International Journal of Physiotherapy and Research



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Type of Article : Original Research

Year: 2015 | Volume 3 | Issue 5 | Page No. 1258-1262

Date of Publication: 11-10-2015

DOI: 10.16965/ijpr.2015.187

INTER-RATER AND INTRA-RATER RELIABILITY OF ACTIVE HIP ABDUCTION TEST FOR STANDING INDUCED LOW BACK PAIN

Mansi Shah *1, Pravin Aaron 2, Subin Solomen 3.
 

*1 Lecturer, Musculoskeletal Physiotherapy, Ashok & Rita Patel Institute of Physiotherapy, Gujarat, India.
2 Professor and Principal, Padmashree Institute of Physiotherapy, Bangalore, Karnataka, India.
3 Professor, Department of Physiotherapy, Padmashree Institute of Physiotherapy, Bangalore, Karnataka, India.

Corresponding author: Dr. Mansi Shah. PT., Lecturer, Musculoskeletal Physiotherapy, Ashok & Rita Patel Institute of Physiotherapy, Gujarat 388 421, India.
E-Mail:
mbshah8@gmail.com

Abstract:

Background:  Active hip abduction test (AHAbd) has previously been shown to be a reliable tool for predicting low back pain development during a prolonged standing exposure in previously asymptomatic individuals, but the reliability of AHAbd on patients with standing induced occupational low back pain has not been established. As it is an observation based test, reliability among different raters and same rater must be established. The purpose of this study was to investigate the inter-rater and intra-rater reliability of the AHAbd test as a diagnostic instrument in subjects with standing induced occupational low back pain.
Materials and Methods:  A total of 30 subjects were assessed with 1 day interval to find out intra-rater reliability and the same 30 subjects were examined independently on the same day by two therapists to get the inter-rater reliability. Intra-class correlation coefficients (ICCs) were calculated for reliability statistics.
Results and Discussions:  AHAbd test demonstrated higher intra-rater reliability that is 0.91 (95% CI: .82-.85) than inter-rater reliability which was 0.83 (95% CI: .82-.95), although both were moderate to good for patients with standing induced low back pain.
Conclusions:  AHAbd test may prove useful as part of an ergonomic assessment but its level of reliability warrants cautions for its sole use when assessing low back pain induced by prolonged standing.
KEY WORDS: AHAbd test, low back pain, prolonged standing, reliability, teachers, lumbo-pelvic control.

References

  1. Tsuboi H, takeuchi K, watanabe M, Hori R, kobayashi F. psychosocial factors related to low back pain among school personnel in nagoya, japan. Ind Health 2002 jul;40(3):266-71.
  2. Len Kravitz & Ron Andrews. Fitness and low back pain. Available from url: http://www.drlenkravitz.com/Articles/lowbackpain.html
  3. Junior MH, goldenfum MA, siena C. occupational low back pain. Rev Assoc Med Bras 2010;56(5):583-9.
  4. Erick PN, Smith DR. A systemic review of musculoskeletal disorder among school teachers. BMC Musculoskeletal Disorders 2011;12:260.
  5. Cardoso JP, Ribeiro IQ. Prevalence of musculoskeletal pain among teachers. Rev Bras Epidemiol 2009;12(4):1-10.
  6. Nelson-Wong E., Callaghan, JP. Repeatability of Clinical, Biomechanical, and Motor Control Profiles in People with and without Standing-Induced Low Back Pain. Rehabilitation Research & Practice, 2010 June.
  7. Marshall PW, Patel H, Callaghan JP. Gluteus medius strength, endurance, and co-activation in the development of low back pain during prolonged standing. Human Movement Science, 2011 Jan 11;(30):63–73.
  8. Nelson-Wong, E., Callaghan, JP. Is muscle co-activation a predisposing factor for low back pain development during standing? A multifactorial approach for early identification of at-risk individuals.  J Electromyogr Kinesiol. 2009 April;20(2):256-263.
  9. Nelson-Wong E. Biomechanical Predictors of Functionally Induced Low Back Pain, Acute Response to Prolonged Standing Exposure, and Impact of Stabilization- Based Clinical Exercise Intervention. University of Waterloo, Canada [cited Jul 2010].
  10. Nelson-Wong E, Flynn T, Callaghan JP. Development of Active Hip Abduction as a Screening Test for Identifying Occupational Low Back Pain. J Orthop Sports Phys Ther 2009;39(9):649-657.
  11. Davis AM, Bridge P, Miller J, Nelson-wong E. interrater and intrarater reliability of active hip abduction test. J Orthop Sports Phys Ther  2011 Dec;41(12):953-60.
  12. Portney LG, Watkins MP. Foundation of clinical research applications to practice, 3ed ed. prentice hall;2008:85.
  13. Enoch F, Kjaer P, Elkjaer A, Remvig L, Juul-Kristensen B. Inter-examiner reproducibility of tests for lumbar motor control. BMC Musculoskeletal Disorders 2011;12:114.

 

Mansi Shah, Pravin Aaron, Subin Solomen. INTER-RATER AND INTRA-RATER RELIABILITY OF ACTIVE HIP ABDUCTION TEST FOR STANDING INDUCED LOW BACK PAIN. Int J Physiother Res 2015;3(5):1258-1262. DOI: 10.16965/ijpr.2015.187

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