Inter-tester reliability in classifying acute and subacute low back pain patients into clinical subgroups: a comparison of specialists and non-specialists. A pilot study.
Many systems have been suggested for classifying low back pain (LBP); the most commonly used among physiotherapists involves a pathoanatomical/pathophysiolog- ical tissue classification system. Few studies have examined whether this form of classification of LBP disorders can be performed in a relia...
| Publicado en: | Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) Vol. 17; no. 4; pp. 221 - 230 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Journal of Manual & Manipulative Therapy
2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105276255&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105276255 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10669817 1DS jtl: Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) issn: 10669817 maglogo: N pubinfo: dt: 2009 vid: 17 iid: 4 pid: 2525 pub: Journal of Manual & Manipulative Therapy place: Forest Grove, Oregon artinfo: ui: 105276255 105276255 2010517929 10.1179/106698109791352166 NLM20140153 PMC2813502 105276255 ppf: 221 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Inter-tester reliability in classifying acute and subacute low back pain patients into clinical subgroups: a comparison of specialists and non-specialists. A pilot study. aug: au: Paatelma M Karvonen E Heinonen A affil: OMT Instructor, University of Jyvaskyla, Jyvaskyla, Finland sug: subj: Interrater Reliability Low Back Pain Classification Specialties, Medical Adolescence Adult Confidence Intervals Data Analysis Software Female Finland Human Joint Instability kappa Statistic Low Back Pain Diagnosis Low Back Pain Epidemiology Lumbar Vertebrae Male Middle Age Physical Examination Pilot Studies Prevalence Spinal Stenosis Subluxation Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Many systems have been suggested for classifying low back pain (LBP); the most commonly used among physiotherapists involves a pathoanatomical/pathophysiolog- ical tissue classification system. Few studies have examined whether this form of classification of LBP disorders can be performed in a reliable manner between specialists with advanced training, or between specialists with advanced training and non-specialists who lack advanced training. The purpose of this paper was to examine the inter-tester reliability of two specialists, and the ability of a specialist and non-specialist to independently classify patients with LBP, utilizing clinical tests and history-based classification methods after a short educational course on the classification system. Subjects were acute or sub-acute patients with LBP who visited their occupational healthcare or municipal healthcare center. Inter-tester reliability between the specialist and non-specialists was at almost the same level: overall Kappa 0.60 (95%CI; 0.40 to 0.85), overall agreement 70%, as between the two specialists: overall Kappa 0.65 (95%CI; 0.33-0.86), overall agreement 77%. The findings suggest that a short educational course can provide rather reliable examination tools to allow non-specialized physiotherapists to classify patients according to tissue origination. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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