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[评估躯体检查结果可靠性的评估者间研究]

[Interrater studies of evaluating the reliability of somatic findings].

作者信息

Saur P M, Pfingsten M, Ensink F B, Heinemann R, Koch D, Seeger D, Hildebrandt J

机构信息

Zentrum Anaesthesiologie, Rettungsund Intensivmedizin der Georg-August-Universität Göttingen.

出版信息

Rehabilitation (Stuttg). 1996 Aug;35(3):150-60.

PMID:8975344
Abstract

20 patients (11 female, 9 male) without low back pain were included in two interrater studies carried out by three physical therapists. The following variables were investigated: shape of the spine, iliac crest heights, twisting of the pelvis, spine test, length of legs, Patrick sign, Schober test, fingertip-to-floor measurements, flexion and extension of the lumbar spine, straight-leg raising, and length of the iliopsoas and the rectus muscles. Intraclass coefficients for the ordinal variables, and kappa coefficients for the nominal variables were calculated for evaluation of interrater agreement. In both investigations, the Schober sign, lumbar flexion, fingertip-to-floor measurements, straight-leg raising of the left leg, and lengths of both legs were almost perfectly reliable. All other variables exhibited a lower reliability between the three therapists.

摘要

20名无腰痛的患者(11名女性,9名男性)被纳入由三名物理治疗师进行的两项评分者间研究。研究了以下变量:脊柱形状、髂嵴高度、骨盆扭转、脊柱测试、腿长、帕特里克征、肖伯试验、指尖触地测量、腰椎屈伸、直腿抬高以及髂腰肌和腹直肌的长度。计算了有序变量的组内相关系数和名义变量的kappa系数,以评估评分者间的一致性。在两项研究中,肖伯征、腰椎前屈、指尖触地测量、左腿直腿抬高以及双腿长度几乎具有完全可靠性。其他所有变量在三名治疗师之间的可靠性较低。

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[Facet blockade, peridural and periradicular pain therapy].[小关节阻滞、硬膜外和神经根周围疼痛治疗]
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[Multidisciplinary treatment program for chronic low back pain, part 1. Overview].[慢性下腰痛的多学科治疗方案,第1部分。概述]
Schmerz. 1996 Aug 26;10(4):190-203. doi: 10.1007/s004829600018.
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[Multidisciplinary treatment program for chronic low back pain, part 2. Somatic aspects].[慢性下腰痛的多学科治疗方案,第2部分。躯体方面]
Schmerz. 1996 Oct 28;10(5):237-53. doi: 10.1007/s004829600024.