Brismée Jean-Michel, Gipson Dickie, Ivie Dan, Lopez Angel, Moore Mandy, Matthijs Omer, Phelps Valerie, Sawyer Steven, Sizer Phillip
Department of Rehabilitation Sciences, Texas Tech University Health Sciences Center, Lubbock, Tex 79430, USA.
J Manipulative Physiol Ther. 2006 Jun;29(5):368-73. doi: 10.1016/j.jmpt.2006.04.009.
To examine the interrater reliability of a passive physiological intervertebral motion (PPIM) test of a mid-thoracic spine motion segment.
Nineteen males and 22 females with a mean age of 22.7 years (range, 19-40 years) and no known spinal pathologies were tested independently by 3 certified manual therapy instructors. Investigators performed 3-dimensional segmental mobility testing at a preselected thoracic motion segment. Interrater reliability was assessed with Cohen's kappa statistics, using 3 pairwise comparisons for determination of the direction of lateral flexion leading to the greatest amount of segmental rotation.
Percent agreement ranges were 63.4% to 82.5%, with kappa scores ranging from 0.27 to 0.65.
The PPIM testing demonstrated fair to substantial interrater reliability. A majority of females (91%) demonstrated greatest segmental PPIM motion in contralateral rotation with lateral flexion, whereas a majority of males (90%) demonstrated greatest segmental PPIM motion in ipsilateral rotation with lateral flexion. These findings are applicable to asymptomatic subjects of the same age category. Interrater reliability of 3-dimensional PPIM testing is fair to substantial for assessing passive segmental mobility of the mid-thoracic spine.
研究胸段脊柱运动节段被动生理性椎间运动（PPIM）测试的评分者间信度。
19名男性和22名女性参与测试，平均年龄22.7岁（范围19 - 40岁），无已知脊柱病变，由3名认证的手法治疗指导师独立进行测试。研究人员在预先选定的胸段运动节段进行三维节段活动度测试。采用Cohen's kappa统计量评估评分者间信度，通过3对比较来确定导致最大节段旋转量的侧屈方向。
一致性百分比范围为63.4%至82.5%，kappa评分范围为0.27至0.65。
PPIM测试显示出中等至较高的评分者间信度。大多数女性（91%）在侧屈时对侧旋转中表现出最大节段PPIM运动，而大多数男性（90%）在侧屈时同侧旋转中表现出最大节段PPIM运动。这些发现适用于同一年龄段的无症状受试者。三维PPIM测试的评分者间信度对于评估胸段脊柱的被动节段活动度为中等至较高。
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