New Population‐Based Reference Values for Spinal Mobility Measures Based on the 2009–2010 National Health and Nutrition Examination Survey
Objective To report population‐based percentile reference values for selected spinal mobility measures in a nationally representative sample of 5,001 US adults ages 20–69 years who were examined in the 2009–2010 US National Health and Nutrition Examination Survey (NHANES). Methods Occiput‐to‐wall di...
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| Veröffentlicht in: | Arthritis & rheumatology (Hoboken, N.J.) N.J.), 2014-09, Vol.66 (9), p.2628-2637 |
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| creator | Assassi, Shervin Weisman, Michael H. Lee, MinJae Savage, Laurie Diekman, Laura Graham, Tiffany A. Rahbar, Mohammad H. Schall, Joan I. Gensler, Lianne S. Deodhar, Atul A. Clegg, Daniel O. Colbert, Robert A. Reveille, John D. |
| description | Objective
To report population‐based percentile reference values for selected spinal mobility measures in a nationally representative sample of 5,001 US adults ages 20–69 years who were examined in the 2009–2010 US National Health and Nutrition Examination Survey (NHANES).
Methods
Occiput‐to‐wall distance (OWD), thoracic expansion (TE), and anterior lumbar flexion (ALF; by modified Schober test) were measured by trained examiners in a standardized manner. TE was measured at the xiphisternal level, while the lower reference point for ALF was a line marked at the level of the superior margin of the lateral iliac crests. We report reference values based on the 95th percentile for the OWD and the 5th percentile for TE and ALF, as well as other summary statistics for these measures, in the study population.
Results
An OWD of >0 was present in 3.8% of the participants, while 8.8% of them had out‐of‐range values for TE based on the commonly used threshold of 2.5 cm. The 95th percentile of the OWD measurement was 0, while the 5th percentile for TE and ALF were 1.9 cm and 2 cm, respectively. The spinal measures were significantly associated with sex, age, ethnicity, height, and body mass index (BMI). Exclusion of individuals with severe obesity (BMI >35 kg/m2) changed the proposed reference values for TE and ALF to 2.2 cm and 1.9 cm, respectively.
Conclusion
We verified a reference value of 0 for the OWD in the general population. Using the reported population‐based percentile values, new reference values for TE and ALF can be derived. |
| doi_str_mv | 10.1002/art.38692 |
| format | Article |
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To report population‐based percentile reference values for selected spinal mobility measures in a nationally representative sample of 5,001 US adults ages 20–69 years who were examined in the 2009–2010 US National Health and Nutrition Examination Survey (NHANES).
Methods
Occiput‐to‐wall distance (OWD), thoracic expansion (TE), and anterior lumbar flexion (ALF; by modified Schober test) were measured by trained examiners in a standardized manner. TE was measured at the xiphisternal level, while the lower reference point for ALF was a line marked at the level of the superior margin of the lateral iliac crests. We report reference values based on the 95th percentile for the OWD and the 5th percentile for TE and ALF, as well as other summary statistics for these measures, in the study population.
Results
An OWD of >0 was present in 3.8% of the participants, while 8.8% of them had out‐of‐range values for TE based on the commonly used threshold of 2.5 cm. The 95th percentile of the OWD measurement was 0, while the 5th percentile for TE and ALF were 1.9 cm and 2 cm, respectively. The spinal measures were significantly associated with sex, age, ethnicity, height, and body mass index (BMI). Exclusion of individuals with severe obesity (BMI >35 kg/m2) changed the proposed reference values for TE and ALF to 2.2 cm and 1.9 cm, respectively.
Conclusion
We verified a reference value of 0 for the OWD in the general population. Using the reported population‐based percentile values, new reference values for TE and ALF can be derived.</description><identifier>ISSN: 2326-5191</identifier><identifier>EISSN: 2326-5205</identifier><identifier>DOI: 10.1002/art.38692</identifier><identifier>PMID: 24782356</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Body Mass Index ; Body Weight ; Children & youth ; Female ; Humans ; Male ; Middle Aged ; Nutrition Surveys ; Population ; Range of Motion, Articular - physiology ; Reference Values ; Spine - physiology ; Young Adult</subject><ispartof>Arthritis & rheumatology (Hoboken, N.J.), 2014-09, Vol.66 (9), p.2628-2637</ispartof><rights>Copyright © 2014 by the American College of Rheumatology</rights><rights>Copyright © 2014 by the American College of Rheumatology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3882-8e3432cc80247482de5eb9c6b469a3fd89d0d2510db41bb74104e2f972e87e193</citedby><cites>FETCH-LOGICAL-c3882-8e3432cc80247482de5eb9c6b469a3fd89d0d2510db41bb74104e2f972e87e193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fart.38692$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fart.38692$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24782356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Assassi, Shervin</creatorcontrib><creatorcontrib>Weisman, Michael H.</creatorcontrib><creatorcontrib>Lee, MinJae</creatorcontrib><creatorcontrib>Savage, Laurie</creatorcontrib><creatorcontrib>Diekman, Laura</creatorcontrib><creatorcontrib>Graham, Tiffany A.</creatorcontrib><creatorcontrib>Rahbar, Mohammad H.</creatorcontrib><creatorcontrib>Schall, Joan I.</creatorcontrib><creatorcontrib>Gensler, Lianne S.</creatorcontrib><creatorcontrib>Deodhar, Atul A.</creatorcontrib><creatorcontrib>Clegg, Daniel O.</creatorcontrib><creatorcontrib>Colbert, Robert A.</creatorcontrib><creatorcontrib>Reveille, John D.</creatorcontrib><title>New Population‐Based Reference Values for Spinal Mobility Measures Based on the 2009–2010 National Health and Nutrition Examination Survey</title><title>Arthritis & rheumatology (Hoboken, N.J.)</title><addtitle>Arthritis Rheumatol</addtitle><description>Objective
To report population‐based percentile reference values for selected spinal mobility measures in a nationally representative sample of 5,001 US adults ages 20–69 years who were examined in the 2009–2010 US National Health and Nutrition Examination Survey (NHANES).
Methods
Occiput‐to‐wall distance (OWD), thoracic expansion (TE), and anterior lumbar flexion (ALF; by modified Schober test) were measured by trained examiners in a standardized manner. TE was measured at the xiphisternal level, while the lower reference point for ALF was a line marked at the level of the superior margin of the lateral iliac crests. We report reference values based on the 95th percentile for the OWD and the 5th percentile for TE and ALF, as well as other summary statistics for these measures, in the study population.
Results
An OWD of >0 was present in 3.8% of the participants, while 8.8% of them had out‐of‐range values for TE based on the commonly used threshold of 2.5 cm. The 95th percentile of the OWD measurement was 0, while the 5th percentile for TE and ALF were 1.9 cm and 2 cm, respectively. The spinal measures were significantly associated with sex, age, ethnicity, height, and body mass index (BMI). Exclusion of individuals with severe obesity (BMI >35 kg/m2) changed the proposed reference values for TE and ALF to 2.2 cm and 1.9 cm, respectively.
Conclusion
We verified a reference value of 0 for the OWD in the general population. Using the reported population‐based percentile values, new reference values for TE and ALF can be derived.</description><subject>Adult</subject><subject>Aged</subject><subject>Body Mass Index</subject><subject>Body Weight</subject><subject>Children & youth</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nutrition Surveys</subject><subject>Population</subject><subject>Range of Motion, Articular - physiology</subject><subject>Reference Values</subject><subject>Spine - physiology</subject><subject>Young Adult</subject><issn>2326-5191</issn><issn>2326-5205</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctKxDAUhoMoKurCF5CAG12M5tomSx28gY7ibVvS9hQrmWZMWnV2PoEIvqFPYpyqC8Fscki-8x_-8yO0TskOJYTtGt_ucJVoNoeWGWfJQDIi539qqukSWgvhnsSjU5IQuYiWmEgV4zJZRq8jeMIXbtJZ09au-Xh52zcBSnwJFXhoCsC3xnYQcOU8vprUjbH4zOW1rdspPgMTOh8_-x7X4PYOMIuDPl7eGaEEj2aqsecYjG3vsGlKPOpaX38944NnM46Ks_qq848wXUULlbEB1r7vFXRzeHA9PB6cnh-dDPdOBwVXig0UcMFZUSgSnQjFSpCQ6yLJRaINr0qlS1IySUmZC5rnqaBEAKt0ykClQDVfQVu97sS7h2ivzcZ1KMBa04DrQkalVHF3QqcR3fyD3rvOR0-RSiSL2xZcRmq7pwrvQvBQZRNfj42fZpRkXzllMadsllNkN74Vu3wM5S_5k0oEdnvgqbYw_V8p27u87iU_Aa1AnPQ</recordid><startdate>201409</startdate><enddate>201409</enddate><creator>Assassi, Shervin</creator><creator>Weisman, Michael H.</creator><creator>Lee, MinJae</creator><creator>Savage, Laurie</creator><creator>Diekman, Laura</creator><creator>Graham, Tiffany A.</creator><creator>Rahbar, Mohammad H.</creator><creator>Schall, Joan I.</creator><creator>Gensler, Lianne S.</creator><creator>Deodhar, Atul A.</creator><creator>Clegg, Daniel O.</creator><creator>Colbert, Robert A.</creator><creator>Reveille, John D.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201409</creationdate><title>New Population‐Based Reference Values for Spinal Mobility Measures Based on the 2009–2010 National Health and Nutrition Examination Survey</title><author>Assassi, Shervin ; Weisman, Michael H. ; Lee, MinJae ; Savage, Laurie ; Diekman, Laura ; Graham, Tiffany A. ; Rahbar, Mohammad H. ; Schall, Joan I. ; Gensler, Lianne S. ; Deodhar, Atul A. ; Clegg, Daniel O. ; Colbert, Robert A. ; Reveille, John D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3882-8e3432cc80247482de5eb9c6b469a3fd89d0d2510db41bb74104e2f972e87e193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Body Mass Index</topic><topic>Body Weight</topic><topic>Children & youth</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nutrition Surveys</topic><topic>Population</topic><topic>Range of Motion, Articular - physiology</topic><topic>Reference Values</topic><topic>Spine - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Assassi, Shervin</creatorcontrib><creatorcontrib>Weisman, Michael H.</creatorcontrib><creatorcontrib>Lee, MinJae</creatorcontrib><creatorcontrib>Savage, Laurie</creatorcontrib><creatorcontrib>Diekman, Laura</creatorcontrib><creatorcontrib>Graham, Tiffany A.</creatorcontrib><creatorcontrib>Rahbar, Mohammad H.</creatorcontrib><creatorcontrib>Schall, Joan I.</creatorcontrib><creatorcontrib>Gensler, Lianne S.</creatorcontrib><creatorcontrib>Deodhar, Atul A.</creatorcontrib><creatorcontrib>Clegg, Daniel O.</creatorcontrib><creatorcontrib>Colbert, Robert A.</creatorcontrib><creatorcontrib>Reveille, John D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis & rheumatology (Hoboken, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Assassi, Shervin</au><au>Weisman, Michael H.</au><au>Lee, MinJae</au><au>Savage, Laurie</au><au>Diekman, Laura</au><au>Graham, Tiffany A.</au><au>Rahbar, Mohammad H.</au><au>Schall, Joan I.</au><au>Gensler, Lianne S.</au><au>Deodhar, Atul A.</au><au>Clegg, Daniel O.</au><au>Colbert, Robert A.</au><au>Reveille, John D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New Population‐Based Reference Values for Spinal Mobility Measures Based on the 2009–2010 National Health and Nutrition Examination Survey</atitle><jtitle>Arthritis & rheumatology (Hoboken, N.J.)</jtitle><addtitle>Arthritis Rheumatol</addtitle><date>2014-09</date><risdate>2014</risdate><volume>66</volume><issue>9</issue><spage>2628</spage><epage>2637</epage><pages>2628-2637</pages><issn>2326-5191</issn><eissn>2326-5205</eissn><abstract>Objective
To report population‐based percentile reference values for selected spinal mobility measures in a nationally representative sample of 5,001 US adults ages 20–69 years who were examined in the 2009–2010 US National Health and Nutrition Examination Survey (NHANES).
Methods
Occiput‐to‐wall distance (OWD), thoracic expansion (TE), and anterior lumbar flexion (ALF; by modified Schober test) were measured by trained examiners in a standardized manner. TE was measured at the xiphisternal level, while the lower reference point for ALF was a line marked at the level of the superior margin of the lateral iliac crests. We report reference values based on the 95th percentile for the OWD and the 5th percentile for TE and ALF, as well as other summary statistics for these measures, in the study population.
Results
An OWD of >0 was present in 3.8% of the participants, while 8.8% of them had out‐of‐range values for TE based on the commonly used threshold of 2.5 cm. The 95th percentile of the OWD measurement was 0, while the 5th percentile for TE and ALF were 1.9 cm and 2 cm, respectively. The spinal measures were significantly associated with sex, age, ethnicity, height, and body mass index (BMI). Exclusion of individuals with severe obesity (BMI >35 kg/m2) changed the proposed reference values for TE and ALF to 2.2 cm and 1.9 cm, respectively.
Conclusion
We verified a reference value of 0 for the OWD in the general population. Using the reported population‐based percentile values, new reference values for TE and ALF can be derived.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>24782356</pmid><doi>10.1002/art.38692</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Arthritis & rheumatology (Hoboken, N.J.), 2014-09, Vol.66 (9), p.2628-2637 |
| issn | 2326-5191 2326-5205 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1558519497 |
| source | MEDLINE; Access via Wiley Online Library; Alma/SFX Local Collection |
| subjects | Adult Aged Body Mass Index Body Weight Children & youth Female Humans Male Middle Aged Nutrition Surveys Population Range of Motion, Articular - physiology Reference Values Spine - physiology Young Adult |
| title | New Population‐Based Reference Values for Spinal Mobility Measures Based on the 2009–2010 National Health and Nutrition Examination Survey |
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