Inter-rater and intra-rater reliability of head-mount laser device on assessing cervical spine proprioception in patients with cervicogenic headache
DOI:
https://doi.org/10.18203/2320-6012.ijrms20242928Keywords:
Cervical proprioception, Cervicogenic headache, Head-mount LASER device, Inter-rater reliability, Intra-rater reliabilityAbstract
Background: Relationship exist between the occurrence of cervicogenic headache (CGH) and head posture, due to a reduction in proprioception from the cervical spine. Active joint position sense of the cervical spine can be assessed using head-mount LASER device. This study evaluated the reliability of the head-mount LASER device in assessing cervical proprioception in adults with CGH.
Methods: A total of 50 adults of both genders with a clinical diagnosis of CGH were recruited for the study. The assessment for cervical proprioception was done using the device using a pre-determined test protocol, by two different therapists. The tests were repeated on the next day as well. The accuracy of relocation of the LASER pointer from the pre-determined target spot were evaluated in centimeters, during both flexion and extension.
Results: The study found good inter-rater reliability for flexion (ICC=0.888; 95% CI: 0.743 to 0.945) and extension (ICC=0.873; 95% CI: 0.754 to 0.931), and good to excellent intra-rater reliability for the device (ICC for flexion and extension being 0.952 and 0.951, respectively).
Conclusions: This study concluded that head-mount LASER device can be used as a clinical tool in assessing cervical proprioception, and demonstrated good inter-rater and intra-rater reliability when used on patients with cervicogenic headache.
References
Nilsson N. The prevalence of cervicogenic headache in a random population sample of 20-59-year-olds. Spine. 1995;20(17):1884-18.
Lord SM, Barnsley L, Wallis BJ, Bogduk N. Third occipital nerve headache: a prevalence study. J Neurol Neurosurg Psychiatr. 1994;57(10):1187-90.
Jull G, Amiri M, Bullock-Saxton J, Darnell R, Lander C. Cervical musculoskeletal impairment in frequent intermittent headache. Part 1: subjects with single headaches. Cephalalgia. 2007;27(7):793-802.
Speed WG. History, nomenclature, relation to other facial pain syndromes. In: Cluster Headache. Springer Netherlands; 1984:1-13.
Becker WJ. Cervicogenic headache: evidence that the neck is a pain generator. Headache J Head Face Pain. 2010;50(4):699-705.
Wang E, Wang D. Treatment of cervicogenic headache with cervical epidural steroid injection. Curr Pain Headache Rep. 2014;18(9):442.
Gonzalez HE, Manns A. Forward head posture: its structural and functional influence on the stomatognathic system, a conceptual study. CRANIO®. 1996;14(1):71-80.
Visser B, van Dieën JH. Pathophysiology of upper extremity muscle disorders. J Electromyogr Kinesiol. 2006;16(1):1-16.
Bogduk N, Mercer S. Biomechanics of the cervical spine. I: normal kinematics. Clin Biomech. 2000;15(9):633-48.
Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthopaed Sports Phys Ther. 2000;30(12):755-66.
English DJ, Zacharias A, Green RA, Weerakkody N. Reliability of cervicocephalic proprioception assessment: a systematic review. J Manipul Physiol Ther. 2022;45(5):346-57.
Clark NC, Röijezon U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: clinical assessment and intervention. Man Ther. 2015;20(3):378-87.
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;14(3):270-7.
Swait G, Rushton AB, Miall RC, Newell D. Evaluation of Cervical proprioceptive function. Spine. 2007;32(24):E692-701.
Chen X, Treleaven J. The effect of neck torsion on joint position error in subjects with chronic neck pain. Man Ther. 2013;18(6):562-7.
Alahmari K, Reddy RS, Silvian P, Ahmad I, Nagaraj V, Mahtab M. Intra- and inter-rater reliability of neutral head position and target head position tests in patients with and without neck pain. Braz J Phys Ther. 2017;21(4):259-67.
Sillevis R, Swanick K. Musculoskeletal ultrasound imaging and clinical reasoning in the management of a patient with cervicogenic headache: a case report. Physiother Theory Pract. 2021;37(11):1252-62.
Weon JH, Oh JS, Cynn HS, Kim YW, Kwon OY, Yi CH. Influence of forward head posture on scapular upward rotators during isometric shoulder flexion. J Bodyw Mov Ther. 2010;14(4):367-74.
Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019;20(1):447.
Köseoğlu A, Coşkunsu DK, Mutlu EK. Validity and reliability of a new method to measure cervical proprioception. Phys Med Rehabilitationsmed Kurortmed. 2022;32(05):306-13.
Zhang M, Yan CX, Yu FS, Feng LD, Nian ZG, Bing HA. Reliability and validity of a novel device for evaluating the cervical proprioception. Pain Ther. 2023;12(3):671-82.
Ntenezakos N, Makrogkikas M, Dimitriadis Z, Koumantakis GA. Neck proprioception assessment with a laser beam device: reliability in participants without neck pain and differences between participants with and without neck pain. Bull Facult Phys Ther. 2021;26(1):36.
