| Author: | Ho, Yi-ling |
| Title: | Measuring cervico-thoracic mobility in patient with neck pain |
| Degree: | M.Sc. |
| Year: | 2008 |
| Subject: | Hong Kong Polytechnic University -- Dissertations. Neck pain -- Patients -- Physical therapy. Thoracic vertebrae -- Movements -- Measurement. |
| Department: | Department of Rehabilitation Sciences |
| Pages: | vii, 31 leaves : ill. ; 30 cm. |
| Language: | English |
| Abstract: | Background: There has been a lack of objective measurement on thoracic spinal mobility even though thoracic examination was suggested to be included in neck pain patient. Study Design: A reliability study on modified cervico-thoracic flexion mobility test. A contrast group comparison on modified cervico-thoracic flexion mobility between neck pain patient and healthy subjects. A correlation study on modified cervico-thoracic flexion mobility and subjective health measurement in neck pain patient. Objectives: To investigate the test-retest reliability of modified cervico-thoracic flexion mobility test and its relationship between neck pain patient and healthy subjects. To correlate the modified cervico-thoracic flexion mobility with subjective health measurement. Methods: Neck pain patients attending physiotherapy department and asymptomatic subjects with age and sex matched were assessed for modified cervico-thoracic flexion mobility. The measurement assessed the upper thoracic segmental flexion mobility by comparing the distance between skin distraction in each spinous process from C7 to T5 in upright sitting and fully flexed position. The measurement was assessed by two examiners in the reliability test. The C7/T1 dysfunction index was calculated by comparing the mobility in C7/T1 and T1/T2 level. A Neck Pain Questionnaire and Numeric Pain Rating Scale were answered by neck pain patients for correlation study. Data analysis: Intraclass correlation coefficient was used for reliability test. The difference between the modified cervico-thoracic flexion mobility in the two groups were compared by independent t-test. The correlation was shown by Spearman's rank correlation coefficient. Result: The modified cervico-thoracic flexion mobility test was shown to have high inter and intra- rater reliability when measured from C7 to T3. When the segmental mobility was presented as C7/T1 dysfunction, there showed a significant difference when comparing between patient and normal groups. The modified cervico-thoracic flexion mobility was found to have correlation with Numeric Pain Rating Scale but not Neck Pain Questionnaire. Conclusion: Results of this study demonstrated a high degree of inter- and intra-rater reliability in testing segmental flexion mobility from C7 to T3 for both normal subjects and those with neck pain by modified cervico-thoracic flexion mobility test. Moreover, significant difference in C7/T1 dysfunction was found between patient and normal subjects. The cervico-thoracic flexion mobility test was a reliable and valid outcome measure for patients with neck pain. |
| Rights: | All rights reserved |
| Access: | restricted access |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| b22324069.pdf | For All Users (off-campus access for PolyU Staff & Students only) | 2.62 MB | Adobe PDF | View/Open |
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