Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Intertester agreement and validity of identifying lumbar pain provocative movement patterns using active and passive accessory movement tests

    199459_105998_Intertester_agreements_and_validity_of_id_lumbar_pain.pdf (1.586Mb)
    Access Status
    Open access
    Authors
    Hidalgo, B.
    Hall, Toby
    Nielens, H.
    Detrembleur, C.
    Date
    2014
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Hidalgo, B. and Hall, T. and Nielens, H. and Detrembleur, C. 2014. Intertester agreement and validity of identifying lumbar pain provocative movement patterns using active and passive accessory movement tests. Journal of Manipulative and Physiological Therapeutics. 37 (2): pp. 105-115.
    Source Title
    Journal of Manipulative and Physiological Therapeutics
    DOI
    10.1016/j.jmpt.2013.09.006
    ISSN
    01614754
    Remarks

    NOTICE: this is the author’s version of a work that was accepted for publication in the Journal of Manipulative and Physiological Therapeutics. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in the Journal of Manipulative and Physiological Therapeutics, Vol.37 (2014). DOI: http://doi.org/10.1016/j.jmpt.2013.09.006

    URI
    http://hdl.handle.net/20.500.11937/21820
    Collection
    • Curtin Research Publications
    Abstract

    Objective: The purpose of this study was to evaluate the interexaminer agreement and validity of active and passive pain provocation tests in the lumbar spine. Methods: Two blinded raters examined 36 participants, 18 of whom were asymptomatic and 18 reported subacute nonspecific low back pain (LBP). Two types of pain provocation tests were performed: (1) physiological movements in single (flexion/extension) and, when necessary, combined planes and (2) passive accessory intervertebral movement tests of each lumbar vertebra in prone with the lumbar spine in neutral, flexion, and extension position .Results: The interobserver agreement in both groups was good to excellent for the identification of flexion (κ =0.87-1) or extension (κ =0.65-0.74) as the most painful pattern of spinal movement. In healthy participants, 0% was identified as having a flexion provocative pattern and 8.8% were identified as having an extension provocative pattern. In the LBP group, 20% were identified as having flexion provocative pattern vs 60% with an extension provocative pattern. The average interexaminer agreement for passive accessory intervertebral movement tests in both groups was moderate to excellent (κ =0.42-0.83). The examiners showed good sensitivity (0.67-0.87) and specificity (0.82-0.85) to distinguish participants with LBP using this combined examination procedure. Conclusion: The use of a combination of pain provocative tests was found to have acceptable interexaminer reliability and good validity in identifying the main pain provocative movement pattern and the lumbar segmental level of involvement. These pain provocation tests were able to distinguish participants with LBP from asymptomatic participants and may help clinicians in directing manual therapy treatment.

    Related items

    Showing items related by title, author, creator and subject.

    • How consistent are lordosis, range of movement and lumbo-pelvic rhythm in people with and without back pain?
      Laird, R.; Kent, Peter; Keating, J. (2016)
      Background: Comparing movements/postures in people with and without lower back pain (LBP) may assist identifying LBP-specific dysfunction and its relationship to pain or activity limitation. This study compared the ...
    • How consistent are lordosis, range of movement and lumbo-pelvic rhythm in people with and without back pain?
      Laird, R.; Kent, Peter; Keating, J. (2016)
      Background: Comparing movements/postures in people with and without lower back pain (LBP) may assist identifying LBP-specific dysfunction and its relationship to pain or activity limitation. This study compared the ...
    • The role of functional, radiological and self-reported measures in predicting clinical outcome in spondylotic cervical radiculopathy
      Agarwal, Shabnam (2011)
      BackgroundCervical radiculopathy (CR) results in significant disability and pain and is commonly treated conservatively with satisfactory clinical outcomes. However, a considerable number of patients require surgery to ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.