PM&R
Volume 1, Issue 2 , Pages 117-126 , February 2009

The Inter-Tester Reliability of Physical Therapists Classifying Low Back Pain Problems Based on the Movement System Impairment Classification System

  • Marcie Harris-Hayes, PT, DPT, OCS

      Affiliations

    • Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, St. Louis, MO 63108 ⁎
    • Corresponding Author InformationAddress correspondence to M.H.-H.
    • ,
  • Linda R. Van Dillen, PT, PhD

      Affiliations

    • Program in Physical Therapy, Washington University School of Medicine, St. Louis, Missouri⁎

Received 5 May 2008 ,Accepted 1 August 2008.

References 

  1. Jette AM. Physical therapy episodes of care for patients with low back pain. Phys Ther. 1994;74:101–110
  2. Lawrence RC, Helmick CG, Arnett FC, et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum. 1998;41:778–799
  3. Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord. 2000;13:205–217
  4. Rubin DI. Epidemiology and risk factors for spine pain (review). Neurol Clin. 2007;25:353–371
  5. Maniadakis N, Gray A. The economic burden of back pain in the UK. Pain. 2000;84:95–103
  6. Leboeuf-Yde C, Lauristen JM, Lauristen T. Why has the search for causes of low back pain largely been nonconclusive?. Spine. 1997;22:877–881
  7. Spitzer WO. Diagnosis of the problem (the problem of diagnosis) (Scientific approach to the assessment and measurement of activity-related spinal disorders: a monograph for clinicians' report of the Quebec task force on spinal disorders). Spine. 1987;12(Suppl 16):S16–S21
  8. Sahrmann SA. Diagnosis by the physical therapist—a prerequisite for treatment (A special communication). Phys Ther. 1988;68:1703–1706
  9. Rose SJ. Musing on diagnosis (editorial). Phys Ther. 1988;68:1665
  10. Borkan JM, Cherkin DC. An agenda for primary care research on low back pain. Spine. 1996;24:2880–2884
  11. Abenhaim L, Rossignol M, Gobeille D, Bonvalot Y, Fines P, Scott S. The prognostic consequences in the making of the initial medical diagnosis of work-related back injuries. Spine. 1995;20:791–795
  12. Wilson L, Hall H, McIntosh G, Melles T. Intertester reliability of a low back pain classification system. Spine. 1999;24:248–254
  13. Dankaerts W, O'sullivan PB, Burnett AF, Straker LM. The use of a mechanism-based classification system to evaluate and direct management of a patient with non-specific chronic low back pain and motor control impairment—a case report. Man Ther. 2007;12:181–191
  14. Bertilson BC, Bring J, Sjoblom A, Sundell K, Strender LE. Inter-examiner reliability in the assessment of low back pain (LBP) using the Kirkaldy-Willis classification (KWC). Eur Spine J. 2006;15:1695–1703
  15. McKenzie RA. The Lumbar Spine: Mechanical Diagnosis and Therapy. Waikanae, New Zealand: Spinal publications Ltd; 1998;
  16. Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: identifying and staging patients for conservative treatment. Phys Ther. 1995;75:470–489
  17. Sahrmann SA. Diagnosis and Treatment on Movement Impairment Syndromes. St. Louis: Mosby, Inc; 2002;
  18. Van Dillen LR, Sahrmann SA, Norton BJ, et al. Effect of active limb movements on symptoms in patients with low back pain. J Orthop Sports Phys Ther. 2001;31:402–413
  19. Van Dillen LR, Gombatto SP, Collins DR, Engsberg JR, Sahrmann SA. Symmetry of timing of hip and lumbopelvic rotation motion in 2 different subgroups of people with low back pain. Arch Phys Med Rehabil. 2007;88:351–360
  20. Van Dillen LR, Sahrmann SA, Norton BJ, et al. The effect of modifying patient-preferred spinal movement and alignment during symptom testing in patients with low back pain: a preliminary report. Arch Phys Med Rehabil. 2003;84:313–322
  21. Van Dillen LR, Maluf KS, Sahrmann SA. Further examination of modifying patient-preferred movement and alignment strategies in patients with low back pain during symptomatic tests. Manual Ther. 2007;DOI10.1016/j.math.207.09.012.
  22. Van Dillen LR, Sahrmann SA, Norton BJ, et al. Movement system impairment-based categories for low back pain: Stage I validation. J Orthop Sports Phys Ther. 2003;33:126–142
  23. Gombatto SP, Collins DR, Sahrmann SA, Engsberg JR, Van Dillen LR. Patterns of lumbar region movement during trunk lateral bending in 2 subgroups of people with low back pain. Phys Ther. 2007;87:441–454
  24. Gombatto SP, Collins DR, Sahrmann SA, Engsberg JR, Van Dillen LR. Gender differences in pattern of hip and lumbopelvic rotation in people with low back pain. Clin Biomech. 2006;21:263–271
  25. Norton BJ, Sahrmann SA, Van Dillen FL. Differences in measurements of lumbar curvature related to gender and low back pain. J Orthop Sports Phys Ther. 2004;34:524–534
  26. Scholtes S, Gombatto S, Collins D, et al. Differences in lumbopelvic movement during knee flexion in prone between people with and without low back pain (In 6th Interdisciplinary World Congress on Low Back and Pelvic Pain). In: 2007;p. 343–344November 7-10
  27. Scholtes SA, Gombatto SP, Van Dillen LR. Gender differences in timing of lumbopelvic movement during the clinical test of active knee flexion. J Orthop Sports Phys Ther. 2008;38:A69
  28. Van Dillen LR, Sahrmann SA, Norton BJ, et al. Reliability of physical examination items used for classification of patients with low back pain. Phys Ther. 1998;78:979–988
  29. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  30. Harris-Hayes M, Van Dillen LR, Sahrmann SA. Classification, treatment and outcomes of a patient with lumbar extension syndrome. Physiother Theory Pract. 2005;21:181–196
  31. Maluf KS, Sahrmann SA, Van Dillen LR. Use of a classification system to guide nonsurgical management of a patient with chronic low back pain. Phys Ther. 2000;80:1097–1111
  32. Van Dillen LR, Sahrmann SA, Caldwell CA, McDonnell MK, Bloom NJ, Norton BJ. Trunk rotation-related impairments in people with low back pain who participated in 2 different types of leisure activities: a secondary analysis. J Orthop Sports Phys Ther. 2006;36:58–571
  33. Ware JE, Sherbourne CD. The Mos 36-Item Short-Form Health Survey (SF-36). 1 (Conceptual-framework and item selection). Med Care. 1992;30:473–483
  34. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66:271–273
  35. Cohen J. Coefficient of agreement for nominal scales. Educational Psychol Measure. 1960;20:37–46
  36. Von Korff M. Studying the natural history of back pain. Spine. 1994;19(Suppl):2041S–2046S
  37. Razmjou H, Kramer JF, Yamada R. Intertester reliability of the McKenzie evaluation in assessing patients with mechanical low-back pain. (see comment) J Orthop Sports Phys Ther. 2000;30:368–383discussion 384-389
  38. Kilpikoski S, Airaksinen O, Kankaanpaa M, Leminen P, Videman T, Alen M. Interexaminer reliability of low back pain assessment using the McKenzie method. Spine. 2002;27:E207–E214
  39. Heiss DG, Fitch DS, Fritz JM, Sanchez WJ, Roberts KE, Buford JA. The interrater reliability among physical therapists newly trained in a classification system for acute low back pain. J Orthop Sports Phys Ther. 2004;34:430–439
  40. Fritz JM, George S. The use of a classification approach to identify subgroups of patients with acute low back pain (Interrater reliability and short-term treatment outcomes). Spine. 2000;25:106–114
  41. Van Dillen LR, Sahrmann SA. Outcomes of classification-directed intervention in people with chronic or recurrent low back pain (abstract). J Orthop Sports Phys Ther. 2006;36:A61
  42. Trudelle-Jackson E, Sarvaiya-Shah SA, Wang SS. Interrater reliability of the movement impairment based classification system for lumbar spine syndromes in patients with chronic low back pain. J Orthop Sports Phys Ther. 2008;38:371–376
  43. Stratford PW. Getting more from the literature: estimating the standard error of measurement from reliability studies. Physiother Can. 2004;56:27–30
  44. McGill SM, Kippers V. Transfer of loads between lumbar tissues during the flexion-relaxation phenomenon (see comment). Spine. 1994;19:2190–2196
  45. Bolton JE. Accuracy of recall of usual pain intensity in back pain patients. Pain. 1999;83:533–539
  46. Scientific approach to the assessment and management of activity related spinal disorders (A monograph for clinicians. Report of the Quebec Task Force on Spinal Disorders). Spine. 1987;12(7 Suppl):S16–S21

 Disclosure Key can be found on the Table of Contents and at www.pmrjournal.org

 Funded by NIH Grant No. 52833.

PII: S1934-1482(08)00004-X

doi: 10.1016/j.pmrj.2008.08.001

PM&R
Volume 1, Issue 2 , Pages 117-126 , February 2009

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