INTER-TESTER RELIABILITY IN A MANUAL STRATEGY CLINICAL CLASSIFICATION FOR TRAINING IN A NON-SPECIFIC LOW BACK PAIN WITH MALADAPTIVE MOTOR CONTROL
Keywords:
reliability, exercise therapy, low back pain, manual therapy.Abstract
Study design: partially nested, multifaceted observational study of categories (C), subjects (S) and observers (O). Objectives: to analyze inter-examiner reliability in a manual strategy clinical classification for training in segmental stabilization exercises (SSE) in a chronic non-specific low back pain (NLBP) with maladaptive motor control. Back-ground: twenty-four subjects (mean age 38 and SD 11.8 years) with NLBP were included in the study. Methods and measures: three physiotherapists performed a clinical procedure for a new four-stage (category) classification system during which an assessment form was tested with verbal commands and cognitive-behavioral and manual techniques. Inter-tester concordance was calculated using generalizability theory. Results: the greatest percentage of variance (63 %) was associated with the facet «category». The designs on 288 observations yielded high indices of reliability and generalizability, with minimum error rates (0.009 and 0.079). Design CS/O showed satisfactory in-dices of reliability and generalizability (intra-class correlation: ICC), the value being 0.96. Conclusions: the study showed that the inter-examiner reliability of categorization for this learning strategy was acceptable. As there is considerable variability in a strategy for teaching SSE, it is necessary to develop protocols of inter-tester reliability and validity for clinical outcomes.
Downloads
Downloads
Published
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
