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Table 4 Intra- and inter examiner reliability of Cranio-Cervical Flexion Test (CCFT), Deep Cervical Extensor test (DCE), Range of Movement (ROM) and Joint Position Error (JPE)

From: Reliability, construct and discriminative validity of clinical testing in subjects with and without chronic neck pain

Test

Variable

N

MDC

ICC

(95% CI)

95% LOA

CCFT (mmHg.)

Inter-reliability 1

42

4.70

0.63

(0.41; 0.78)

(-4.99; 4.42)

Inter-reliability 2

36

3.12

0.82

(0.67; 0.91)

(-3.11; 3.11)

Intra-reliability A

27

2.94

0.86

(0.72; 0.93)

(-3.17; 2.72)

Intra-reliability B

27

3.99

0.70

(0.43; 0.85)

(-3.92; 4.07)

DCE (sec.)

Inter-reliability 1

36

58.01

0.76

(0.59; 0.86)

(-53.24; 62.78)

Inter-reliability 2

29

57.36

0.75

(0.55; 0.87)

(-67.72; 47.00)

Intra-reliability A

26

37.25

0.90

(0.79; 0.95)

(-31.21; 43.29)

Intra-reliability B

25

59.33

0.77

(0.55; 0.89)

(-65.86; 52.79)

ROM (degrees)

Inter-reliability 1

     

Flexion

42

14.65

0.82

(0.66; 0.91)

(-11.29; 18.00)

Extension

42

18.90

0.80

(0.62; 0.90)

(-23.50; 14.31)

Left rotation

42

11.21

0.92

(0.86; 0.96)

(-10.73; 11.68)

Right rotation

42

10.11

0.93

(0.87; 0.96)

(-10.58; 9.63)

Left lateral flexion

42

8.31

0.85

(0.74; 0.92)

(-8.22; 8.41)

Right lateral flexion

42

9.30

0.84

(0.72; 0.91)

(-9.11; 9.49)

ROM

Inter-reliability 2

     

Flexion

36

15.02

0.83

(0.70; 0.91)

(-13.72; 16.33)

Extension

36

12.60

0.92

(0.85; 0.96)

(-14.13; 11.07)

Left rotation

36

9.83

0.94

(0.89; 0.97)

(-11.20; 8.44)

Right rotation

36

10.73

0.93

(0.86; 0.96)

(-10.74; 10.74)

Left lateral flexion

36

9.35

0.83

(0.66; 0.91)

(-7.40; 11.29)

Right lateral flexion

36

10.06

0.80

(0.61; 0.90)

(-7.93; 10.70)

ROM

Intra-reliability A

     

Flexion

27

17.00

0.81

(0.62; 0.91)

(-13.78; 20.23)

Extension

27

21.23

0.81

(0.63; 0.91)

(-22.60; 19.86)

Left rotation

27

10.98

0.90

(0.75; 0.95)

(-8.21; 13.76)

Right rotation

27

10.64

0.89

(0.76; 0.92)

(-8.42; 12.87)

Left lateral flexion

27

8.70

0.85

(0.69, 0.93)

(-8.51; 8.88)

Right lateral flexion

27

9.48

0.84

(0.68; 0.92)

(-10.26; 8.71)

ROM

Intra-reliability B

     

Flexion

27

14.24

0.86

(0.71; 0.93)

(-13.87; 20.23)

Extension

27

18.91

0.82

(0.64; 0.91)

(-15.91; 21.91)

Left rotation

27

13.05

0.87

(0.73; 0.94)

(-12.12; 13.97)

Right rotation

27

11.00

0.88

(0.74; 0.95)

(-8.59; 13.40)

Left lateral flexion

27

8.92

0.84

(0.68; 0.92)

(-7.44; 10.40)

Right lateral flexion

27

9.12

0.85

(0.70; 0.93)

(-8.23; 10.01)

JPE

Inter-reliability 1

     

Flexion

42

7.59

0.54

(0.26, 0.73)

(-5.74; 9.44)

Extension

42

9.26

0.35

(0.06; 0.59)

(-8.60; 9.92)

Left rotation

42

6.99

0.58

(0.34; 0.75)

(-5.91; 8.07)

Right rotation

42

8.32

0.27

(-0.02; 0.52)

(-7.25; 9.39)

JPE

Inter-reliability 2

     

Flexion

35

9.14

0.11

(-0.20; 0.41)

(-7.63; 10.65)

Extension

35

8.22

0.36

(0.02; 0.62)

(-8.11, 8.34)

Left rotation

35

7.97

0.02

(-0.30; 0.33)

(-6.82; 9.12)

Right rotation

35

9.10

0.04

(-0.29; 0.37)

(-8.28; 9.92)

JPE

Intra-reliability A

     

Flexion

27

7.71

0.42

(0.05; 0.69)

(-7.48; 7.16)

Extension

27

7.58

0.50

(0.16; 0.74)

(-7.29, 8.15)

Left rotation

27

7.54

0.18

(-0.20; 0.52)

(-8.06; 6.64)

Right rotation

27

9.95

0.05

(-0.36; 0.42)

(-10.36;10.55)

JPE

Intra-reliability B

     

Flexion

27

10.12

0.23

(-0.12; 0.55)

(-10.84; 9.16)

Extension

27

8.35

0.50

(0.15; 0.74)

(-8.11; 7.79)

Left rotation

27

5.76

0.66

(0.37; 0.83)

(-7.92; 5.86)

Right rotation

27

6.16

0.35

(-0.03; 0.65)

(-6.31; 6.14)

  1. Minimal Detectable Change (MDC), Intraclass Correlation Coefficient (ICC), with 95% Confidence Intervals (95% CI), and 95% Limits of Agreement (LOA).
  2. Inter-reliability 1. test occasion (Inter-reliability 1), Inter-reliability 2. test occasion (Inter-reliability 2), Intra-reliability examiner A (Intra-reliability A), Intra-reliability examiner B (Intra-reliability B).