| Research Title |
Reporting of lumbar instability among chronic low back pain patients by the X-ray examination |
| Date of Distribution |
7 November 2019 |
| Conference |
| Title of the Conference |
International Conference of the 40th Anniversary of AMS |
| Organiser |
Faculty of Associated Medical Sciences, Khon Kaen University |
| Conference Place |
Avani Khon Kaen Hotel & Convention Centre |
| Province/State |
|
| Conference Date |
6 November 2019 |
| To |
8 November 2019 |
| Proceeding Paper |
| Volume |
4 |
| Issue |
- |
| Page |
OPT-05 |
| Editors/edition/publisher |
|
| Abstract |
Background and Aim: Physical therapists commonly use many tests to identify patients with low back pain (LBP) into lumbar instability subgroup. Previous studies have been reported widely range of rater reliability associated with lumbar instability tests. Among of them applied the difference of methodology. It puts a questionable to physical therapist whether which tests, consistency and minimize of measurement error. Thus, this study aims to investigate the inter-rater reliability of 13 clinical tests proposed to identify lumbar instability patients based on controlling their variation of methodology.
Methods: The 16 LBP patients were asked to assess the 13 clinical tests. The examinations were
performed by 2 independent examiners. The first examiner was specialist orthopedic physical
therapist and the second was novice orthopedic physical therapist. Each patient was randomly
administered the tests either first or second examiner. Then, patients were required to rest until their pain altered to baseline. After that, another one of examiner repeated the 13 test. Kappa Coefficients were calculated to establish the inter-rater reliability.
Results: The inter-rater reliability of the 13 clinical tests was excellent to fair kappa coefficient.
Interspinous gap change got the lowest reliability (κ=0.25; 95%CI: 0.16 to 0.66). Five clinical tests
gained fair reliability (Interspinous gap change, PPIVMs in flexion and extension, PPAIVMs, and
lumbar extension >26 degrees). The aberrant motion and passive lumbar extension reached moderate reliability. Four of examination received good of reliability (Beighton's scale, painful catch sign, and lumbar flexion >53 degrees). Prone instability reached the highest reliability (κ=0.85; 95%CI: 0.63 to 1.00).
Conclusion: There are 13 clinical tests that generally applied to diagnose patient lumbar instability. The eleven tests are acceptable kappa coefficient. Five of the tests revealed fair kappa coefficient that comparable to the previous research. Thus, caution to use these test in clinical situation are recommended. |
| Author |
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| Peer Review Status |
ไม่มีผู้ประเมินอิสระ |
| Level of Conference |
ชาติ |
| Type of Proceeding |
Abstract |
| Type of Presentation |
Oral |
| Part of thesis |
true |
| Presentation awarding |
true |
| Award Title |
Good oral presentation |
| Type of award |
รางวัลด้านวิชาการ วิชาชีพ |
| Organiser |
คณะเทคนิคการแพทย์ มหาวิทยาลัยขอนแก่น |
| Date of awarding |
8 พฤศจิกายน 2562 |
| Attach file |
|
| Citation |
0
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Publication
Journal Publication
ไทย