Article

OBJECTIVES: To provide a comprehensive overview of clinical tests associated with
functional lumbar segmental instability and motor control impairment in patients
with low back pain (LBP), and to investigate their intrarater reliability,
interrater reliability, or both. DATA SOURCES: A systematic computerized search
was conducted on December 1, 2015, in 4 different databases (starting search year
is indicated in parentheses, with articles included from that year until December
1, 2015): PubMed (1972-), Web of Science (1955-), Embase (1947-), and MEDLINE
(1946-). STUDY SELECTION: Preferred Reporting Items for Systematic Reviews and
Meta-Analyses guidelines were followed during design, search, and reporting
stages of this review. The included population comprised patients with primary
LBP. DATA EXTRACTION: Data were extracted as follows: (1) description and scoring
of the clinical tests; (2) population characteristics; (3) inclusion and
exclusion criteria; (4) description of the used procedures; (5) results for both
intra- and interrater reliability; and eventually (6) notification on used
statistical method. The risk of bias of the included articles was assessed with
the use of the COnsensus-based Standards for the selection of health Measurement
INstruments checklist. DATA SYNTHESIS: A total of 16 records were eligible, and
30 clinical tests were identified. All included studies investigated interrater
reliability, and 3 studies investigated intrarater reliability. The identified
interrater reliability scores ranged from poor to very good (kappa=-.09 to .89;
intraclass correlation coefficient, .72-.96), and the intrarater reliability
scores ranged from fair to very good (kappa=.51-.86). CONCLUSIONS: Three clinical
tests (aberrant movement pattern, prone instability test, Beighton Scale) could
be identified as having an adequate interrater reliability. No conclusions could
be made for intrarater reliability. However, further research should focus on
better study designs, provide an overall agreement for uniformity and
interpretation of clinical tests, and should implement research regarding
validity.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS