The clinical utility of cervical range of motion in diagnosis, prognosis, and evaluating the effects of manipulation: a systematic review.

摘要: Abstract Background Clinicians commonly assess cervical range of motion (ROM), but it has rarely been critically evaluated for its ability to contribute patient diagnosis or prognosis, whether is affected by mobilisation/manipulation. Objectives This review summarises the methods used measure ROM in research involving patients with spine disorders, reviews evidence using diagnosis, and evaluation effects mobilisation/manipulation on ROM. Data sources study selection A systematic search MEDLINE, EMBASE, CINAHL, AMED ICL databases was conducted, addressing one four constructs related ROM: measurement, Study appraisal synthesis Two independent raters appraised methodological quality QUADAS-2 tool diagnostic studies, QUIPS prognostic studies PEDro scale interventional studies. Heterogeneity prevented meta-analysis. Results Thirty-six met criteria findings showed there limited value cervicogenic headache, radiculopathy injury. There conflicting ROM, though restricted appears associated negative outcomes while greater positive outcomes. as increases decreases following Conclusion implications key Cervical component assessment, clinicians should be cautious about making clinical judgments primarily basis Funding collaboration supported an internal grant from Faculty Health, The University Newcastle.