Document Detail

The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment.
MedLine Citation:
PMID:  15936976     Owner:  NLM     Status:  MEDLINE    
The importance of classifying chronic low back pain (LBP) patients into homogeneous sub-groups has recently been emphasized. This paper reports on two studies examining clinicians ability to agree independently on patients' chronic LBP classification, using a novel classification system (CS) proposed by O'Sullivan. In the first study, a sub-group of 35 patients with non-specific chronic LBP were independently classified by two 'expert' clinicians. Almost perfect agreement (kappa-coefficient 0.96; %-of-agreement 97%) was demonstrated. In the second study, 13 clinicians from Australia and Norway were given 25 cases (patients' subjective information and videotaped functional tests) to classify. Kappa-coefficients (mean 0.61, range 0.47-0.80) and %-of-agreement (mean 70%, range 60-84%) indicated substantial reliability. Increased familiarity with the CS improved reliability. These studies demonstrate the reliability of this multi-dimensional mechanism-based CS and provide essential evidence in a multi-step validation process. A fully validated CS will have significant research and clinical application.
W Dankaerts; P B O'Sullivan; L M Straker; A F Burnett; J S Skouen
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies     Date:  2005-06-03
Journal Detail:
Title:  Manual therapy     Volume:  11     ISSN:  1356-689X     ISO Abbreviation:  Man Ther     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-01-25     Completed Date:  2006-05-02     Revised Date:  2012-05-17    
Medline Journal Info:
Nlm Unique ID:  9610924     Medline TA:  Man Ther     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  28-39     Citation Subset:  IM    
School of Physiotherapy, Curtin University, Bentley 6102, WA, Australia.
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MeSH Terms
Clinical Competence
Low Back Pain / classification*,  diagnosis*,  therapy
Middle Aged
Motor Activity
Movement Disorders / classification*,  diagnosis*
Musculoskeletal Manipulations / methods,  organization & administration
Observer Variation
Outcome Assessment (Health Care) / methods
Physical Examination / methods*
Physical Therapy Modalities
Predictive Value of Tests
Reproducibility of Results

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

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