RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY

BACKGROUND AND OBJECTIVE: Low back pain is one of the most common and costly musculoskeletal pain syndromes, affecting up to %80 of people at some points during their lifetime. Lumbar segmental instability is one of the subgroups of non specific low back pain. Definition of these patients needs high...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Y Javadian, H Behtash, M Akbari, M Taghipour, H Zekavat
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2008
Materias:	reliability clinical examination chronic low back pain lumbar segmental instability Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a994cc6c425d4f9fa20eb4808e836007
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a994cc6c425d4f9fa20eb4808e836007
record_format	dspace
spelling	oai:doaj.org-article:a994cc6c425d4f9fa20eb4808e8360072021-11-10T09:07:43ZRELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY1561-41072251-7170https://doaj.org/article/a994cc6c425d4f9fa20eb4808e8360072008-10-01T00:00:00Zhttp://jbums.org/article-1-2982-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Low back pain is one of the most common and costly musculoskeletal pain syndromes, affecting up to %80 of people at some points during their lifetime. Lumbar segmental instability is one of the subgroups of non specific low back pain. Definition of these patients needs high reliable clinical examinations. The aim of this study was to determine the interrater reliability of clinical examination in patients suspected to lumbar segmental instability.METHODS: In this study, fifteen patients with chronic non specific low back pain aged between 18-45 years were selected by non probable sampling method. They were evaluated some clinical examinations include: aberrant movement patterns, VAS (visual analogue scale), flexion and extension range of motion (modified–modified Schubert test), trunk flexor and extensor muscle endurance, side support endurance tests, modified-Oswestry index and prone instability test. Clinical examination was performed in 2 sessions with two days interval. Some statistical tests were used for data analysis contain ICC for relative reliability of quantitative variables, Standard error of measurement for absolute reliability of quantitative variable, KAPPA statistics for qualitative variables and K-S test for normalizing the distribution of variables.FINDINGS: The findings showed a high and very high reliability in modified- Oswestry (ICC=0.95), trunk flexor muscles endurance (ICC=0.91), VAS (ICC=0.92), trunk extensor muscles endurance (ICC=0.85), left side support (ICC=0.7), right side support (ICC=0.77) and flexion range of motion (ICC=0.85) and moderate reliability for extension range of motion (ICC=0.68). KAPPA for aberrant movement patterns (k=0.82) and prone instability test (k=0.85) revealed a high agreement. CONCLUSION: The existence of aberrant movement patterns together with positive prone instability test and chronic recurrent pain accompanying with functional disability are the sign of lumbar segmental instability.Y JavadianH BehtashM Akbari,M TaghipourH ZekavatBabol University of Medical Sciencesarticlereliabilityclinical examinationchronic low back painlumbar segmental instabilityMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 10, Iss 4, Pp 16-23 (2008)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	reliability clinical examination chronic low back pain lumbar segmental instability Medicine R Medicine (General) R5-920
spellingShingle	reliability clinical examination chronic low back pain lumbar segmental instability Medicine R Medicine (General) R5-920 Y Javadian H Behtash M Akbari, M Taghipour H Zekavat RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY
description	BACKGROUND AND OBJECTIVE: Low back pain is one of the most common and costly musculoskeletal pain syndromes, affecting up to %80 of people at some points during their lifetime. Lumbar segmental instability is one of the subgroups of non specific low back pain. Definition of these patients needs high reliable clinical examinations. The aim of this study was to determine the interrater reliability of clinical examination in patients suspected to lumbar segmental instability.METHODS: In this study, fifteen patients with chronic non specific low back pain aged between 18-45 years were selected by non probable sampling method. They were evaluated some clinical examinations include: aberrant movement patterns, VAS (visual analogue scale), flexion and extension range of motion (modified–modified Schubert test), trunk flexor and extensor muscle endurance, side support endurance tests, modified-Oswestry index and prone instability test. Clinical examination was performed in 2 sessions with two days interval. Some statistical tests were used for data analysis contain ICC for relative reliability of quantitative variables, Standard error of measurement for absolute reliability of quantitative variable, KAPPA statistics for qualitative variables and K-S test for normalizing the distribution of variables.FINDINGS: The findings showed a high and very high reliability in modified- Oswestry (ICC=0.95), trunk flexor muscles endurance (ICC=0.91), VAS (ICC=0.92), trunk extensor muscles endurance (ICC=0.85), left side support (ICC=0.7), right side support (ICC=0.77) and flexion range of motion (ICC=0.85) and moderate reliability for extension range of motion (ICC=0.68). KAPPA for aberrant movement patterns (k=0.82) and prone instability test (k=0.85) revealed a high agreement. CONCLUSION: The existence of aberrant movement patterns together with positive prone instability test and chronic recurrent pain accompanying with functional disability are the sign of lumbar segmental instability.
format	article
author	Y Javadian H Behtash M Akbari, M Taghipour H Zekavat
author_facet	Y Javadian H Behtash M Akbari, M Taghipour H Zekavat
author_sort	Y Javadian
title	RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY
title_short	RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY
title_full	RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY
title_fullStr	RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY
title_full_unstemmed	RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY
title_sort	reliability of clinical examination in patients with chronic low back pain suspected to lumbar segmental instability
publisher	Babol University of Medical Sciences
publishDate	2008
url	https://doaj.org/article/a994cc6c425d4f9fa20eb4808e836007
work_keys_str_mv	AT yjavadian reliabilityofclinicalexaminationinpatientswithchroniclowbackpainsuspectedtolumbarsegmentalinstability AT hbehtash reliabilityofclinicalexaminationinpatientswithchroniclowbackpainsuspectedtolumbarsegmentalinstability AT makbari reliabilityofclinicalexaminationinpatientswithchroniclowbackpainsuspectedtolumbarsegmentalinstability AT mtaghipour reliabilityofclinicalexaminationinpatientswithchroniclowbackpainsuspectedtolumbarsegmentalinstability AT hzekavat reliabilityofclinicalexaminationinpatientswithchroniclowbackpainsuspectedtolumbarsegmentalinstability
_version_	1718440317026304000

RELIABILITY OF CLINICAL EXAMINATION IN PATIENTS WITH CHRONIC LOW BACK PAIN SUSPECTED TO LUMBAR SEGMENTAL INSTABILITY

Ejemplares similares