The inter-rater reliability of clinical observation of prone hip extension and association between aberrant movement and chronic low back pain
Issued Date
2022-02-01
Resource Type
ISSN
24688630
eISSN
24687812
Scopus ID
2-s2.0-85118901096
Pubmed ID
34768224
Journal Title
Musculoskeletal Science and Practice
Volume
57
Rights Holder(s)
SCOPUS
Bibliographic Citation
Musculoskeletal Science and Practice Vol.57 (2022)
Suggested Citation
Kong-Oun S. The inter-rater reliability of clinical observation of prone hip extension and association between aberrant movement and chronic low back pain. Musculoskeletal Science and Practice Vol.57 (2022). doi:10.1016/j.msksp.2021.102476 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/84795
Title
The inter-rater reliability of clinical observation of prone hip extension and association between aberrant movement and chronic low back pain
Author(s)
Author's Affiliation
Other Contributor(s)
Abstract
Background: Clinical observation of aberrant movement patterns during prone hip extension (PHE) is commonly used in clinical practice to identify patients with low back pain. It could be clinically useful to identify individuals with chronic low back pain during remission (CLBPremission) to provide proactive intervention to prevent exacerbation of low back symptoms. Objectives: This study aimed to establish inter-rater reliability of clinical observation of PHE and association between aberrant movement pattern and CLBPremission. Design: A cross-sectional study. Method: Twenty-six participants with CLBPremission and 18 participants without history of low back pain (NoLBP) performed 3 repetitions of active PHE, while 2 examiners concurrently observed and independently rated the movements as “presence” or “absence” of aberrant movement. Kappa statistics were used to establish inter-rater reliability based on rating data from 2 examiners, while chi-square tests were used to determine the association between aberrant movement and CLBPremission based on ratings (presence and absence) and known groups (CLBPremission and NoLBP). Results: Kappa values ranged from fair to moderate (Kappa = 0.36–0.58). Result also demonstrated a significant association (P < 0.05) between presence of aberrant movement and CLBPremission. Findings indicate fair to moderate inter-rater reliability which are sufficient for clinical practice. The findings also indicated presence of aberrant movement patterns during active PHE was associated with CLBPremission. Conclusions: These findings suggested the usefulness of clinical observation of aberrant movement pattern during PHE to identify CLBPremission. The detection of aberrant movement would help clinicians to provide preventive program to minimize the risk of recurrent episodes of low back symptoms.