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Open AccessArticle

Proposal of an Alternative to the AMA Guidelines for the Evaluation of the Cervical ROM

1
San Juan de Dios School of Nursing and Physical Therapy, Comillas Pontifical University, Avda. San Juan de Dios 1 Ciempozuelos, 28350 Madrid, Spain
2
Fisi(ON) Health Group, Biomechanics, Calle Pollensa, 2, Las Rozas, 28232 Madrid, Spain
3
Departamento de Informática, Universidad of Almería, Carretera Sacramento, Calle San Urbano, s/n, La Cañada, 04120 Almería, Spain
*
Author to whom correspondence should be addressed.
Received: 5 August 2020 / Revised: 8 September 2020 / Accepted: 25 September 2020 / Published: 9 October 2020
The cervical spine is one of the most frequently injured joints in a car accident. References for the range of motion (ROM) that should be expected in a person are needed to stage the injuries. The two main objectives of this paper are to clinically validate a measuring device for the cervical spine, and to assess if the use of different ROM reference values will render different results from the American Medical Association (AMA) ROM guidelines. The present study is divided into 2 phases, a validation phase with 55 subjects and a case-control phase with 80 subjects. A BTS (Bioengineering Technology and System) system and the EBI-5 (estudio biomecánico integral) system were used for the present investigation. The intraclass correlation agreement value between both measuring devices is considered very good with a Cronbach alpha up to 0.9 in every dimension. Correlations (r) between variables are very high, not showing any values lower than 0.887. All comparisons between using AMA ROM guidelines or normative values presented significant differences (p < 0.05). The EBI-5 system has exhibited good accuracy being paired to a photogrammetric system. The use of guidelines adjusted to age constitute an alternative to the use of the AMA cervical ROM guidelines. Professionals should use age-normalized guidelines as an alternative to the AMA guidelines. View Full-Text
Keywords: cervical spine; AMA; normative data; range of motion; traffic injuries; accelerometry cervical spine; AMA; normative data; range of motion; traffic injuries; accelerometry
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MDPI and ACS Style

Martínez-Beltrán, M.J.; Fidalgo-Herrera, A.; Moreno-Ruiz, J.A.; de la Torre-Montero, J.C. Proposal of an Alternative to the AMA Guidelines for the Evaluation of the Cervical ROM. Designs 2020, 4, 43. https://0-doi-org.brum.beds.ac.uk/10.3390/designs4040043

AMA Style

Martínez-Beltrán MJ, Fidalgo-Herrera A, Moreno-Ruiz JA, de la Torre-Montero JC. Proposal of an Alternative to the AMA Guidelines for the Evaluation of the Cervical ROM. Designs. 2020; 4(4):43. https://0-doi-org.brum.beds.ac.uk/10.3390/designs4040043

Chicago/Turabian Style

Martínez-Beltrán, María J.; Fidalgo-Herrera, Alberto; Moreno-Ruiz, José A.; de la Torre-Montero, Julio C. 2020. "Proposal of an Alternative to the AMA Guidelines for the Evaluation of the Cervical ROM" Designs 4, no. 4: 43. https://0-doi-org.brum.beds.ac.uk/10.3390/designs4040043

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