Reliability of physical examination items used for classification of patients with low back pain
Reliability of physical examination items used for classification of patients with low back pain
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DOI：
10.1093/ptj/78.9.979
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发表时间：
1998-09-01
期刊：
影响因子：
3.2
通讯作者：
Woolsey, NB
中科院分区：
文献类型：
--
作者：
Van Dillen, LR;Sahrmann, SA;Woolsey, NB
背景和目的。本研究的目的是检查检查者进行的测试所获得的测量结果的受试者间可靠性，这些测试对于分类电视背痛 (LBP) 问题很重要。科目。 95 名患有 LBP 的受试者（41 名男性，54 名女性）和 43 名没有 LBP 的受试者（17 名男性，26 名女性）接受了 5 名接受过相关技术培训的治疗师的检查。方法。第一作者编写了一本手册，描述了临床检查程序。治疗师接受了第一作者关于测试程序和定义的培训。培训包括录像指导、练习和笔试。每次检查均由一对治疗师进行。在一对中，治疗师担任一半受试者的主要检查者，观察员担任一半受试者的主要检查者。检查结果独立记录，不进行讨论。结果。使用一致性百分比和广义卡帕系数来分析数据。与引发的症状相关的所有 28 个项目的 Kappa 值均大于或等于 0.75，与对齐和运动相关的 25 个项目中的 72% 的 Kappa 值大于或等于 0.40。结论与讨论。结果表明，一起接受过培训的经验丰富的治疗师能够就检查结果达成一致，并获得可接受的可靠性水平。未来的工作应侧重于当不止一名治疗师执行检查时以及未受测试开发人员培训来管理检查的治疗师执行测试时的可靠性测试。
Background and Purpose. The purpose of this study was to examine the interrater reliability of measurements obtained by examiners administering tests proposed to be important for classifying lo-tv back pain (LBP) problems. Subjects. Ninety-five subjects with LBP (41 men, 54 women) and 43 subjects without LBP (17 men, 26 women) were examined by 5 therapists trained in the techniques used. Methods. A manual was developed by the first author that described the clinical examination procedures. The therapists were trained by the first author in the test procedures and definitions. The training included instruction through videotapes, practice, and a written examination. Each examination was conducted by a pair of therapists. Within a pair, a therapist Mras the primary examiner for half of the subjects and an observer was the primary examiner for half of the subjects. Examination findings were recorded independently, without discussion. Results. Percentage of agreement and generalized kappa coefficients were used to analyze the data. Kappa values were greater than or equal to .75 for all 28 items related to the symptoms elicited and greater than or equal to .40 for 72% of the 25 items related to alignment and movement. Conclusion and Discussion. The results suggest that experienced therapists who had trained together were able to agree on the results of examinations and obtain an acceptable level of reliability. Future work should focus on testing of reliability when more than one therapist performs the examination and when therapists not trained by the test developer to administer the examination perform the tests.