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Clinical tests on impairment level related to low back pain: A study of test reliability

Horneij, E; Hemborg, B; Johnsson, Birgitta LU and Ekdahl, Charlotte LU (2002) In Journal of Rehabilitation Medicine2001-01-01+01:00 34(4). p.176-182
Abstract
The objectives of the study were, in a working population, to standardize and evaluate a set of clinical tests on impairment level related to the low back with reference to intra- and inter-rater reliability. The study was undertaken in two steps. In step 1, 15 tests were examined for inter-rater reliability by three pairs of physiotherapists and for intra-rater reliability by one physiotherapist. Intra-rater reliability was acceptable (kappa > 0.40) for 14 of the 15 tests. Inter-rater reliability was acceptable for 7 of the 15 tests. In step 2, the tests, indicating a non-acceptable inter-rater reliability (kappa less than or equal to 0.40) were further standardized and re-tested by two of the physiotherapists. This further... (More)
The objectives of the study were, in a working population, to standardize and evaluate a set of clinical tests on impairment level related to the low back with reference to intra- and inter-rater reliability. The study was undertaken in two steps. In step 1, 15 tests were examined for inter-rater reliability by three pairs of physiotherapists and for intra-rater reliability by one physiotherapist. Intra-rater reliability was acceptable (kappa > 0.40) for 14 of the 15 tests. Inter-rater reliability was acceptable for 7 of the 15 tests. In step 2, the tests, indicating a non-acceptable inter-rater reliability (kappa less than or equal to 0.40) were further standardized and re-tested by two of the physiotherapists. This further standardization procedure resulted in an acceptable interrater reliability for all of these tests. Clinical tests of a working population should preferably be performed by the same rater. However, when tests are performed by different raters, it is suggested that test procedures should be regularly standardized, and in pain provocation tests, the magnitude of the applied pressure should be checked regularly and compared with co-raters, in order to improve inter-rater reliability. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
non-patient, reliability, physical examination, low back pain, nursing, aide
in
Journal of Rehabilitation Medicine2001-01-01+01:00
volume
34
issue
4
pages
176 - 182
publisher
Taylor & Francis
external identifiers
  • wos:000177013400005
  • pmid:12201613
  • scopus:0036022972
ISSN
1651-2081
DOI
10.1080/16501970213235
language
English
LU publication?
yes
id
f739e8ad-6bbf-47e7-862e-5a9fdda04316 (old id 332672)
date added to LUP
2007-10-22 13:37:12
date last changed
2017-01-01 07:00:21
@article{f739e8ad-6bbf-47e7-862e-5a9fdda04316,
  abstract     = {The objectives of the study were, in a working population, to standardize and evaluate a set of clinical tests on impairment level related to the low back with reference to intra- and inter-rater reliability. The study was undertaken in two steps. In step 1, 15 tests were examined for inter-rater reliability by three pairs of physiotherapists and for intra-rater reliability by one physiotherapist. Intra-rater reliability was acceptable (kappa > 0.40) for 14 of the 15 tests. Inter-rater reliability was acceptable for 7 of the 15 tests. In step 2, the tests, indicating a non-acceptable inter-rater reliability (kappa less than or equal to 0.40) were further standardized and re-tested by two of the physiotherapists. This further standardization procedure resulted in an acceptable interrater reliability for all of these tests. Clinical tests of a working population should preferably be performed by the same rater. However, when tests are performed by different raters, it is suggested that test procedures should be regularly standardized, and in pain provocation tests, the magnitude of the applied pressure should be checked regularly and compared with co-raters, in order to improve inter-rater reliability.},
  author       = {Horneij, E and Hemborg, B and Johnsson, Birgitta and Ekdahl, Charlotte},
  issn         = {1651-2081},
  keyword      = {non-patient,reliability,physical examination,low back pain,nursing,aide},
  language     = {eng},
  number       = {4},
  pages        = {176--182},
  publisher    = {Taylor & Francis},
  series       = {Journal of Rehabilitation Medicine2001-01-01+01:00},
  title        = {Clinical tests on impairment level related to low back pain: A study of test reliability},
  url          = {http://dx.doi.org/10.1080/16501970213235},
  volume       = {34},
  year         = {2002},
}