Analysis of the interexaminer reliability of two clinical tests to measure the flexion range of motion of the lumbar spine
DOI:
https://doi.org/10.11606/issn.2317-0190.v14i4a102865Keywords:
Range of Motion, Articular, Lumbosacral Region, Reproducibility of ResultsAbstract
The measurement of the flexion range of motion of the lumbar spine is a common practice in clinical settings. Many methods are used to carry out these measurements, such as the Back Range of Motion Inclinometer (BROMII ) and the Flexible Ruler methods. Objective and methods: The aim of this study was to analyze the interexaminer reliability for the measurement of the lumbar spine flexion by using the BROMII and the Flexible Ruler methods. Thirty-seven physical therapy students were recruited as volunteers and a double-blind test-retest study design was carried out. Results: The results showed moderate reliability of the BROMII measurements [ICC (2.1) 0.71 (95%CI 0.49-0.84) p<0.000]; however, the reliability of the Flexible Ruler measurements was poor [ICC(2.1) 0.37 (95%CI 0.06-0.62), p<0.012]. Conclusion: The BROM II presented sufficient reliability to be performed in clinical practice.
Downloads
References
Cakir B, Richter M, Kafer W, Wieser M, Puhl W, Schmidt R. Evaluation of lumbar spine motion with dynamic X-ray--a reliability analysis. Spine. 2006;31(11):1258-64.
Williams R, Binkley J, Bloch R, Goldsmith CH, Minuk T. Reliability of the modified-modified Schöber and double inclinometer methods for measuring lumbar flexion and extension. Phys Ther. 1993;73(1):33-44.
Gauvin MG, Riddle DL, Rothstein JM. Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method. Phys Ther. 1990;70(7):443-7.
Kachingwe AF, Phillips BJ. Inter- and intrarater reliability of a back range of motion instrument. 1: Arch Phys Med Rehabil. 2005;86(12):2347-53.
Hart DL, Rose SJ. Reliability of a noninvasive method for. measuring the lumbar curve. J Ortho Sport Phys Ther.1986;8(4):180-4.
Ensink FB, Saur PM, Frese K, Seeger D, Hildebrandt J. Lumbar range of motion: influence of time of day and individual factors on measurements. Spine. 1996;21(11):1339-43.
Shrout PE, Fleiss JL. Intraclass correlations: uses in assessing rater reliability. Psychol Bull. 1979;86(2):420-8.
Nitschke JE, Nattrass CL, Disler PB, Chou MJ, Ooi KT. Reliability of the American Medical Association guides' model for measuring spinal range of motion. Its implication for whole-person impairment rating. Spine. 1999;24(3):262-8.
Mosner EA, Bryan JM, Stull MA, Shippee R. Investigation of the flexible ruler as a noninvasive measure of lumbar lordosis in black and white adults female sample populations. J Orthop Sports Phys Ther. 1989;11:3-7.
Carvalho CO, Magalhaes DAS, Silva Junior JAA, Bicalho LFH, Costa APB, Costa LOP, et al. Estudo comparativo das amplitudes de movimento da coluna cervical em idosos com diferentes níveis de aptidao física. Acta Fisiatr. 2006;13(3):147-51. Doi: https://doi.org/10.11606/issn.2317-0190.v13i3a102737
Downloads
Published
Issue
Section
License
Copyright (c) 2007 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
