How can we evaluate Joint Reposition error in cervical and lumbar region more precisely at clinical setup?

Jean-François Catanzariti

Hello, some articles that can help you, kings regards.

1. Arch Phys Med Rehabil. 1994 Aug;75(8):895-9.

Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation

program in patients with neck pain: a randomized controlled study.

Revel M(1), Minguet M, Gregoy P, Vaillant J, Manuel JL.

Author information:

(1)Laboratoire d'Explorations Fonctionnelles de l'Appareil locomoteur et

d'évaluation du handicap, Hôpital Cochin, Paris, France.

Head repositioning accuracy (HRA) after full range active motion was evaluated in

60 cervicalgic patients. The mean angular error was 7.7 degrees +/- 3.3 (mean +/-

SD) and 82% were outside a threshold value of 4.5 degrees. After randomization 30

patients followed a rehabilitation program based on eye-head coupling (RG) and 30

served as a control group (CG). At 10 week follow-up, a greater gain in HRA was

observed in the RG (2 degrees +/- 2.7, mean +/- SD) than in the CG (0 +/- 2.6,

mean +/- SD) (p = 0.005). Clinical parameters (pain, drug intake, range of

motion, and self assessed functional improvement) were also more improved in the

RG than in the CG. These data emphasize the role of a neck proprioception

alteration in chronic neck pain and suggest that a rehabilitation program based

on eye-head coupling should be included in most medical management of cervicalgic

patients.

PMID: 8053797 [PubMed - indexed for MEDLINE]

2. Arch Phys Med Rehabil. 1991 Apr;72(5):288-91.

Cervicocephalic kinesthetic sensibility in patients with cervical pain.

Revel M(1), Andre-Deshays C, Minguet M.

Author information:

(1)Department de Reeducation, Clinique de Rhumatologie, Hopital COCHIN, Paris,

France.

Head orientation in space makes use of multiple sensory afferents, among which

the cervical proprioceptive cues could play a predominant role. To quantify the

alteration of neck proprioception in patients with cervical pathology, we

proposed a test for the clinical evaluation of the ability to relocate the head

on the trunk after an active head movement, for 30 healthy subjects and 30

patients with cervical pain. The data demonstrated that this ability was

significantly poorer in the patient group, indicating an alteration in neck

proprioception. This test permits a discriminant classification of healthy and

sick subjects, justifies proprioceptive rehabilitation programs, and allows a

quantitative evaluation of their results.

3. Physiother Theory Pract. 2008 Sep-Oct;24(5):380-91. doi:

10.1080/09593980701884824.

Test-retest reliability of cervicocephalic relocation test to neutral head

position.

Pinsault N(1), Fleury A, Virone G, Bouvier B, Vaillant J, Vuillerme N.

Author information:

(1)Laboratoire TIMC-IMAG, UMR UJF CNRS 5525, Grenoble, France.

[email protected]

Considering the important role of the cervical joint position sense on control of

human posture and locomotion, accurate and reliable evaluation of neck

proprioceptive abilities appears of great importance. Although the

cervicocephalic relocation test (CRT) to the neutral head position (NHP) usually

is used for both research and clinical purposes, its test-retest reliability has

not been clearly established yet. The purpose of the present experiment was to 1)

evaluate the test-retest reliability of the CRT to NHP and 2) to determine the

number of trial recordings required to ensure reliable measurements. To this aim,

40 young healthy adults performed the CRT to NHP on two separate occasions. Ten

trials were performed for each rotation side. Absolute and variable errors,

processed along their horizontal, vertical, and global components, were used to

assess the cervical joint repositioning accuracy and consistency, respectively.

Mean difference between test and retest with 95% confidence interval, intraclass

correlation coefficient, and Bland and Altman graphs with limits of agreement

were used as statistical methods for assessing test-retest reliability. Results

show that the CRT to NHP when executed in its original form (i.e., 10 trials) has

a fair to excellent reliability (ICC ranged from 0.52 to 0.81 and from 0.49 to

0.77, for absolute and variable errors, respectively); the test-retest

reliability of this test increases as the number of trials used to establish

subject's repositioning errors increases; and using the mean of eight trials is

sufficient to ensure fair to excellent reliability of the measurements (ICC

ranged from 0.39 to 0.78 and from 0.44 to 0.78, for absolute and variable errors,

respectively).

PMID: 18821444 [PubMed - indexed for MEDLINE]

4. Ann Readapt Med Phys. 2008 May;51(4):257-62. doi: 10.1016/j.annrmp.2008.02.004.

Epub 2008 Apr 29.

[Impact of nociceptive stimuli on cervical kinesthesia].

[Article in French]

Vaillant J(1), Meunier D, Caillat-Miousse JL, Virone G, Wuyam B, Juvin R.

Author information:

(1)Centre de recherche et d'innovation en kinésiologie, kinésiopathologie et

kinésithérapie, institut universitaire professionnalisé en ingénierie de la

santé, BP 217, 38049 Grenoble cedex 09, France. [email protected]

The goal of this study was to evaluate the impact of nociceptive stimuli upon the

cervical proprioception ability.METHOD: Thirty healthy young subjects performed a

cervicocephalic relocation test (CRT) in two random conditions: the first one was

based on a nociceptive electric stimulation called condition "pain", whereas the

second one was targeting a painless electric condition called condition

"control". The CRT consisted of repositioning the head on the trunk, after an

active transversal movement of the head in the transverse field with closed eyes.

The pointing was recorded at the beginning and at the end of each rotation using

a custom video acquisition system.

RESULTS: The average mean of error repositioning was worth 3.98+/-0.99 degrees

(average mean, standard deviation) in the condition "pain", and 1.75+/-0.37

degrees in the condition "control" (p

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