How to assess low back pain  

Oleh:

Katz, Richard T.

Jenis: Article from Bulletin/Magazine - ilmiah internasional
Dalam koleksi: Medical Progress vol. 34 no. 11 (Nov. 2007), page 525.

Ketersediaan

Perpustakaan FK Nomor Panggil: M36.K.2007.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Backgroud : To assess the realbility of all items used to assess patients with low back pain during clinical examination. Design : This was an inter-tester reability study that compared the reability of all recommended questions and assessment test for low back pain. Patients included in this study were referred to physiotherapy departments across the UK. The 50 recommended questions and physical assessment test, including the Roland Morris Disacility Questionnaire, the Fear Avoidance and Beliefs Questionnaire, the Jospital Anxiety and Depression Scale and the Visual Analogue Pain Scale, were administered by a physiotherapy as per standard procedure, and repeat measurement were taken by a second physiotherapist on the same day. All data were analysed using kappa correlation coefficients (K) and confidence intervals. A weighted K scale was used, with a score of 1 indicating a perfect agreement and score of 0 implying an agreement equivalent to that found by chance. Results : A total of 301 patients with low back pain were included in this study. Overall, patients had low levels of pain, disability, fear avoidance, anxiety and depression. The authors found that 86% of questions and tests used during clinical examination demonstrated K values of >0,41, indicating fair agreement for reliability. Agreement of only slight levels was found for five questions and two physical test, including the test for prone knee bend and myotomal assessment. Overall, confidence intervals were narrow, and the certainty for K coefficients was found to be low. Conclucion : The authors conclude that the clinicians included in this study demonstrated fair agreement while conducting clinical examination for presentations of low back pain. Is not recommended, however, that clinicians rely on single test with only fair levels of agreement.

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