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Functional movement analysis in patients with chronic nonspecific low back pain : a reliability and validity study

Titelangaben

Vogel, Johanna ; Wilke, Jan ; Krause, Frieder ; Vogt, Lutz ; Niederer, Daniel ; Banzer, Winfried:
Functional movement analysis in patients with chronic nonspecific low back pain : a reliability and validity study.
In: BMC Musculoskeletal Disorders. Bd. 20 (2019) . - 395.
ISSN 1471-2474
DOI: https://doi.org/10.1186/s12891-019-2779-6

Abstract

BACKGROUND
Individuals afflicted with nonspecific chronic low back pain (CLBP) exhibit altered fundamental movement patterns. However, there is a lack of validated analysis tools. The present study aimed to elucidate the measurement properties of a functional movement analysis (FMA) in patients with CLBP.

METHODS
In this validation (cross-sectional) study, patients with CLPB completed the FMA. The FMA consists of 11 standardised motor tasks mimicking activities of daily living. Four investigators (two experts and two novices) evaluated each item using an ordinal scale (0-5 points, one live and three video ratings). Interrater reliability was computed for the total score (maximum 55 points) using intra class correlation and for the individual items using Cohen's weighted Kappa and free-marginal Kappa. Validity was estimated by calculating Spearman's Rho correlations to compare the results of the movement analysis and the participants' self-reported disability, and fear of movement.

RESULTS
Twenty-one participants (12 females, 9 males; 42.7 ± 14.3 years) were included. The reliability analysis for the sum score yielded ICC values between .92 and.94 (p < .05). The classification of individual scores are categorised 'slight' to 'almost perfect' agreement (.10-.91). No significant associations between disability or fear of movement with the overall score were found (p > .05). The study population showed comparably low pain levels, low scores of kinesiophobia and disability.

CONCLUSION
The functional movement analysis displays excellent reliability for both, live and video rating. Due to the low levels of disability and pain in the present sample, further research is necessary to conclusively judge validity.

Weitere Angaben

Publikationsform: Artikel in einer Zeitschrift
Begutachteter Beitrag: Ja
Keywords: Disability; Idiopathic pain; Kinematic analysis; Low back pain; Movement patterns; Pain intensity; Unspecific pain
Institutionen der Universität: Fakultäten > Kulturwissenschaftliche Fakultät
Titel an der UBT entstanden: Nein
Themengebiete aus DDC: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
Eingestellt am: 15 Apr 2024 07:33
Letzte Änderung: 15 Apr 2024 07:33
URI: https://eref.uni-bayreuth.de/id/eprint/89241