Lumbar Segmental Instability: A Criterion-Related Validity Study of Manual Therapy Assessment

Topics:
Healthcare Services
Tags:
BioMed Central,
Motion,
Therapy
Source:
BioMed Central

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Overview: Musculoskeletal physiotherapists routinely assess lumbar segmental motion during the clinical examination of a patient with low back pain. The validity of manual assessment of segmental motion has not, however, been adequately investigated. This study provides the evidence reporting the concurrent validity of manual tests for the detection of abnormal sagittal planar motion. Passive Accessory Intervertebral Motion (PAIVMs) and Passive Physiological Intervertebral Motion (PPIVMs) tests are highly specific, but not sensitive, for the detection of translation Lumbar Segmental Instability (LSI). Likelihood ratios resulting from positive test results were only moderate. This research indicates that manual clinical examination procedures have moderate validity for detecting segmental motion abnormality.

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Format: PDF | Size: 364KB | Date: Nov 2005 | Pages: 27

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