Abstract:A consensus core-stability definition was created and 2 components were identified. However, of the initial definitions provided by the experts, no 2 were identical, which revealed the inconsistencies among experts and the importance of this study. Nonetheless, the goal of obtaining a consensus definition was obtained. Although a consensus for the assessment techniques of core stability could not be reached, it was a beneficial starting point to identify the inconsistencies that were discovered among the conte… Show more
“…612 manual therapy educators and clinicians participated in the first round of our study and 258 remained by the final round. In contrast, the majority of previous studies have utilized expert panels with fewer than 100 individuals 22,33,58,59,60 The overall response rate in the present study was also similar to or greater than comparable studies 33,61,62 This study also benefited from a diverse and well-qualified panel of respondents. Manual therapy educators and clinicians from the fields of physical therapy, osteopathy and chiropractic participated.…”
This Delphi study successfully identified key characteristics of patient position and operator position and motion for effective delivery of side-lying lumbar spine manipulations.
“…612 manual therapy educators and clinicians participated in the first round of our study and 258 remained by the final round. In contrast, the majority of previous studies have utilized expert panels with fewer than 100 individuals 22,33,58,59,60 The overall response rate in the present study was also similar to or greater than comparable studies 33,61,62 This study also benefited from a diverse and well-qualified panel of respondents. Manual therapy educators and clinicians from the fields of physical therapy, osteopathy and chiropractic participated.…”
This Delphi study successfully identified key characteristics of patient position and operator position and motion for effective delivery of side-lying lumbar spine manipulations.
“…However, there is a consensus that core stability is dependent on the components of muscle strength and neuromotor control [8]. Majewski-Schrage and colleagues [8] asked experts to provide assessment techniques that were specific to the components of core stability. The top three answers were timed side bridge, Sorenson test, and timed prone bridge.…”
Section: Discussionmentioning
confidence: 99%
“…Core muscle performance is a complex and multivariable construct, with core stability not yet having been clearly defined [6,7]. Experts agreed in a Delphi-project that core stability is "the ability to achieve and sustain control of the trunk region at rest and during precise movement" and depends on the components of muscle strength and neuromotor control [8]. Three common categories to assess core muscle strength can be differentiated according to this concept: maximal strength, power [9,10], and strength endurance, the latter defined as the ability to sustain a given level of force production over time [11].…”
Objectives
To adapt the core strength endurance test battery (aCSE), previously used for testing athletes, to a target group of patients with axial spondylarthritis (axSpA), to evaluate its intra-tester reliability and its associations with disease-specific factors.
Methods
A cross-sectional study was conducted at axSpA exercise therapy groups, including both axSpA patients and the physiotherapist group leaders (PTs). The aCSE was used to measure the isometric strength endurance of the ventral, lateral, and dorsal core muscle chains (measured in seconds), as well as to assess the disease-specific factors of functional status, self-reported pain, and perceived strength performance. The aCSE was repeated after 7–14 days to measure intra-tester reliability for the same rater (PT group leader). Reliability was calculated as an intra-class correlation coefficient (ICC) using a nested design. The associations between ventral, lateral, and dorsal strength endurance and the disease-specific factors were calculated using Pearson correlation coefficients.
Results
Study participants were 13 PT group leaders and 62 axSpA patients. The latter were all capable of performing the aCSE, with the exception of one individual. A moderate to substantial intra-rater reliability (ICCs (95%CI)) was found for the ventral (0.54 (0.35, 0.74)), lateral (0.52 (0.33, 0.70)), and dorsal (0.71 (0.58, 0.86)) core muscle chains. None of the aCSE measures correlated with the disease-specific factors.
Conclusion
The aCSE was found to be a reliable test battery for assessing core strength endurance in axSpA patients. Interestingly, aCSE performance was not associated with any disease-specific factors.
Key Points • The adapted core strength endurance test battery measures the isometric strength of the ventral, lateral and dorsal core muscle chains. • The adapted core strength endurance test battery showed a moderate to substantial intra-rater reliability for all three muscle chains tested in axSpA patients. • No correlations were found between the adapted core strength endurance test battery and the disease-specific factors of self-reported pain, functional status and perceived strength performance.
“…Alguns destes testes em determinadas posições préestabelecidas pela literatura (MELDRUM et al,2007) têm como finalidade a avaliação da região lombopélvica (VILLAFANE et al, 2016), porém para serem possíveis de serem utilizadas na prática clínica, devem demonstrar bons valores de confiabilidade e metodologia bem definida (CORIN et al, 2005;LEGGIN et al, 2006). A inconsistência de dados compromete o uso de testes clínicos em um ambiente prático, principalmente quanto á confiabilidade e medidas de erro destes testes (JUDD et al, 2014;MAJEWSKI et al, 2014;ROY et al, 1989;STARK et al, 2008 com α=0,05 e intervalo de confiança de 95%.…”
Section: Obrigada a Toda A Equipe Da Fisioterapia E Do Núcleo De Estuunclassified
“…Já no que diz respeito à atividade muscular do TrA, os valores médios encontrados no presente corroboram os estudos de Richardson et al (2004) e Hodges et al (1996) (MARRAS et al, 2001), a biomecânica da região e também a predisposição á lesão (DECKER et al, 2003, LUOTO et al, 1995 (MAJEWSKI et al, 2014;McGILL et al, 1999 momento da avaliação e da MMD para considerar a mudança real no ganho de força muscular dentro de um intervalo de tempo (DAWSON et al , 2008;LEGGIN et al, 2006) Convidamos você a participar do estudo intitulado "Avaliação Funcional Lombo-Pélvica: Confiabilidade e Medidas de Erro de Testes Clínicos" que será realizado na cidade de Ribeirão Preto -SP, tendo como pesquisadores responsáveis a Profa. Dra.…”
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