Predictive factors in poor inter-rater reliability among physical therapists.

Manual therapy is a widely used form of treatment among physical therapists and has been shown to be effective in the treatment of musculoskeletal disorders. In numerous studies, the reliability of clinicians performing the four grades of mobilization of manual therapy has been poor. A sample of 23...

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Publicado en:Journal of Manual & Manipulative Therapy (Journal of Manual & Manipulative Therapy) Vol. 10; no. 4; pp. 200 - 206
Autores principales: Cook C, Turney L, Ramirez L, Miles A, Haas S, Karakostas T
Formato: pictorial research tables/charts Journal Article
Publicado: Journal of Manual & Manipulative Therapy 2002
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2002
      vid: 10
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      pub: Journal of Manual & Manipulative Therapy
      place: Forest Grove, Oregon
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        atl: Predictive factors in poor inter-rater reliability among physical therapists.
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        au:
          Cook C
          Turney L
          Ramirez L
          Miles A
          Haas S
          Karakostas T
        affil: Texas Tech University Health Sciences Center, Odessa, 800 West Fourth Street, Odessa, TX 79763; cookttu@yahoo.com
      sug:
        subj:
          Interrater Reliability
          Manual Therapy
          Physical Therapists
          Physical Therapy Assessment
          Adult
          Analysis of Variance
          Convenience Sample
          Descriptive Statistics
          Female
          Intraclass Correlation Coefficient
          Linear Regression
          Male
          Manipulation, Orthopedic
          Middle Age
          P-Value
          Purposive Sample
          Quasi-Experimental Studies
          Random Assignment
          Repeated Measures
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Manual therapy is a widely used form of treatment among physical therapists and has been shown to be effective in the treatment of musculoskeletal disorders. In numerous studies, the reliability of clinicians performing the four grades of mobilization of manual therapy has been poor. A sample of 23 licensed physical therapists participated in quasi-experimental repeated measures designed to determine if predictive factors such as gender or years of experience contribute to inter-rater reliability variances. In this design, therapists performed Grade I, II, III and IV mobilizations on two asymptomatic volunteers at the level of L3, based on resistance defined Grades of Movement. The Kistler Force Plate TM was used to record mobilization forces for each physical therapist at a rate of 600 data-point measurements per second. Data were assessed to determine if poor inter-rater reliability is reflective of certain predictive variables. The results identified that the independent variables of age, years of experience, gender, frequency of use, education, and background of the rater did not contribute to the overall variance within the study. Further investigation is required as to what determines the poor inter-rater reliability of spinal accessory mobilizations by practicing clinicians.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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