Funktionelle Diagnostik der Bewegungssteuerung, Bewegungsstabilisation und Hypermobilität: Reliabilität klinischer Tests - Ergebnisse einer Multicenterstudie

Translated title of the contribution: Functional diagnostics of mobility control, mobility stabilization and hypermobility. Reliability of clinical tests - Results of a multicenter study

K. Niemier, S. Schmidt, K. Engel, A. Steinmetz, K. Herms, Ka Herms, V. Liefring, A. Maulhardt, T. Wetterling, S. Kosup, R. Casser, G. Jäger, S. Törkott, K. Bieneck, G. Rotter, U. Marnitz, A. Klein, S. Jahr, A. Reishauer, W. Seidel

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background. Complex forms of musculoskeletal dysfunction are thought to be risk factors for the development of chronic pain syndromes of the locomotor system. Unfortunately there are insufficient data on the reliability and validity of clinical tests for musculoskeletal dysfunctions.Method. The intrarater and interrater reliability of clinical tests for hypermobility and for the stabilisation system were examined in a multicentre trial. A total of 68 patients in 6 centres were functionally examined by 2 examiners once (intrarater reliability) and by 1 examiner twice (interrater reliability).Results. The tests for hypermobility showed good to very good reliability. The results for the stabilisation system were more variable whereby 23 tests showed a kappa-coefficient greater than 0.5 and 15 tests good to very good reliability.Discussion. All tests for hypermobility and 23 tests for the stabilisation system are suitable for further evaluation. The broad range in test reliability might be explained by the differences in examiner skills demanded by each test. Therefore, dependent on their validity, some tests will be useful in specialized centres while others might be used in primary care.

Translated title of the contributionFunctional diagnostics of mobility control, mobility stabilization and hypermobility. Reliability of clinical tests - Results of a multicenter study
Original languageGerman
Pages (from-to)847-854
Number of pages8
JournalDer Orthopade
Volume38
Issue number9
DOIs
StatePublished - Sep 2009
Externally publishedYes

Keywords

  • Chronic pain syndromes
  • Functional diagnostic
  • Manual medicine
  • Mobility control
  • Reliability

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