| Physiotherapist observation of head and neck alignment. | |
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MedLine Citation:
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PMID: 20658928 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: To determine the reliability of physiotherapists' visual observation of head and neck alignment. DESIGN: An interrater reliability study with an evaluation of concurrent validity using a gold standard. SETTING: Physiotherapy Research Laboratory, Princess Alexandra Hospital. PARTICIPANTS: Three physiotherapist raters, one male model exhibiting 53 test positions. MAIN OUTCOME MEASURES: Assessment of head and neck alignment required rating the direction of deviation (in each of the three planes of movement), and the magnitude of deviation. RESULTS: All three assessors were correct across all domains of direction and magnitude of deviation for only 10 of the 53 test positions. There was a mean of 2 total errors (out of a possible 12) per position. The more planes of deviation involved in a position, the more total errors there were. Most errors were made in the axial rotation (transverse) plane. Where a lateral flexion (coronal) plane of deviation was involved, there were more total errors; however, this plane itself had the fewest number of errors. Positions with a combination of both lateral flexion and axial rotation deviations were often mistaken for a flexion/extension (sagittal plane) deviation. Fewer errors were recorded for positions of 10-degree deviation compared to 5-degree deviations. CONCLUSIONS: Visual assessment of head and neck alignment by physiotherapists is of questionable validity for identifying deviations in the order of 5 degrees from neutral. For deviations of 10 degrees in a single plane visual, observation is comparable to other clinically available tools. |
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Authors:
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Leanne N Passier; Margarida P Nasciemento; Janelle M Gesch; Terry P Haines |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Physiotherapy theory and practice Volume: 26 ISSN: 1532-5040 ISO Abbreviation: Physiother Theory Pract Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9015520 Medline TA: Physiother Theory Pract Country: England |
Other Details:
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Languages: eng Pagination: 416-23 Citation Subset: IM |
Affiliation:
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Princess Alexandra Hospital, Brisbane, Queensland, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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