Index to Chiropractic Literature
Index to Chiropractic Literature
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Sunday, July 25, 2021
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ID 26622
  Title Influence of standardized procedures on the reliability of hip clinical assessment
URL https://pubmed.ncbi.nlm.nih.gov/33431277/
Journal J Manipulative Physiol Ther. 2021 Feb;44(2):137-145
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Objective: This study evaluated a standardized and personalized approach to verify the effects of conditions on intrarater and interrater reliability, standard error of measurement, and minimal detectable difference for provocative tests and range-of-motion (ROM) tests used in hip pain assessment: flexion-adduction-internal rotation (FADIR), flexion-abduction-external rotation-extension (FABER), and hip internal rotation with 90° of hip flexion (hip IR).

Methods: Nineteen participants (mean [± SD] age = 24 ± 2 years; 10 women and 9 men) without lower limb or back pain were recruited. Three raters evaluated each participant during 2 testing sessions, 1 day apart. Raters performed the 3 tests in 4 conditions: classic (C), controlled pressure duration (CPD), subject-specific position (SSP), and mixed (M = CPD + SSP).

Results: For intrarater reliability, the CPD condition showed the highest intraclass correlation coefficients (ICCs; mean and 95% confidence interval [CI]) for hip IRROM (0.83; 95% CI, 0.53-0.94) and FADIRROM (0.75; 95% CI, 0.60-0.89). The SSP condition showed the highest ICCs for FABERheight (0.71; 95% CI, 0.42-0.87) and FABERROM (0.62; 95% CI, 0.27-0.83). Concerning interrater reliability, the classic condition presented the highest ICCs for FABER variables (height: 0.54; 95% CI, 0.28-0.76; ROM: 0.58; 95% CI, 0.32-0.79) and hip IR ROM (0.72; 95% CI, 0.51-0.87). The CPD condition showed the highest ICC for FADIRROM (0.57; 95% CI, 0.32-0.78).

Conclusion: In the conditions of this study, CPD showed the highest ICCs for hip IRROM and FADIRROM, and SSP showed the highest ICCs for FABERheight and FABERROM.

Author keywords: Reproducibility of Results; Hip Joint; Range of Motion, Articular

Author affiliations: MOSP, SS: Anatomy Department, University of Quebec, Trois-Rivieres, Quebec, Canada; KB, NF, NS: Human Kinetics Department, University of Quebec, Trois-Rivieres, Quebec, Canada

This abstract is reproduced with the permission of the publisher; full text is available by subscription. Click on the above link and select a publisher from PubMed's LinkOut feature.


 

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