To determine the diagnostic accuracy and interrater reliability of two tests for upper cervical mobility: the lateral-flexion-test (LFT) and the flexion-rotation-test (FRT), in infants referred with an assumptive UCD.
ID
Source
Brief title
Condition
- Joint disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Outcomes on the LFT and FRT of all manual therapists in terms of upper cervical
restriction (yes/no) and indication for treatment (yes/no).
Objectively measured degrees of motion towards the same directions, are
measured by a 3D kinematic analysis system and used as golden standard.
Secondary outcome
Parents provide information on characteristics of the infants, the pregnancy
and delivery. Posture and movement are being observed by the researcher.
Background summary
In the Netherlands, every year 7500 infants (younger than 6 months) are treated
with manual therapy. These infants are being referred for positional preference
of the head. Manual therapists hypothesize that a positional preference is
caused by an upper cervical dysfunction (UCD). However, literature on
diagnostics on this assumptive UCD is scarce. The diagnostics that are being
used in clinical practice showed good reliability in adults, but have never
been studied in infants. Nonetheless these diagnostics are frequently used in
clinical practice.
Study objective
To determine the diagnostic accuracy and interrater reliability of two tests
for upper cervical mobility: the lateral-flexion-test (LFT) and the
flexion-rotation-test (FRT), in infants referred with an assumptive UCD.
Study design
Cross sectional observational diagnostic accuracy and interrater reliability
study
Study burden and risks
The execution of the tests will take 20 minutes, which equals the amount of
time during an intake or session with a pediatric physiotherapist or manual
therapist in the usual care process.
The time investment for parents, and infants, is approximately 1 hour.
Stadsring 159B
Amersfoort 3817 BA
NL
Stadsring 159B
Amersfoort 3817 BA
NL
Listed location countries
Age
Inclusion criteria
infants of 6 months or younger referred for manual therapy with an assumption of HCFS
Exclusion criteria
previous treatment by manual therapist
assumptive underlying pathology (red flags)
neurologic complaints
other treatment at disfunctional level, such as chiropractic, osteopathy and cranio-sacral therapy
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL58488.091.16 |