Do we see the same movement impairments? The inter-rater reliability of movement tests for experienced and novice physiotherapists

Aasa, Björn; Lundström, Lena; Papacosta, Daniel; Sandlund, Jonas; Aasa, Ulrika

doi:10.3109/21679169.2014.917435

Cited by 6 publications

(12 citation statements)

References 23 publications

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“…The kappa coefficients for inter-rater reliability ranged from .19 to .95 and are in line with previous results of studies including movement control tests for the low back [ 22 , 27 ] and neck regions [ 25 ], but they are somewhat lower than in two studies including tests of the neck and shoulder region [ 23 , 24 ]. Notably, all above-mentioned studies but one [ 27 ] used video recordings, where the same movement can be observed several times.…”

Section: Discussionsupporting

confidence: 89%

“…We consider the results to mainly be interpreted for persons without or with at most mild to moderate MSCI and who are still on active duty. Further related to external validity, we consider that the tests can be used by physiotherapists with experience from musculoskeletal assessment and movement analysis since previous studies have found higher agreement for experienced physiotherapists compared to novels [ 23 ]. Practicing of tests with well-defined grading criteria are always important, especially for inexperienced therapists.…”

Section: Discussionmentioning

confidence: 99%

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Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel

et al. 2018

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Strategies are needed to mitigate the high rates and related risks of musculoskeletal complaints and injuries (MSCI) in the military aviator community. Previous work on Swedish Armed Forces (SwAF) soldiers have shown that proper screening methods have been successful in reducing early discharge from military training. Research has pointed at the importance of optimal spinal movement control in military aviators. The aim of this work was to investigate the inter-rater and test-retest reliability of a battery of clinical tests for evaluating movement control in the neck, shoulders, thoracic, lumbar, and hip regions in a population of SwAF military personnel. Inter-rater and test-retest reliability of 15 movement control tests were assessed by crude and prevalence-adjusted kappa coefficient. The study included 37 (inter-rater) and 45 (test-retest) SwAF personnel and was performed with two physiotherapists simultaneously observing and rating the movements on the first occasion and repeated with one physiotherapist on the second occasion. For inter-rater reliability, the kappa coefficient ranged from .19 to .95. Seven tests showed substantial to almost perfect agreement (kappa > .60). With the adjusted kappa, three more tests reached the level of substantial agreement. The corresponding values for test-retest reliability ranged from .26 to .65. Substantial agreement was attained for two tests, three with adjusted kappa. The following tests can reliably be used when screening for biomechanically less advantageous movement patters in military aviators: Shoulder flexion, and rotation, Neck flexion in sitting and supine, Neck extension and rotation in sitting, Pelvic tilt, Forward lean and Single and Double knee extension tests. Grading criteria for tests in supine and quadruped positions need to be further elaborated.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel

et al. 2018

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“…All tests but one (seated scapula/glenohumeral medial and lateral rotation test, part B: 20 fast rotations, see below) have been described in detail earlier [20]. The tests were performed in one sequence, as is customary in clinical practice.…”

Section: Movement Control Test Batterymentioning

confidence: 99%

“…The tests were performed in one sequence, as is customary in clinical practice. The verbal instructions were standardised [20]. The participants were given a minimum of cues so that they performed their preferred pattern of movement.…”

Section: Movement Control Test Batterymentioning

confidence: 99%

“…Analysing movement impairments in the neck and shoulder regions can be a difficult task since the upper quadrant consists of complex muscle arrangements across joints. To evaluate neuromuscular control [16][17][18] and muscles ability to evaluate control of movements in a specific direction [15,[17][18][19][20][21][22] and to generate adequate and balanced force [17,20], clinical movement control tests have been introduced. It has been concluded that physiotherapists are able to reliably evaluate movement impairments [20,21].…”

Section: Introductionmentioning

confidence: 99%

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Acuity of goal-directed arm movements and movement control; evaluation of differences between patients with persistent neck/shoulder pain and healthy controls

Aasa

Sandlund

Rudolfsson

et al. 2020

European Journal of Physiotherapy

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Background: The main aim was to examine whether patients with persistent upper quadrant pain have higher end-point variability in goal directed pointing movements than pain-free controls when the pointing task is performed in total darkness and under full vision. An additional aim was to study associations between the magnitude of end-point variability and a clinical movement control test battery and self-rated functioning among patients. Methods: Seventeen patients and 17 age-and gender-matched pain-free controls performed a pointing task that evaluated end-point variability of repetitive shoulder movements in horizontal adduction and abduction with full vision, and abduction with no visual information, completed a movement control test battery of neck and shoulder control tests and answered questionnaires. Results: Patients had higher end point variability for horizontal abduction when performed with no visual information. For horizontal adduction the variability was higher, but only when it was controlled for movement time. No significant correlations were found between end-point variability and selfrated functioning, nor between end-point variability and neuromuscular control of the glenohumeral joint. Conclusions: This study provides preliminary evidence that patients with persistent neck/shoulder pain can partly compensate proprioceptive deficits in goal-directed arm movement when visual feedback is present.

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Inter-rater reliability, discriminatory and predictive validity of neck movement control tests in office workers with headache and/or neck pain

Gallina¹,

Aegerter²,

Barbero³

et al. 2022

Musculoskeletal Science and Practice

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Do we see the same movement impairments? The inter-rater reliability of movement tests for experienced and novice physiotherapists

Cited by 6 publications

References 23 publications

Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel

Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel

Acuity of goal-directed arm movements and movement control; evaluation of differences between patients with persistent neck/shoulder pain and healthy controls

Inter-rater reliability, discriminatory and predictive validity of neck movement control tests in office workers with headache and/or neck pain

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