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评估颈椎被动椎间运动时检查者间的可靠性。

Inter-examiner reliability in assessing passive intervertebral motion of the cervical spine.

作者信息

Smedmark V, Wallin M, Arvidsson I

机构信息

Ortoped Medical Center, Stockholm, Sweden.

出版信息

Man Ther. 2000 May;5(2):97-101. doi: 10.1054/math.2000.0234.

Abstract

Passive intervertebral motion of the cervical spine was assessed independently by two physical therapists. The therapists had equal backgrounds concerning education and clinical experience. Sixty-one patients seeking care for cervical problems at a private clinic were included in the study where three segments of the cervical spine and the mobility of the first rib were graded as stiff or not stiff. Data were analysed by percentage agreement and kappa coefficient which indicates inter-examiner reliability greater than expected by chance. Results demonstrated inter-examiner reliability of between 70 and 87% and kappa coefficients ranging between 0.28 and 0.43 considered to be only 'fair to moderate'.

摘要

两名物理治疗师独立评估了颈椎的被动椎间运动。这两名治疗师在教育背景和临床经验方面相当。本研究纳入了61名在一家私人诊所寻求颈椎问题治疗的患者,其中颈椎的三个节段以及第一肋骨的活动度被评定为僵硬或不僵硬。通过百分比一致性和kappa系数对数据进行分析,kappa系数表明检查者间的可靠性高于偶然预期。结果显示,检查者间的可靠性在70%至87%之间,kappa系数在0.28至0.43之间,仅被认为“一般到中等”。

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