The interrater reliability among physical therapists newly trained in a classification system for acute low back pain.
Study Design: A prospective methodological interrater reliability study. Objectives: To calculate the interrater reliability among clinicians newly trained in a classification system for acute low back pain and to determine the level of agreement at key junctures within the classification algorithm....
| Publicado en: | Journal of Orthopaedic & Sports Physical Therapy Vol. 34; no. 8; pp. 430 - 440 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
JOSPT, Inc. d/b/a Movement Science Media
2004 Aug
|
| 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=106556437&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106556437 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01906011 4CA jtl: Journal of Orthopaedic & Sports Physical Therapy issn: 01906011 maglogo: N pubinfo: dt: 2004 Aug vid: 34 iid: 8 pid: 45541 pub: JOSPT, Inc. d/b/a Movement Science Media place: Alexandria, Virginia artinfo: ui: 106556437 106556437 2005011622 NLM15373006 106556437 ppf: 430 ppct: 10 formats: tig: atl: The interrater reliability among physical therapists newly trained in a classification system for acute low back pain. aug: au: Heiss DG Fitch DS Fritz JM Sanchez WJ Roberts KE Buford JA affil: Associate Professor, Physical Therapy Division, School of Allied Medical Professions, College of Medicine and Public Health, Ohio State University, 516N Atwell Hall, 1583 Perry Street, Columbus, OH 43210-1234; heiss.8@osu.edu sug: subj: Low Back Pain Classification Clinical Assessment Tools Instrument Validation Interrater Reliability Reliability and Validity Algorithms Physical Therapists kappa Statistic Outpatients Ambulatory Care Rehabilitation Centers Ohio Functional Assessment Male Female Pain Measurement Paired T-Tests Intraclass Correlation Coefficient Adult Middle Age Descriptive Statistics Funding Source Human Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Study Design: A prospective methodological interrater reliability study. Objectives: To calculate the interrater reliability among clinicians newly trained in a classification system for acute low back pain and to determine the level of agreement at key junctures within the classification algorithm. Background: The utility of a classification system for patients with low back pain depends on its reliability and generalizability. To be practical, clinicians must be able to apply the system after a reasonable amount of training. Identifying key points in the classification algorithm where disagreement occurs can lead to better operational definitions. Methods: Four physical therapists read an article and attended a 1-day training session in the classification system. Randomly paired therapists classified patients referred for treatment of acute low back pain and noted decisions at key junctures in the system algorithm. Results: Forty-five patients were classified. Repeated examinations did not increase the patient's pain (P>.05). For 3 out of the 4 therapists, the interrater reliability showed a kappa value of 0.45. The fourth therapist, excluded from the overall analysis, exhibited a bias towards the immobilization classification. Among the 3 therapists, major disagreement occurred with the determination of symmetry with trunk side bending and the effects of repeated movements. Conclusions: Three out of 4 clinicians newly trained in the system showed moderate reliability. The reliability was slight when the fourth therapist was included. Refinement of the operational definitions and criteria for determining lumbar capsular patterns are needed. One day of training is probably not adequate for all therapists, especially for those biased towards specific low back pain syndromes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|