Document Detail


Interexaminer reliability of activator methods' relative leg-length evaluation in the prone extended position.
MedLine Citation:
PMID:  10626698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the interexaminer reliability of the prone extended relative leg-length check as described by Activator Methods, Inc. SUBJECTS: Thirty-four subjects were selected from a pool of 52 consecutive patients visiting a private chiropractic office. METHODS: Exclusion criteria included congenital or acquired conditions known to affect lower extremity length and inability to lie prone for a 10-minute period. Two experienced chiropractors who specialize in Activator Methods and are "advanced-proficiency rated" by Activator Methods, Inc. assessed each patient in random order for leg length inequality. Findings were recorded as left short leg, equal leg length, or right short leg. RESULTS: The data for 34 subjects were organized in a 3 x 3 contingency table. Total agreement was 85%. A simple, unweighted kappa value yielded kappa = 0.66. A disproportionately greater number of right short leg findings than left short leg findings were observed by both examiners. In only 2 instances were equal leg lengths observed, and both were detected by the same examiner. Because examiners found only 2 of 34 subjects with equal leg lengths, several secondary analyses involving data reductions were conducted. The resulting kappa values were similar to the 3 x 3 analysis. CONCLUSION: There was good reproducibility between 2 examiners by using the Activator Method to detect leg length inequality in the prone extended position. This study does not address the validity or clinical significance of the measurement method. Future studies should include larger numbers, a wider variety of subjects, and a diversity of examiners.
Authors:
H T Nguyen; D N Resnick; S G Caldwell; E W Elston; B B Bishop; J B Steinhouser; T J Gimmillaro; J C Keating
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of manipulative and physiological therapeutics     Volume:  22     ISSN:  0161-4754     ISO Abbreviation:  J Manipulative Physiol Ther     Publication Date:    1999 Nov-Dec
Date Detail:
Created Date:  2000-02-15     Completed Date:  2000-02-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7807107     Medline TA:  J Manipulative Physiol Ther     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  565-9     Citation Subset:  IM    
Affiliation:
Los Angeles College of Chiropractic, Whittier, Calif, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chiropractic / methods*,  statistics & numerical data
Female
Humans
Leg Length Inequality / therapy*
Male
Middle Aged
Observer Variation
Prone Position*
Reproducibility of Results

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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