and interrater reliability of a new smartphone application to assess 3D active cervical range of motion in patients with neck pain",
abstract = "BACKGROUND: There is a lack of valid, reliable, and feasible instruments for measuring planar active cervical range of motion (aCROM) and associated 3D coupling motions in patients with neck pain. Smartphones have advanced sensors and appear to be suitable for these measurements.OBJECTIVES: To estimate the concurrent validity and interrater reliability of a new iPhone application for assessing planar aCROM and associated 3D coupling motions in patients with neck pain, using an electromagnetic tracking device as a reference test.DESIGN: Cross-sectional study.METHODS: Two samples of neck pain patients were recruited; 30 patients for the validity study and 26 patients for the reliability study. Validity was estimated using intraclass correlation coefficients (ICCs), and by calculating 95{\%} limits of agreement (LoA). To estimate interrater reliability, ICCs were calculated. Cervical 3D coupling motions were analyzed by calculating the cross-correlation coefficients and ratio between the main motions and coupled motions for both instruments.RESULTS: ICCs for concurrent validity and interrater reliability ranged from 0.90 to 0.99. The width of the 95{\%} LoA ranged from about 5° for right lateral bending to 11° for total rotation. No significant differences were found between both devices for associated coupling motion analysis.CONCLUSIONS: The iPhone application appears to be a useful discriminative tool for the measurement of planar aCROM and associated coupling motions in patients with neck pain. It fulfills the need for a valid, reliable, and feasible instrument in clinical practice and research. Therapists and researchers should consider measurement error when interpreting scores.",
keywords = "Active range of motion, Assessment, Nonspecific neck pain, Reliability and validity, Smartphone",
author = "Stenneberg, {Martijn S.} and Harm Busstra and Michel Eskes and {van Trijffel}, Emiel and Erik Cattrysse and Scholten-Peeters, {Gwendolijne G.M.} and {de Bie}, {Rob A.}",
note = "Copyright {\circledC} 2017 Elsevier Ltd. All rights reserved.",
year = "2018",
month = "4",
doi = "10.1016/j.msksp.2017.12.006",
language = "English",
volume = "34",
pages = "59--65",
journal = "Musculoskeletal science & practice",
issn = "2468-7812",
publisher = "Elsevier BV",
number = "April",

}

Concurrent validity and interrater reliability of a new smartphone application to assess 3D active cervical range of motion in patients with neck pain. / Stenneberg, Martijn S.; Busstra, Harm; Eskes, Michel; van Trijffel, Emiel; Cattrysse, Erik; Scholten-Peeters, Gwendolijne G.M.; de Bie, Rob A.

In: Musculoskeletal science & practice, Vol. 34, No. April, 04.2018, p. 59-65.

Research output: Contribution to JournalArticleAcademicpeer-review

TY - JOUR

T1 - Concurrent validity and interrater reliability of a new smartphone application to assess 3D active cervical range of motion in patients with neck pain

AU - Stenneberg, Martijn S.

AU - Busstra, Harm

AU - Eskes, Michel

AU - van Trijffel, Emiel

AU - Cattrysse, Erik

AU - Scholten-Peeters, Gwendolijne G.M.

AU - de Bie, Rob A.

N1 - Copyright © 2017 Elsevier Ltd. All rights reserved.

PY - 2018/4

Y1 - 2018/4

N2 - BACKGROUND: There is a lack of valid, reliable, and feasible instruments for measuring planar active cervical range of motion (aCROM) and associated 3D coupling motions in patients with neck pain. Smartphones have advanced sensors and appear to be suitable for these measurements.OBJECTIVES: To estimate the concurrent validity and interrater reliability of a new iPhone application for assessing planar aCROM and associated 3D coupling motions in patients with neck pain, using an electromagnetic tracking device as a reference test.DESIGN: Cross-sectional study.METHODS: Two samples of neck pain patients were recruited; 30 patients for the validity study and 26 patients for the reliability study. Validity was estimated using intraclass correlation coefficients (ICCs), and by calculating 95% limits of agreement (LoA). To estimate interrater reliability, ICCs were calculated. Cervical 3D coupling motions were analyzed by calculating the cross-correlation coefficients and ratio between the main motions and coupled motions for both instruments.RESULTS: ICCs for concurrent validity and interrater reliability ranged from 0.90 to 0.99. The width of the 95% LoA ranged from about 5° for right lateral bending to 11° for total rotation. No significant differences were found between both devices for associated coupling motion analysis.CONCLUSIONS: The iPhone application appears to be a useful discriminative tool for the measurement of planar aCROM and associated coupling motions in patients with neck pain. It fulfills the need for a valid, reliable, and feasible instrument in clinical practice and research. Therapists and researchers should consider measurement error when interpreting scores.

AB - BACKGROUND: There is a lack of valid, reliable, and feasible instruments for measuring planar active cervical range of motion (aCROM) and associated 3D coupling motions in patients with neck pain. Smartphones have advanced sensors and appear to be suitable for these measurements.OBJECTIVES: To estimate the concurrent validity and interrater reliability of a new iPhone application for assessing planar aCROM and associated 3D coupling motions in patients with neck pain, using an electromagnetic tracking device as a reference test.DESIGN: Cross-sectional study.METHODS: Two samples of neck pain patients were recruited; 30 patients for the validity study and 26 patients for the reliability study. Validity was estimated using intraclass correlation coefficients (ICCs), and by calculating 95% limits of agreement (LoA). To estimate interrater reliability, ICCs were calculated. Cervical 3D coupling motions were analyzed by calculating the cross-correlation coefficients and ratio between the main motions and coupled motions for both instruments.RESULTS: ICCs for concurrent validity and interrater reliability ranged from 0.90 to 0.99. The width of the 95% LoA ranged from about 5° for right lateral bending to 11° for total rotation. No significant differences were found between both devices for associated coupling motion analysis.CONCLUSIONS: The iPhone application appears to be a useful discriminative tool for the measurement of planar aCROM and associated coupling motions in patients with neck pain. It fulfills the need for a valid, reliable, and feasible instrument in clinical practice and research. Therapists and researchers should consider measurement error when interpreting scores.

KW - Active range of motion

KW - Assessment

KW - Nonspecific neck pain

KW - Reliability and validity

KW - Smartphone

UR - http://www.scopus.com/inward/record.url?scp=85044474709&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044474709&partnerID=8YFLogxK

U2 - 10.1016/j.msksp.2017.12.006

DO - 10.1016/j.msksp.2017.12.006

M3 - Article

VL - 34

SP - 59

EP - 65

JO - Musculoskeletal science & practice

JF - Musculoskeletal science & practice

SN - 2468-7812

IS - April

ER -