Inter-examiner reliability of a classification system for patients with non-specific low back pain
Inter-examiner reliability of a classification system for patients with non-specific low back pain
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DOI：
10.1016/j.math.2008.08.003
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发表时间：
2009-10-01
期刊：
影响因子：
--
通讯作者：
Skouen, J. S.
中科院分区：
文献类型：
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作者：
Fersum, K. Vibe;O'Sullivan, P. B.;Skouen, J. S.
缺乏研究检查是否可以以可靠的方式进行基于机制的分类系统（CS），该系统承认长期腰痛（LBP）疾病的生物，心理和社会维度。本文的目的是检查测试者间的可靠性，临床医生的能力，独立分类患者与非特异性LBP（NSLBP），利用基于机制的分类方法。26名NSLBP患者接受了四名不同物理治疗师的访谈和全面体检。百分比协议和Kappa系数计算六个不同层次的决策。对于水平1-4，平均一致率为96%（范围75-100%）。对于激发的主要方向，四名测试人员之间的Kappa和百分比一致性平均值分别为0.82（范围0.66-0.90）和86%（范围73-92%）。在最终决策水平上，检测心理社会影响的得分给出了0.65（范围0.57-0.74）和87%（范围85-92%）的平均Kappa系数。研究结果表明，与以前的研究一致，NSLBP人群中的一系列患者的系统的测试者间可靠性是中等至实质性的。(C)2008爱思唯尔有限公司保留所有权利。
There is a lack of studies examining whether mechanism-based classification systems (CS) acknowledging biological, psychological and social dimensions of long-lasting low back pain (LBP) disorders can be performed in a reliable manner. The purpose of this paper was to examine the inter-tester reliability of clinicians' ability to independently classify patients with non-specific LBP (NSLBP), utilising a mechanism-based classification method. Twenty-six patients with NSLBP underwent an interview and full physical examination by four different physiotherapists. Percentage agreement and Kappa coefficients were calculated for six different levels of decision making. For levels 1-4, percentage agreement had a mean of 96% (range 75-100%). For the primary direction of provocation Kappa and percentage agreement had a mean between the four testers of 0.82 (range 0.66-0.90) and 86% (range 73-92%) respectively. At the final decision making level, the scores for detecting psychosocial influence gave a mean Kappa coefficient of 0.65 (range 0.57-0.74) and 87% (range 85-92%). The findings suggest that the inter-tester reliability of the system is moderate to substantial for a range of patients within the NSLBP population in line with previous research. (C) 2008 Elsevier Ltd. All rights reserved.