Manual Therapy, Posturology & Rehabilitation Journal
http://www.mtprehabjournal.com/doi/10.17784/mtprehabjournal.2018.16.596
Manual Therapy, Posturology & Rehabilitation Journal
Research Article

Intra- and inter-observer concordance of the stabilizing chains test and its relationships with measures on a force platform

Orlando Conde Vázquez, Carlos Mohíno Fernández

Downloads: 0
Views: 41

Abstract

Background: There are numerous manual tests that are part of the daily work of clinicians, in order to assist in the diagnosis to a subsequent therapeutic approach. Objectives: The stabilizing chains* test was chosen to study its intra- and inter-observer reproducibility in 24 children with 11 years old, and the possible relation with certain baropodometric variables. Methods: The test data were collected by 2 operators and the baropodometric variables by a force platform. Cohen’s Kappa coefficient and Student’s t-tests were performed. Results: The results showed a good kappa coefficient (0.497 - 0.746) in the intra-observer and poor to moderate in the inter-observer (0.083 - 0.438). There are also relationships to the weight percentage in the frontal and sagittal planes (p ≤ 0.05). Conclusion: These results give validity to use the test in daily practice. * The English denomination of the test is a literal translation of the French expression ‘chaînes stabilisatrices’.

Keywords

Reproducibility of results; Postural balance; Physiology; Physical Examination; Manual Therapy.

References

1. Gellhorn AC, Chan L, Martin B, Friedly J. Management Patterns in Acute Low Back Pain: The Role of Physical Therapy. Spine. 2012; 37(9): 775–82.

2. Delitto A, George SZ, Van Dillen L, Whitman JM, Sowa G, Shekelle P, et al. Low Back Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2012; 42(4): A1–57.

3. Hestœk 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(4): 258–75.

4. Vincent-Smith B, Gibbons P. Inter-examiner and intra-examiner reliability of the standing flexion test. Man Ther. 1999; 4(2): 87–93.

5. Holmgren U, Waling K. Inter-examiner reliability of four static palpation tests used for assessing pelvic dysfunction. Man Ther. 2008; 13(1): 50-6.

6. Haneline MT, Young M. A Review of Intraexaminer and Interexaminer Reliability of Static Spinal Palpation: A Literature Synthesis. J Manipulative Physiol Ther. 2009; 32(5): 379-86.

7. Stochkendahl MJ, Christensen HW, Hartvigsen J, Vach W, Haas M, Hestbaek L, et al. Manual Examination of the Spine: A Systematic Critical Literature Review of Reproducibility. J Manipulative Physiol Ther. 2006; 29(6): 475-485.e10.

8. Ruhe A, Fejer R, Walker B. Is there a relationship between pain intensity and postural sway in patients with non-specific low back pain? BMC Musculoskelet Disord. 2011; 12(1): 162.

9. Mazaheri M, Coenen P, Parnianpour M, Kiers H, van Dieën JH. Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review. Gait Posture. 2013; 37(1): 12-22.

10. Hodges PW, Gurfinkel VS, Brumagne S, Smith TC, Cordo PC. Coexistence of stability and mobility in postural control: evidence from postural compensation for respiration. Exp Brain Res. 2002; 144(3): 293-302.

11. Hamaoui A, Do M, Bouisset S. Postural sway increase in low back pain subjects is not related to reduced spine range of motion. Neurosci Lett. 2004; 357(2): 135-8.

12. Shanbehzadeh S, Salavati M, Talebian S, Khademi-Kalantari K, Tavahomi M. Attention demands of postural control in non-specific chronic low back pain subjects with low and high pain-related anxiety. Exp Brain Res. 2018 Apr 25; 1-12.

13. Villeneuve P, Parpay S. Examen clinique postural. Rev Podol. 1991; 59: 37-44.

14. Hirasawa Y. Study on human standing ability. Agressologie. 1973; 14(C): 37-44.

15. Cohen J. A Coefficient of Agreement for Nominal Scales. Educ Psychol Meas. 1960; 20(1): 37-46.

16. Landis JR, Koch GG. The Measurement of Observer Agreement for Categorical Data. Biometrics. 1977; 33(1): 159.

17. Nguyen P, Cremades F, Gatelet C. Test du maintien pelvien (TMP), degré de concordance. Neurophysiol Clin Neurophysiol. 2014; 44(1): 140-1.

18. Broise A-L, Geronimi M. Étude de la reproductibilité intra- et interpraticiens du test des chaînes stabilisatrices ou signe de Trendelenburg postural. Neurophysiol Clin Neurophysiol. 2012; 42(6): 390-1.

19. Blaszczyk JW, Prince F, Raiche M, Hébert R. Effect of ageing and vision on limb load asymmetry during quiet stance. J Biomech. 2000; 33(10): 1243-8.

20. Anker LC, Weerdesteyn V, van Nes IJW, Nienhuis B, Straatman H, Geurts ACH. The relation between postural stability and weight distribution in healthy subjects. Gait Posture. 2008; 27(3): 471–7.

21. Winter DA, Prince F, Frank JS, Powell C, Zabjek KF. Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol. 1996; 75(6): 2334-43.

22. Wang Z, Newell KM. Inter-foot coordination dynamics of quiet standing postures. Neurosci Biobehav Rev. 2014; 47: 194-202.

5bc63bb30e8825f6288efc3e mtprehab Articles
Links & Downloads

Man. Ther., Posturology Rehabil. J.

Share this page
Page Sections