Review articleInter- and Intrarater Reliability of Clinical Tests Associated With Functional Lumbar Segmental Instability and Motor Control Impairment in Patients With Low Back Pain: A Systematic Review
Section snippets
Methods
A systematic literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.9
Results
The database search strategy yielded 673 records. After removal of duplicates, 435 records were screened on title and abstract for eligibility, with 55 records going through to the second screening phase. After screening on full text, a total of 1619, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34 records were determined to be eligible (fig 1, table 1). In total, 30 clinical tests were identified, representing a total patient sample of 618 patients (table 2). A detailed description
Discussion
The current review aimed to provide a complete overview of inter- or intrarater reliability or both for clinical tests associated with functional LSI and MCI in patients with LBP. A total of 30 different clinical tests were identified.
Conclusions
Interrater reliability is well investigated, and based on the previously described GRADE method, 3 clinical tests can be concluded to have an adequate interrater reliability: the prone instability test, aberrant movement pattern, and Beighton Scale. The intrarater reliability of the identified clinical tests in the current review is poorly investigated, and no conclusions can be made. Further investigation should focus on better study designs to improve the overall ROB assessment, and more
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Disclosures: none.