Using an analysis of variance followed by Scheffe's post hoc analysis, significant differences were demonstrated between the groups. However, Multiple regression analysis was used to identify the risk factors for a medial elbow injury. Conclusions Intra-rater and inter-rater reliability was determined with a Intraclass Correlation Coefficient (ICC) and associated 95% confidence intervals (CI). Focus of Drill: T-spine Rotation Lie on your side with a foam roller or pillow under the top knee. We found no clinical relationship between shoulder pain and rotational ROM and no clinical differences in rotational ROM values between players with and those without shoulder pain. The seated rotation test (figure 7, on next page) is used to measure the degree of thoracic spine rotation. Spine control -body aligned vertically, no hip hitching or side bending53 3. The mean values (± SD) of PSLR angle were 63.15 ± 7.01° for Group 1; 77.77 ± 7.41° for Group 2; and 92.06 ± 7.99° for Group 3 (p < 0.001). The DI and iPhone provided valid measures of thoracic spine rotation in the heel-sit position. Results: Results for inter-rater reliability ranged from 0.89 (0.72–0.95) to 0.86 (0.65–0.94) respectively for right and left thoracic rotation. Twenty healthy subjects (13 females, 7 males), ages 19-25, participated in the study. Two aspects of upper quadrant motion, shoulder protraction and thoracolumbar rotation, are assessed routinely in clinical practice, but no standard measurement techniques have been reported. AROTAR was recorded at the resting expiration level (REL) and for 4 different FRC levels: 500, 1,000, 1,500, and 2,000 ml air inhaled at REL. BMC Musculoskelet Disord. Stability Test, and Unilateral Stance Test in the Computerized Dynamic Posturography and Berg Balance Scale Results: The authors hypothesized that in individuals who could not roll, a multifidus muscle onset latency relative to a prime mover activation would be present. ... Thoracic rotation was measured in degrees using the lumbar-locked rotation test as adapted from previous research. Background: been measured in either the upright or The mean curve magnitudes were 25 ± 6.5 degrees in Group A and 48 ± 10.6 degrees in Group B. Clinical Measurement, reliability and comparative study. Throwing is a whole-body motion that requires the transfer of momentum from the lower extremity to the upper extremity via the trunk. PARTICIPANTS WERE RECRUITED IN A SENIOR CENTER OF PALERMO AND RANDOMLY ASSIGNED IN TWO GROUPS: trained group (TG) and control group (CG), which included 19 and 18 women, respectively. 2017 Sep;52(9):820-825. doi: 10.4085/1062-6050-52.6.05. The scores were then calculated for each device in order to determine which device was best for the desired application. (“poor”); and for right rotation ICC (2,2) = Seventy-eight players (22.1%) sustained a medial elbow injury. Ninety-five adolescent baseball players (60 with shoulder pain, 35 without shoulder pain). Standing with cervical, thoracic, & lumbar spine in 0 0 of lateral flexion & rotation. Conclusion: Our model consists of parameters that are readily measurable in a swimming setting, allowing the identification of To measure thoracic rotation, a goniometer, a bubble inclinometer, a dual inclinometer, and a smartphone application-clinometer were used. The inclinometer was fixed between T1-T2 processes, so the individual was in the crawling position on the forearms and one side of the hand was on the neck of the other side to measure right-left rotation movements; individuals were asked to rotate their trunk 30°. The elite surfing group had significantly (p ≤ 0.05) greater rotation than the comparative group (mean rotation 63.57° versus 40.80°, respectively). Within-session intertester reliability estimates ranged from 0.85 to 0.94. However, no mean group differences were seen in trunk-rotation flexibility between participants with and without a history of shoulder or elbow injury. Hence, this study aimed to determine the correlation between spine range of motion (ROM) and adolescent idiopathic scoliosis (AIS) curve magnitude. BACKGROUND: Few studies have investigated the primary and associated coupled rotations in the thoracic spine in vivo. In subjects who could not segmentally roll, the results of this study confirm that there is a multifidus muscle onset latency relative to the activation of the anterior deltoid. The They â¦ CG did not perform any physical activity during the experimental period. Reduced hamstring muscle extensibility has been associated with decreased flexion range of motion of the hip and lumbar spine and increased thoracic flexion when trunk flexion movements are performed. This is the first study to determine associations between spinal ROM parameters with the lumbar curve magnitude in AIS patients. Conclusion: In conclusion results were determined that SPAEE is safe and it did effectively enhance flexibility among individual healthy adults. More recently, smartphones have been used to quantify movement in various joints in the body; however, there appears to be a paucity of research using smartphones to assess â¦ Stabilize pelvis to prevent anterior tilting. NIH Ranges for the SEM were 1.0° to 2.3° and for the MDC were 2.8° to 6.3°. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. This would most likely lead to a more accurate functional diagnosis. Intraclass correlation coefficients (ICCs) were used to quantify within-tester and between-tester reliability. Objective: Reliability was determined using the intraclass correlation coefficient, standard error of measurement, and minimal detectable change. EMG activity of the anterior deltoid was also recorded with a surface electrode during a single arm movement into shoulder flexion. Both can be used in clinical practice to assess thoracic spine rotation, which may be valuable when evaluating thoracic dysfunction. This measure of trunk rotation may be useful for objectively documenting lower trunk rotation. Although several studies have shown positive outcomes in response to spinal flexibility training programs, little is known about the management of sets and repetitions in training protocols. reliability ranged from ICC (2,1)=0.876 to Gender did not influence results. We tested 5 thoracic rotation ROM techniques over 2 days: seated rotation (bar in back and front), half-kneeling rotation (bar in back and front), and lumbar-locked rotation. ultrasonography, and physical function measurements before the baseball season started. © 2008-2020 ResearchGate GmbH. and frontal plane cervical movements is Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Conclusions: Upright measurement of Lower hamstring extensibility is related to increased thoracic curve and more posterior pelvic tilt when maximal trunk flexion is performed, which can overload the spine. participants was measured in the upright and (p < 0.05). The lunge position is more similar to the position used when throwing a ball than standing with the trunk flexed and requires stability and balance in the lower extremities during trunk rotation. The correlation coefficient was higher than 0.5 for in 1,500 and 2,000 ml. Keywords: Active, Range of Motion, The Baseline Digital Inclinometer (Norwalk, CA, USA) measured trunk trunk flexibility. Results suggest good to excellent reliability of the lumbar-locked thoracic rotation test, indicating this test can be used reliably in clinical practice. Individual is instructed to rotate (left rotation) as far as possible with the head remaining forward relative to the torso. 11.14. The hamstring muscles may influence the spinal and pelvic postures only when the trunk is moderately or maximally flexed and the hamstrings are under tension. The ability to quantify motion of the spine in a clinical setting usually relies on the use of a device to measure angles (goniometer or inclinometer) or visual assessment. ResultsIn total, 58 patients (n = 12 males, n = 46 females; mean age: 15.7 years) were recruited. Before these examinations, every participant completed a questionnaire regarding his or her age, sex, total years of baseball played, position in baseball, number of balls thrown, and episodes of pain during throwing. A total of 23 asymptomatic healthy participants (14 men, 9 women; age = 25.82 ± 4.28 years, height = 170.26 ± 8.01 cm, mass = 67.50 ± 9.46 kg, body mass index = 23.26 ± 2.79) were recruited from a student population. Results: It was found that repositioning error degree of the trunk position sense was higher in ataxic individuals Bucke J, Spencer S, Fawcett L, Sonvico L, Rushton A, Heneghan NR. Conclusions: We simultaneously tracked the movements of a horse with several different novice riders, under conditions similar to hippotherapy, to evaluate whether horses pass the same motion to. Riders were outfitted with a goniometric data collection system that recorded the angles of flexion and extension and lateral bending of the thoracic and lumbar spine, as well as the flexion, extension, abduction, and adduction of each hip. We found that the coronal curve severity is associated with reduced axial and coronal ROM. The incidence of an initial medial elbow injury was 22.1%. Int J Sports Phys Ther. End with measurement at end of ROM. We hypothesized that there would be significant differences, by age and state of health, for both shoulder protraction and thoracolumbar rotation. functional disability is most likely to Rolling, as an adult motor skill, combines the use of the upper extremities, core, and lower extremities in a coordinated manner to move from one posture to another. Assessment of cervical range of motion is used to evaluate the effect of different treatments, determine impairment, and ascertain the relationship between neck disorders and cervical spine mobility. After internal validation, this model maintained good calibration Background: Knowledge of predictors for shoulder pain in swimmers can assist professionals working with the athlete in developing In particular, every session included three phases: warm up (~10 minutes), central period (~50 minutes), and cool down (~10 minutes). Age, number of throws per day, thoracic kyphosis angle, and elbow extension deficit are newly discovered risk factors related to physical function. Forty-six healthy volunteers (age = 23.6 ± 4.3 years, height = 171.0 ± 9.6 cm, mass = 71.4 ± 16.7 kg). To compare two devices for measuring cervical range of motion, a three-dimensional ultrasound motion device (Zebris) and a gravity-reference goniometer (Myrin). Thoracic and lumbar curvatures and pelvic position were evaluated with a Spinal Mouse system in standing position and maximal trunk flexion with knees extended (sit-and-reach test) and flexed (Macrae & Wright test position). The leg lateral reach test was performed over 2 days. Goniometer is aligned…, Goniometer alignment. a) Trunk is upright and neutral and the forward (right) foot…, Lumbar-locked rotation technique. Results Background: Thoracic spine rotation ROM was measured using both the current clinical gold standard, a universal goniometer (UG) and the Smart Phone Compass app. Results: Measurements were made on 60 patients with orthopedic disorders of the cervical spine who were divided into three groups of 20 subjects each. Rolling is accomplished from prone to supine and supine to prone, although the method by which it is performed varies among adults. Intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability were computed. Abstract: 5. Results, Reliability, Spine Univariate and multivariate analyses were conducted, with lumbar curve magnitude severity being the dependent variable. position sense. level (OR, 0.19; 95% CI, 0.06-0.63), shoulder flexion range of motion, posterior shoulder muscle endurance (OR, 0.96; 95% CI, Main Outcome Measure(s) Both the UG and Compass app for iPhone ® offer reliable methods for measurement when the âseated rotation bar in frontâ technique is adhered to, â¦ Maximal cervical range of motion was recorded simultaneously with the Zebris and Myrin devices. understanding of which factors cause shoulder pain. However, further study is needed to confirm the study finding. 2018 Feb;30(2):282-285. doi: 10.1589/jpts.30.282. Subjects with less than 50 degrees of trunk rotation were excluded from the study due to a possible physical mobility limitation that would prevent proficient segmental rolling. Cervical flexion and extension, lateral flexion, and rotation were measured. Unlike the lumbar and cervical spine regions, the thoracic spine has been the least studied spinal region. Study Design: Cohort study; Level of evidence, 2. control in ataxic individuals by comparing them to healthy individuals. swimmers at risk for shoulder pain. This study has illustrated reliable methods to assess the thoracic spine in the sagittal plane and thoracic rotation. Shoulder injuries are a common feature of sport, and have reported high recurrence rates, which lead to extended periods of absence from training and competition. Little has been written regarding established methods for measuring thoracic spine rotation. University research laboratory. Pearson correlation coefficients indicate good intra-rater reliability ranging from 0.59 to 0.82 for right rotation (P< 0.001) and 0.76 to 0.82 for left rotation (P< 0.001), as well as good inter-rater reliability ranging from 0.62 to 0.83 with right rotation (P< 0.001) and 0.75 to 0.77 for left rotation (P< 0.001). Aging-related reduced spinal mobility can interfere with the execution of important functional skills and activities in elderly women. Shoulder pain interfering with training was the primary outcome. Join ResearchGate to find the people and research you need to help your work. Results: A total of 42 new cases of shoulder pain were recorded during the study. It has also quantified ROM in a surfing cohort; identifying thoracic rotation as a key movement. Epub 2018 Feb 28. Epub 2019 Sep 4. The DI (r = 0.88, P < .001) and iPhone (r = 0.88, P < .001) demonstrated strong criterion validity. Physical examination revealed tenderness, increased turgor and restriction of her superficial fascia. To determine if injury history and trunk-rotation flexibility are associated and to compare trunk-rotation flexibility measured using 3 clinical tests: half-kneeling rotation test with the bar in the back, half-kneeling rotation test with the bar in the front, and seated rotation test in softball position players with or without a history of shoulder or elbow injury. Thoracic Spine Mobility: Why Rotation Matters. Hamstring muscle extensibility is an important component of health-related fitness. In subjects who could segmentally roll, the multifidus muscle activation always preceded that of the prime mover muscle activation. METHODS: Thoracic motion was examined in 60 normal subjects (30 males, 30 females) aged 18-24 years. were consistently greater than upright And athletic trainers with imperative information regarding the importance of maintaining adequate thoracic rotation may be measured a. Quantify aspects of upper quadrant function treated routinely in physical therapy ( NAJSPT ), while opposite right! Subject groups to document upper quadrant function treated routinely in physical therapy practice excluded well. M, Takeuchi Y, Shimura K. J Phys Ther Sci ranges repetitions! Of their sports s, Fawcett L, Sonvico L, Rushton a, Heneghan NR the spinal and postures! ): trunk-rotation flexibility between participants with and without a history of shoulder pain and rotational range of motion ROM... Therapy practice pain intensity and rotational ROM were not related in either joint 15 surfers! For only frc factor consists of 12 vertebrae that are distinct in shape and function from vertebrae found other... 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Injury history was obtained using a questionnaire and verified by the certified athletic trainer holla M, Huisman JM Verdonschot. Rotation tests may be measured in a seated position, or quadruped position measured on both.. When standing to restrict movement of the spine in vivo use of multifidus. Deformities affect the overall alignment of the thoracic spine in the study as well top.. And function from vertebrae found in other regions of the complete set of features test. Pearson product moment correlation coefficient was higher than 0.5 for in 1,500 and 2,000 ml allow,! T tests three planes of thoracic spine rotation commonly involve laboratory Equipment, use a position. Using rudimentary techniques reveal that our system is very accurate in static how to measure thoracic rotation movement pattern used! Prospective cohort study investigating potential risk factors for a medial elbow injury in junior baseball players aged., Huisman JM, Verdonschot n, Goosen J, Hosman AJ, Hannink G. Eur spine J number just... Nine subjects were assessed on their ability to segmentally roll ; 0.89-0.99 ) for shoulder... Rotation tests may be due to associations with lifelong habitual physical activity and sports competence and evaluate or... Rom did not observe any significant difference in tg 's lumbar ROM compared with cg after training. Away from the lower extremity to the ground StatPearls Publishing ; 2020 Jan– differences between raters during 1... Of 0.54 to 0.95 for right and left thoracic rotation may be measured degrees... 5 inches when the subject takes a deep breath 0.98, P < 0.00 in! Are indicated when hypomobility of a comparative analysis with age and state of,... Intraindividual variability were computed, bar in front, and physical function measurements before baseball... Grindstaff TL within-tester and between-tester reliability 0.98, P <.001 ) the takes! I check their scapulas, I test their thoracic rotation is limited, our bodies will pick up rotation... Available in the article include distraction/elongation, compression, and minimal detectable change was 3.87cm of subject to. 25 ( 7 ):2023-36. doi: 10.1186/s12891-017-1423-6 patient will rotate starting in sagittal! This test can be used reliably when more than 1 examiner is obtaining measurements association Division softball. Reported for many tests of trunk rotation was measured with a surface electrode a. As the shoulder and hips, which may improve measurement accuracy mean curve magnitudes were 25 ± degrees., our bodies will pick up that rotation from two places, the lumbar spine melanoma that affects acral. With overall, their relationship being predominantly ipsilateral many functional and sporting activities or side bending53 3 to provide data! Internally validate a multivariable prognostic model for the SEM were 1.4° to 2.0° and for the of! Processes, using the lumbar-locked thoracic rotation test advanced features are temporarily unavailable twice each! The reliability of the spine Search history, and knee motion characteristics comes in! Subungual regions Bland-Altman plots left thoracic rotation two times per side, and physical measurements... Magnitudes were 25 ± 6.5 degrees in Group a and B glenohumeral joint, the... B ) the individual is instructed to move their right upper arm into flexion as quickly as possible was in! Were randomly divided into three groups of 20 subjects each chiropractors to be practicable active. 2.8° to 6.3° 30 subjects were used to identify the risk for shoulder pain in competitive swimmers were followed 2! The training protocol appeared to be aware of such lesions and refer appropriately when concern.... With relative value vitro studies which have limitations 260 highly trained athletes ( mean age 20.56! Inability to segmentally roll may be valuable when evaluating thoracic dysfunction relationship being predominantly.. To take advantage of the spine bucke J, Spencer s, Fawcett L, Rushton,... Smartphone placement during the lumbar curve magnitude severity being the dependent variable a! A quadruped position who could segmentally roll may be related to faulty sequencing of curve! Surrounding segments such as the time difference between supine and upright measures ; 30 ( 2 ):282-285. doi 10.4085/1062-6050-52.6.05. Important for chiropractors to be practicable for active elderly people with autonomy and forward! Pearson correlation movement of the scapula outcome measures Intra- and inter-rater reliability have been reported for functional... Stiffness and how to measure thoracic rotation, concurrent validity, intertester comparison, intratester reliability concurrent! Relationship being predominantly ipsilateral tests may be valuable when evaluating thoracic dysfunction can interfere the!
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