Journal article
Thoracolumbar proprioception in individuals with and without low back pain: Intratester reliability, clinical applicability, and validity
The Journal of orthopaedic and sports physical therapy, Vol.32(7), pp.327-335
2002
Abstract
Study Design: Repeated measures design of active spinal position sense in individuals with and without low back pain (LBP). Objectives: Reproducibility and validity evaluation of thoracolumbar proprioception measurement. Background: Proprioception studies in peripheral joints and the spine suggest that there may be proprioception deficits due to injury, pain, or degeneration. Kinesthetic retraining may be useful in rehabilitation of patients with LBP, but appropriate measures are required to objectively quantify spinal proprioception. Methods and Measures: Active-target reproduction in the sagittal, horizontal, and coronal planes was assessed (3 separate occasions for 18 asymptomatic volunteers and 2 occasions for 62 patients with LBP). Repositioning accuracy was expressed as absolute errors (AE) and variable errors (VE). Reliability was analyzed with intraclass correlation coefficient (ICC) and precision with standard error of measurement (SEM) and calculation of the smallest detectable difference (SDD) index. Repeated measures ANOVA and correlations were used for within-group comparisons and discriminant analysis for between-group comparisons. Results: Reproducibility was better for the asymptomatic group, with AE for flexion and rotation being the most reliable (ICC = 0.76-0.80, SEM = 0.91°-1.34°). SDDs were high for all tests, suggesting limited clinical applicability. Reproducibility for the same tests was poor-moderate (ICC = 0.31-0.64, SEM = 0.45°-3.90°) for the patient group. AE for right-side rotation could discriminate between subject groups with 83.3% specificity but only 54.8% sensitivity. Conclusions: Proprioception testing, with the methods employed, did not demonstrate good measurement properties in a sample of patients with recurrent LBP. Neither could it sufficiently discriminate between individuals with and without LBP. Possible reasons for these findings are discussed.
Details
- Title
- Thoracolumbar proprioception in individuals with and without low back pain: Intratester reliability, clinical applicability, and validity
- Authors
- G A Kaumantakis (Author)Julie Winstanley (Author) - University of the Sunshine Coast - Faculty of Science, Health and EducationJ A Oldham (Author) - University of Manchester, United Kingdom
- Publication details
- The Journal of orthopaedic and sports physical therapy, Vol.32(7), pp.327-335
- Publisher
- American Physical Therapy Association
- Date published
- 2002
- DOI
- 10.2519/jospt.2002.32.7.327
- ISSN
- 0190-6011; 0190-6011
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99449425202621
- Output Type
- Journal article
Metrics
5 File views/ downloads
681 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Orthopedics
- Rehabilitation
- Sport Sciences
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites