manuelletherapie 2009; 13(1): 30-38
DOI: 10.1055/s-0028-1109129
Originalarbeit

© Georg Thieme Verlag KG Stuttgart · New York

Reliabilität von Bewegungskontrolltests der LWS[1]

Reliability of Movement Control Tests in the Lumbar SpineH. Luomajoki1, 2 , J. Kool3 , E. D. de Bruin4, 5 , O. Airaksinen2, 6
  • 1Physiotherapie Reinach, CH-Reinach
  • 2University of Kuopio, FIN-Kuopio
  • 3Institute für Physiotherapie, Abteilung Gesundheit, Züricher Hochschule für Angewandte Wissenschaften, CH-Winterthur
  • 4Abt. für Rheumatologie und Institut für Physikalische Medizin, Universitätsspital Zürich, CH-Zürich
  • 5Institut für Bewegungswissenschaften und Sport, ETH Zürich, CH-Zürich
  • 6Dept. of Physical and Rehabilitation Medicine, University Hospital of Kuopio, FIN-Kuopio
Further Information

Publication History

Manuskript eingetroffen: 29.2.2008

Manuskript akzeptiert: 29.5.2008

Publication Date:
06 February 2009 (online)

Zusammenfassung

Patienten mit Dysfunktionen der aktiven Bewegungskontrolle bilden möglicherweise eine wichtige Untergruppe mit Schmerzen in der LWS. Die Diagnosestellung basiert auf der Beobachtung der aktiven Bewegungen. Obwohl die Tests im klinischen Alltag weit verbreitet sind, finden sich nur wenige Untersuchungen zu ihrer Reliabilität. Das Ziel dieser Studie bestand darin, die Inter- und Intrabeobachter-Reliabilität der Bewegungskontrolldysfunktionstests der LWS zu untersuchen.

Abstract

Patients with movement control dysfunction may be an important subgroup within lumbar spinal pain. The diagnosis is based on monitoring active movements. Although widely used in clinical practice only few investigations concerning their reliability have been carried out. This study aimed at determining the interrater and intrarater reliability of movement control dysfunction tests for the lumbar spine.

1 Der englische Originalartikel ist erschienen in: BMC Musculoskeletal Disorders 2007; 8: 90–100.

Literatur

  • 1 Airaksinen O, Brox J I, Cedraschi C. et al . European Guidelines for the Management of Chronic Nonspecific Low Back Pain. Chapter 4.  Eur Spine J. 2006;  15 (Suppl 2) S192-S300
  • 2 Childs J D, Piva S R, Erhard R E. et al . Side-to-side weight-bearing asymmetry in subjects with low back pain.  Manual Therapy. 2003;  8 166-169
  • 3 Comerford M J, Mottram S L. Functional stability re-training: principles and strategies for managing mechanical dysfunction.  Manual Therapy. 2001;  6 3-14
  • 4 Comerford M J, Mottram S L. Movement and stability dysfunction – contemporary developments.  Manual Therapy. 2001;  6 15-26
  • 5 Cook C, Brismee J M, Sizer P S. et al . Subjective and objective descriptors of clinical lumbar spine instability: a Delphi study.  Manual Therapy. 2006;  11 11-21
  • 6 Costa L O, Costa Lda C, Cancado R L. et al . : Short report: intra-tester reliability of two clinical tests of transversus abdominis muscle recruitment.  Physiother Res Int. 2006;  11 48-50
  • 7 Dankaerts W, O’Sullivan P B, Straker L M. et al . The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment.  Manual Therapy. 2006;  11 28-39
  • 8 Dankaerts W, O’Sullivan P B, Burnett A F. et al . The use of a mechanism-based classification system to evaluate and direct management of a patient with non-specific chronic low back pain and motor control impairment. A case report.  Manual Therapy. 2007;  12 181-191
  • 9 Van Dillen L R, Sahrmann S A, Norton B J. et al . Movement system impairment-based categories for low back pain: stage 1 validation.  J Orthop Sports Phys Ther. 2003;  33 126-142
  • 10 Van Dillen L R, Sahrmann S A, Norton B J. et al . Reliability of physical examination items used for classification of patients with low back pain.  Phys Ther. 1998;  78 979-988
  • 11 French S D, Green S, Forbes A. Reliability of chiropractic methods commonly used to detect manipulable lesions in patients with chronic low-back pain.  J Manipulative Physiol Ther. 2000;  23 231-238
  • 12 Fritz J M, Erhard R E, Hagen B F. Segmental instability of the lumbar spine.  Phys Ther. 1998;  78 889-896
  • 13 Fritz J M, George S. The use of a classification approach to identify subgroups of patients with acute low back pain. Interrater reliability and short-term treatment outcomes.  Spine. 2000;  25 106-114
  • 14 Fritz J M, Piva S R, Childs J D. Accuracy of the clinical examination to predict radiographic instability of the lumbar spine.  European Spine Journal. 2005;  14 743-750
  • 15 Hestbaek L, Leboeuf-Yde C. Are chiropractic tests for the lumbo-pelvic spine reliable and valid? A systematic critical literature review.  J Manipulative Physiol Ther. 2000;  23 258-275
  • 16 Hicks G E, Fritz J M, Delitto A. et al . Interrater reliability of clinical examination measures for identification of lumbar segmental instability.  Arch Phys Med Rehabil. 2003;  84 1858-1864
  • 17 Hides J A, Richardson C A, Jull G A. Magnetic resonance imaging and ultrasonography of the lumbar multifidus muscle. Comparison of two different modalities.  Spine. 1995;  20 54-58
  • 18 Hides J, Wilson S, Stanton W. et al . An MRI investigation into the function of the transversus abdominis muscle during “drawing-in” of the abdominal wall.  Spine. 2006;  31 E175-E178
  • 19 Jacob T, Baras M, Zeev A. et al . Low back pain: reliability of a set of pain measurement tools.  Arch Phys Med Rehabil. 2001;  82 735-742
  • 20 Kleinstuck F, Dvorak J, Mannion A. Are “structural abnormalities” on magnetic resonance imaging a contraindication to the successful conservative treatment of chronic nonspecific low back pain?.  Spine. 2006;  31 2250-2257
  • 21 Klein-Vogelbach S. Funktionelle Bewegungslehre. Berlin; Springer 2001
  • 22 Luomajoki H A. Evidenz für Übungen und Training bei lumbalem Rückenschmerz (LBP).  Manuelle Therapie. 2002;  6 33-46
  • 23 May S, Littlewood C, Bishop A. Reliability of procedures used in the physical examination of non-specific low back pain: a systematic review.  The Australian Journal of Physiotherapy. 2006;  52 91-102
  • 24 Murphy D R, Byfield D, McCarthy P. et al . Interexaminer reliability of the hip extension test for suspected impaired motor control of the lumbar spine.  J Manipulative Physiol Ther. 2006;  29 374-377
  • 25 O’Sullivan P B. Masterclass. Lumbar segmental “instability”: clinical presentation and specific stabilizing exercise management.  Manual Therapy. 2000;  5 2-12
  • 26 O’Sullivan P B. Diagnosis and classification of chronic low back pain disorders: Maladaptive movement and motor control impairments as underlying mechanism.  Manual Therapy. 2005;  10 242-255
  • 27 Panjabi M M. Clinical spinal instability and low back pain.  J Electromyogr Kinesiol. 2003;  13 371-379
  • 28 Richardson C, Jull G, Hodges P. et al .Therapeutic exercise for spinal segmental stabilisation in low back pain – scientific basis and clinical approach. London; Churchill Livingstone 1999
  • 29 Richardson C A, Jull G A. Muscle control – pain control. What exercises would you prescribe?.  Manual Therapy. 2000;  1 2-10
  • 30 Richardson C A, Hides J A, Wilson S. et al . Lumbo-pelvic joint protection against antigravity forces: motor control and segmental stiffness assessed with magnetic resonance imaging.  J Gravit Physiol. 2004;  11 P119-P122
  • 31 Sahrmann S A. Diagnosis and treatment of movement impairment syndromes. St. Louis; Mosby 2002
  • 32 Sim J, Wright C C. The kappa statistic in reliability studies: use, interpretation and sample size requirements.  Phys Ther. 2005;  85 257-268
  • 33 Strender L E, Sjoblom A, Sundell K. et al . Interexaminer reliability in physical examination of patients with low back pain.  Spine. 1997;  22 814-820
  • 34 Taimela S, Luoto S. Does disturbed movement regulation cause chronic back trouble?.  Duodecim. 1999;  115 1669-1676
  • 35 Waddell G. The back pain revolution. Edinburgh; Churchill Livingstone 2004 2nd ed
  • 36 White L J, Thomas S T. The rater reliability of assessments of symptom provocation in patients with low back pain.  Journal of Back and Musculoskeletal Rehabilitation. 2002;  16 83-90

1 Der englische Originalartikel ist erschienen in: BMC Musculoskeletal Disorders 2007; 8: 90–100.

Hannu Luomajoki

PT OMT svomp Mphty, Leiter Weiterbildung ZHAW, Institut für Physiotherapie, Zürcher Hochschule für angewandte Wissenschaften (ZHAW)

Schweiz

Email: luom@zhaw.ch

    >