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

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

doi:10.1007/s00132-009-1474-y

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 journal › Article › peer-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 contribution	Functional diagnostics of mobility control, mobility stabilization and hypermobility. Reliability of clinical tests - Results of a multicenter study
Original language	German
Pages (from-to)	847-854
Number of pages	8
Journal	Der Orthopade
Volume	38
Issue number	9
DOIs	https://doi.org/10.1007/s00132-009-1474-y
State	Published - Sep 2009
Externally published	Yes

Keywords

Chronic pain syndromes
Functional diagnostic
Manual medicine
Mobility control
Reliability

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10.1007/s00132-009-1474-y

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Niemier, K., Schmidt, S., Engel, K., Steinmetz, A., Herms, K., Herms, K., Liefring, V., Maulhardt, A., Wetterling, T., Kosup, S., Casser, R., Jäger, G., Törkott, S., Bieneck, K., Rotter, G., Marnitz, U., Klein, A., Jahr, S., Reishauer, A., & Seidel, W. (2009). Funktionelle Diagnostik der Bewegungssteuerung, Bewegungsstabilisation und Hypermobilität: Reliabilität klinischer Tests - Ergebnisse einer Multicenterstudie. Der Orthopade, 38(9), 847-854. https://doi.org/10.1007/s00132-009-1474-y

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title = "Funktionelle Diagnostik der Bewegungssteuerung, Bewegungsstabilisation und Hypermobilit{\"a}t: Reliabilit{\"a}t klinischer Tests - Ergebnisse einer Multicenterstudie",

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.",

keywords = "Chronic pain syndromes, Functional diagnostic, Manual medicine, Mobility control, Reliability",

author = "K. Niemier and S. Schmidt and K. Engel and A. Steinmetz and K. Herms and Ka Herms and V. Liefring and A. Maulhardt and T. Wetterling and S. Kosup and R. Casser and G. J{\"a}ger and S. T{\"o}rkott and K. Bieneck and G. Rotter and U. Marnitz and A. Klein and S. Jahr and A. Reishauer and W. Seidel",

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doi = "10.1007/s00132-009-1474-y",

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Niemier, K, Schmidt, S, Engel, K, Steinmetz, A, Herms, K, Herms, K, Liefring, V, Maulhardt, A, Wetterling, T, Kosup, S, Casser, R, Jäger, G, Törkott, S, Bieneck, K, Rotter, G, Marnitz, U, Klein, A, Jahr, S, Reishauer, A & Seidel, W 2009, 'Funktionelle Diagnostik der Bewegungssteuerung, Bewegungsstabilisation und Hypermobilität: Reliabilität klinischer Tests - Ergebnisse einer Multicenterstudie', Der Orthopade, vol. 38, no. 9, pp. 847-854. https://doi.org/10.1007/s00132-009-1474-y

TY - JOUR

T1 - Funktionelle Diagnostik der Bewegungssteuerung, Bewegungsstabilisation und Hypermobilität

T2 - Reliabilität klinischer Tests - Ergebnisse einer Multicenterstudie

AU - Niemier, K.

AU - Schmidt, S.

AU - Engel, K.

AU - Steinmetz, A.

AU - Herms, K.

AU - Herms, Ka

AU - Liefring, V.

AU - Maulhardt, A.

AU - Wetterling, T.

AU - Kosup, S.

AU - Casser, R.

AU - Jäger, G.

AU - Törkott, S.

AU - Bieneck, K.

AU - Rotter, G.

AU - Marnitz, U.

AU - Klein, A.

AU - Jahr, S.

AU - Reishauer, A.

AU - Seidel, W.

PY - 2009/9

Y1 - 2009/9

N2 - 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.

AB - 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.

KW - Chronic pain syndromes

KW - Functional diagnostic

KW - Manual medicine

KW - Mobility control

KW - Reliability

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U2 - 10.1007/s00132-009-1474-y

DO - 10.1007/s00132-009-1474-y

M3 - Article

C2 - 19609773

AN - SCOPUS:84874482036

SN - 0085-4530

VL - 38

SP - 847

EP - 854

JO - Der Orthopade

JF - Der Orthopade

IS - 9

ER -