Inter-and intra-tester reliability of a battery of cervical movement control dysfunction tests. Issue 4 (August 2015)

• Record Type: Journal Article
• Authors: Segarra, V.; Dueñas, L.; Torres, R.; Falla, D.; Jull, G.; Lluch, E.
• Is Part Of: Manual therapy. Volume 20:Issue 4(2015:Aug.)
• Page Start: 570
• Page End: 579
• Publication Date: 2015-08
• Subjects: Manipulation (Therapeutics) -- Periodicals; Physical therapy -- Periodicals; Neuromuscular diseases -- Treatment -- Periodicals; Manipulation, Orthopedic; Musculoskeletal Diseases -- therapy; Neuromuscular Diseases -- therapy; Physical Therapy; Manipulation (Thérapeutique) -- Périodiques; Physiothérapie -- Périodiques; Maladies neuromusculaires -- Traitement -- Périodiques; Manipulation (Therapeutics); Neuromuscular diseases -- Treatment; Physical therapy; Electronic journals; Periodicals; Electronic journals; 615.82
• DOI: 10.1016/j.math.2015.01.007
• Languages: English
• ISSNs: 1356-689X

Abstract

<abstract xml:lang="en" abstract-type="author" id="abs0010"> <title id="sectitle0010">Abstract</title> <sec> <title id="sectitle0015">Background</title> <p id="abspara0010">Apart from the cranio-cervical flexion test and the deep neck flexor endurance test, evidence related to reliability of cervical movement control dysfunction tests is lacking.</p> </sec> <sec> <title id="sectitle0020">Objectives</title> <p id="abspara0015">This study investigated the inter- and intra-tester reliability of a battery of cervical movement control dysfunction tests and the effect of clinician experience on reliability in 15 patients with chronic neck pain and 17 non-neck pain controls. In addition, it explored whether impaired performance on this battery of tests was more frequently observed in the neck pain group.</p> </sec> <sec> <title id="sectitle0025">Design</title> <p id="abspara0020">Inter and intra-tester reliability study.</p> </sec> <sec> <title id="sectitle0030">Method</title> <p id="abspara0025">Participants were videotaped while performing a battery of nine active cervical movement control dysfunction tests. Two physiotherapists, with different levels of experience, independently rated all tests on two occasions two weeks apart. They were masked to participants' neck pain or non-neck pain status.</p> </sec> <sec> <title id="sectitle0035">Results</title> <p id="abspara0030">Inter-tester reliability for the complete battery of tests was substantial (<italic>κ</italic> = 0.69; 95% CI: 0.62, 0.76). Intra-rater reliability values for the expert (<italic>κ</italic> = 0.86; 95% CI: 0.79, 0.92) and novice (<italic>κ</italic> = 0.76; 95% confidence intervals (CI): 0.68, 0.84) were overall comparable suggesting that novices can achieve good accuracy with the battery of tests if trained. The frequency of impaired performances in cervical movement control dysfunction tests was low and comparable between groups. Only two tests achieved a greater number of impaired ratings in the patient group.</p> </sec> <sec> <title id="sectitle0040">Conclusions</title> <p id="abspara0035">Although reliable, further research in larger neck pain populations is required to explore this battery of tests, in order to establish their diagnostic accuracy for identifying clinically relevant cervical movement control dysfunction.</p> </sec> </abstract>