Interbedömarreliabilitet av Neuracs lumbala test protokoll
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Aim: Determine the inter-rater reliability of Neurac´s lumbar test protocol.Design: Cross-sectional inter-rater reliability study.Background: Non-specific low back pain (NSLBP) is a major worldwide health problem associated with high levels of disability. NSLPB display morphological changes, altered muscle recruitment and motor control strategies. Studies have presented motor control interventions to be effective in reducing pain and disability. Reliable and validated clinical tests to identify neuromuscular dysfunctions in NSLBP are scarce, but of great importance to tailor and improve physiotherapy interventions. Up to date there is not yet a study investigating the inter-rater reliability of Neurac´s lumbar test protocol. Participants: Twentynine with low back pain (LBP) (mean age 47,5, SD ± 11,8) and nineteen without LBP (mean age 40,8, SD ± 10,8). Thirty-nine female and nine men.Methodology: Two experienced physiotherapists (PTs) analysed Neurac´s lumbar protocol comprising of five myofascial chain tests performed for left and right side, respectively, i.e., altogether ten tests. The two PTs independently rated the performance of the tests at the same time in a standardized manner on a three-point dichotomous scale. An overall agreement period, to obtain 80 % agreement, was done prior to testing. Inter-rater reliability for the separate tests scores and the total test score, respectively, was determined using Cohen´s Kappa (k), Confidence interval (95 % CI) and percentage of agreement. Results: The kappa value for the ten myofascial chain tests ranged from 0.69 -1.0. Five tests of ten demonstrated a substantial reliability, k ranged between 0,69 – 0,80. The other five tests demonstrated an almost perfect reliability, k ranged between 0,84 – 1,0. The total Neurac lumbar test protocol, incorporating all ten tests, demonstrated an almost perfect agreement, k = 0.83.Conclusion: Neurac´s lumbar protocol appears to be reliable in detecting neuromuscular dysfunction/impaired motor control in patients with and without LBP, when the assessment was performed by two experienced PT.
Place, publisher, year, edition, pages
2016. , 36 p.
Medicine, Inter-rater reliability, low back pain, motor control and Neurac
IdentifiersURN: urn:nbn:se:ltu:diva-55346Local ID: c392a640-576c-4c6a-8874-9d695372ff5fOAI: oai:DiVA.org:ltu-55346DiVA: diva2:1028728
Subject / course
Student thesis, at least 30 credits
Healt Science, master's level
Validerat; 20160705 (global_studentproject_submitter)2016-10-042016-10-04Bibliographically approved