Evidence map›Paper›PMID 39160504›Full record

ArticleBMC musculoskeletal disorders2024

Goniometry and fleximetry measurements to assess cervical range of motion in individuals with chronic neck pain: a validity and reliability study.

Gabriel Gardhel Costa Araujo, André Pontes-Silva, Plínio da Cunha Leal, Bruno Sousa Gomes, Maisa Lopes Reis, Sâmira Kennia de Mello Pereira Lima, Cid André Fidelis-de-Paula-Gomes, Almir Vieira Dibai-Filho

Registry-linked trialAbstract readValidation Study
In one paragraph

Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07628348 (Effects of Diaphragmatic Release Technique on Neck Pain, Range of Motion, and Chest Expansion in Patients With Cervical Radiculopathy), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07628348 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Diaphragmatic Release Technique on Neck Pain, Range of Motion, and Chest Expansion in Patients With Cervical Radiculopathy

TypeinterventionalSponsorRiphah International UniversityRan2026 to 2026Enrolled40ConditionsCervical RadiculopathyArmsDiaphragmatic Release Technique, Traditional Physical Therapy
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Use of the Zebris Ultrasonic Three-Dimensional Motion Analysis System to Evaluate Range of Motion of the Cervical Spine in 61 Healthy Adults.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Gabriel Gardhel Costa AraujoPostgraduate Program in Physical Education, Department of Physical Education, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
André Pontes-SilvaPostgraduate Program in Physical Therapy, Department of Physical Therapy, Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil. contato.andrepsilva@gmail.com.
Plínio da Cunha LealPostgraduate Program in Physical Education, Department of Physical Education, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.
Bruno Sousa GomesInstituto Center Fisio Inovare, São Luís, Maranhão, Brazil.
Maisa Lopes ReisInstituto Center Fisio Inovare, São Luís, Maranhão, Brazil.
Sâmira Kennia de Mello Pereira LimaInstituto Center Fisio Inovare, São Luís, Maranhão, Brazil.
Cid André Fidelis-de-Paula-GomesPostgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho, São Paulo, São Paulo, Brazil.
Almir Vieira Dibai-FilhoPostgraduate Program in Physical Education, Department of Physical Education, Universidade Federal do Maranhão, São Luís, Maranhão, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess the test-retest and inter-rater reliability of goniometry and fleximetry in measuring cervical range of motion in individuals with chronic neck pain.

methodsA reliability study. Thirty individuals with chronic neck pain were selected. Cervical range of motion was measured by goniometry and fleximetry at two time points 7 days apart. To characterize the sample, we used the numerical pain rating scale, Pain-Related Catastrophizing Thoughts Scale, and Neck Disability Index. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable change (MDC) were calculated. Correlations between goniometry and fleximetry measurements were performed using Spearman's correlation coefficient (rho).

resultsFor goniometry, we found excellent test-retest reliability (ICC ≥ 0.986, SEM ≤ 1.89%, MDC ≤ 5.23%) and inter-rater reliability (ICC ≥ 0.947, SEM ≤ 3.91%, MDC ≤ 10.84%). Similarly, we found excellent test-retest reliability (ICC ≥ 0.969, SEM ≤ 2.71%, MDC ≤ 7.52%) and inter-rater reliability (ICC ≥ 0.981, SEM ≤ 1.88%, MDC ≤ 5.20%) for fleximetry. Finally, we observed a strong correlation between the goniometry and the fleximetry for all cervical movements (rho ≥ 0.993).

conclusionGoniometry and fleximetry measurements are reliable for assessing cervical range of motion in individuals with chronic neck pain.

Indexed as

Arthrometry, ArticularCervical VertebraeChronic PainNeck PainRange of Motion, ArticularAdultFemaleHumansMaleMiddle AgedObserver VariationPain MeasurementReproducibility of ResultsArticular; Reproducibility of ResultsChronic Pain; Spine; Range of Motion

Identifiers

PMID39160504
PMCPMC11331693

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.