The inter-tester reliability of physical therapists classifying low back pain problems based on the movement system impairment classification system.
The inter-tester reliability of physical therapists classifying low back pain problems based on the movement system impairment classification system.
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DOI:
10.1016/j.pmrj.2008.08.001
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发表时间:
2009-02
期刊:
影响因子:
2.1
通讯作者:
Van Dillen, Linda R.
中科院分区:
文献类型:
--
作者:
Harris-Hayes, Marcie;Van Dillen, Linda R.
Classification of patients with LBP may be important for improving clinical outcomes and research efficiency. The purpose of this study was to examine the inter-tester reliability of two trained physical therapists to classify patients with low back pain (LBP) using the standardized Movement System Impairment (MSI) classification system. The five proposed MSI classifications are based on the most consistent patterns of movement and alignment observed throughout the examination that correlate with the patient’s symptom behavior. Test-retest to assess reliability Academic healthcare center outpatient facility Thirty subjects with chronic, recurrent LBP (mean age 31.1 ± 12.9 years, 21 F:9 M) were examined independently by two experienced physical therapists. Training consisted of self-study of a procedure manual, supervised practice of examination procedures and classification rules and discussion. Subjects were examined independently by each therapist using a test-retest design. Each therapist assigned a LBP classification upon completion of the examination. Both therapists were blinded to the other therapist’s findings. Inter-tester reliability of therapists classifying the LBP problems was indexed by the percent agreement and kappa coefficient. Overall percent agreement on the classification assigned was 83% with kappa =.75 (95% CI =.51 to.99; P<.0001). Inter-tester reliability of classification of patients with LBP using a standardized clinical examination based on the MSI classification system is substantial.
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影响因子:
3
作者:
ABENHAIM, L;ROSSIGNOL, M;SCOTT, S
通讯作者:
SCOTT, S
影响因子:
7.4
作者:
Maniadakis, N;Gray, A
通讯作者:
Gray, A
影响因子:
7.4
作者:
Bolton, JE
通讯作者:
Bolton, JE
DOI:
10.2519/jospt.2004.34.9.524
发表时间:
2004-09-01
影响因子:
6.1
作者:
Norton, BJ;Sahrmann, SA;Van Dillen, LR
通讯作者:
Van Dillen, LR
影响因子:
3
作者:
Borkan, JM;Cherkin, DC
通讯作者:
Cherkin, DC