Volume 7, Issue 3 (2022)                   IJMPP 2022, 7(3): 750-758 | Back to browse issues page

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Tabatabaei Molazi F, Mahdian S R, Rajabi R, Karimizadeh Ardakani M. Reliability of Corrective Exercise Specialist Raters Assessing Movement System Impairment Approach Items in Transient Low Back Pain Developers During Prolonged Standing. IJMPP 2022; 7 (3) :750-758
URL: http://ijmpp.modares.ac.ir/article-32-61187-en.html
1- Department of Health and Sports Medicine, Faculty of Physical Educa- tion and Sport Sciences, University of Tehran, Tehran, Iran , fatemeh.tabatabaei.m@gmail.com
2- Department of Health and Sports Medicine, Faculty of Physical Educa- tion and Sport Sciences, University of Tehran, Tehran, Iran
Abstract:   (960 Views)
Aims: The purpose of this study was to examine the inter- and intra-rater reliability of corrective exercise specialist raters assessing movement and postural impairments of transient Low Back Pain (LBP) developers during Prolonged Standing Protocol (PSP) which called Pain Developers (PDs).
Method and Materials: Twenty-four subjects developing transient LBP during prolonged standing (9males, 15females) between 17-85 years of age, were examined by 2 corrective exercise specialists. In order to control the effect of repeated testing on intra-rater reliability, both raters assessed the subjects at the same time. To assess inter-rater reliability, one of the raters assessed the subjects one week later. Examination findings were recorded independently, without discussion. Inter- and intra-rater reliability were indexed by the percent of agreement and kappa coefficient.
Findings: Overall, the kappa values for intra- and inter-rater reliability of the items ranged from 0.12 - 0.86 and 62.5 - 1.00, respectively.
Conclusion: The results of the present study indicate these clinical test items as a reliable tool for corrective exercise specialists. They can reliably utilize these test items for identification of movement and alignment impairments that need to be modified in order to prevent the onset of LBP in in healthy-back PDs.
Full-Text [PDF 441 kb]   (262 Downloads)    
Article Type: Original Research | Subject: Musculoskeletal Pain Prevention
Received: 2022/04/29 | Accepted: 2022/05/18 | Published: 2022/06/30

1. Clark M, Lucett S. NASM essentials of corrective exercise training: Lippincott Williams & Wilkins; 2010: 4-5.
2. Nguyen TH, Randolph DC. Nonspecific low back pain and return to work. Am Fam Physician. 2007;76(10):1497-502.
3. Sahrmann S. Diagnosis and Treatment of Movement Impairment Syndromes: St. Louis, Mo: Mosby Inc.; 2002: 10-119.
4. Murray E, Birley E, Twycross-Lewis R, Morrissey D. The relationship between hip rotation range of movement and low back pain prevalence in amateur golfers: an observational study. Phys Ther Sport. 2009;10(4):131-5. [DOI:10.1016/j.ptsp.2009.08.002]
5. Sahrmann S. The human movement system: our professional identity. Phys Ther. 2014;94(7):1034-42. [DOI:10.2522/ptj.20130319]
6. Nelson-Wong E, Callaghan JP. Is muscle coactivation a predisposing factor for low back pain development during standing? A multifactorial approach for early identification of at-risk individuals. J Electromyogr Kinesiol. 2010;20(2):256-63. [DOI:10.1016/j.jelekin.2009.04.009]
7. Nelson-Wong E, Gregory DE, Winter DA, Callaghan JP. Gluteus medius muscle activation patterns as a predictor of low back pain during standing. Clin Biomech. 2008;23(5):545-53. [DOI:10.1016/j.clinbiomech.2008.01.002]
8. Nelson-Wong E, Alex B, Csepe D, Lancaster D, Callaghan JP. Altered muscle recruitment during extension from trunk flexion in low back pain developers. Clin Biomech. 2012;27(10):994-8. [DOI:10.1016/j.clinbiomech.2012.07.007]
9. Naseri S, Kahrizi S. Plantar flexor muscles asymmetry and their lower strength is maybe related to development of low back pain during prolonged standing. J Clin Physiother Res. 2017;2(3):133-8.
10. Bussey MD, Kennedy JE, Kennedy G. Gluteus medius coactivation response in field hockey players with and without low back pain. Phys Ther Sport. 2016; 17:24-9. [DOI:10.1016/j.ptsp.2015.03.002]
11. Raftry SM, Marshall PW. Does a 'tight' hamstring predict low back pain reporting during prolonged standing? J Electromyogr Kinesiol. 2012;22(3):407-11. [DOI:10.1016/j.jelekin.2012.02.008]
12. Sorensen CJ, Norton BJ, Callaghan JP, Hwang C-T, Van Dillen LR. Is lumbar lordosis related to low back pain development during prolonged standing? Man Ther. 2015;20(4):553-7. [DOI:10.1016/j.math.2015.01.001]
13. Khoshroo F, Seidi F, Rajabi R, Thomas A. A comparison of functional movement patterns between female low back pain developers and non-pain developers. Work. 2021: 1247-1254. [DOI:10.3233/WOR-213545]
14. Sahrmann S. Movement impairment syndromes of the lumbar spine. Diagnosis and treatment of movement impairment syndromes. 2002; 1:5-118.
15. Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, McDonnell MK, Bloom NJ. Movement system impairment-based categories for low back pain: stage 1 validation. J Orthop Sports Phys Ther. 2003; 33(3): 126-42. [DOI:10.2519/jospt.2003.33.3.126]
16. Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, Fleming DA, McDonnell MK, et al. Reliability of physical examination items used for classification of patients with low back pain. Phys Ther. 1998;78(9):979-88. [DOI:10.1093/ptj/78.9.979]
17. Kajbafvala M, Ebrahimi-Takamjani I, Salavati M, Saeedi A, Pourahmadi MR, Ashnagar Z, et al. Intratester and intertester reliability of the movement system impairment-based classification for patients with knee pain. Man Ther. 2016; 26:117-24. [DOI:10.1016/j.math.2016.07.014]
18. Shin S-s, Lee M-r, Yoo W-g. The intertester reliability of a modified movement system impairment classification system used to evaluate individuals with prolonged sitting: a preliminary study. J Manip and Physiol Ther. 2020;43(4):294- 302. [DOI:10.1016/j.jmpt.2019.10.003]
19. Dankaerts W, O'sullivan P, Straker L, Burnett A, Skouen J. The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment. Man Ther. 2006;11(1):28-39. [DOI:10.1016/j.math.2005.02.001]
20. Trudelle-Jackson E, Sarvaiya-Shah SA, Wang SS. Interrater reliability of a movement impairmentbased classification system for lumbar spine syndromes in patients with chronic low back pain Orthop Sports Phys Ther. 2008;38(6):371-6. [DOI:10.2519/jospt.2008.2760]
21. Harris-Hayes M, Van Dillen LR. The inter-tester reliability of physical therapists classifying low back pain problems based on the movement system impairment classification system. PM R. 2009;1(2):117-26. [DOI:10.1016/j.pmrj.2008.08.001]
22. Henry SM, Van Dillen LR, Trombley AR, Dee JM, Bunn JY. Reliability of novice raters in using the movement system impairment approach to classify people with low back pain. Man Ther. 2013;18(1):35-40. [DOI:10.1016/j.math.2012.06.008]
23. Luomajoki H, Kool J, De Bruin ED, Airaksinen O. Reliability of movement control tests in the lumbar spine. BMC Musculoskelet Disord. 2007;8(1):1-11. [DOI:10.1186/1471-2474-8-90]
24. Sorensen CJ, George SZ, Callaghan JP, Van Dillen LR. Psychological Factors Are Related to Pain Intensity in Back-Healthy People Who Develop Clinically Relevant Pain During Prolonged Standing: A Preliminary Study. PM R. 2016; 8(11): 1031-8. [DOI:10.1016/j.pmrj.2016.02.013]
25. Sorensen CJ, Norton BJ, Callaghan JP, Hwang C-T, Van Dillen LR. Is lumbar lordosis related to low back pain development during prolonged standing? Man ther. 2015; 20(4): 553-7. [DOI:10.1016/j.math.2015.01.001]
26. McHugh ML. Interrater reliability: the kappa statistic. Biochemia Medica. 2012;22(3):276-82. [DOI:10.11613/BM.2012.031]

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