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NTIS 바로가기Spine, v.39 no.3, 2014년, pp.E182 - E190
Werneke, Mark W. (*CentraState Medical Center, Freehold, NJ †Physical Therapy Service, Maccabi Healthcare Services, Tel Aviv, Israel ‡Focus On Therapeutic Outcomes, Inc., White Stone, VA §School of Rehabilitation Science, Institute of Applied Sciences and Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada ¶Physical Therapy Service, Maccabi Healthcare Services, Tel Aviv, Israel ‖) , Deutscher, Daniel (Team Care Physical Therapy, Oxford, NC **Physical Therapy Department, St David’s Hospital Austin, TX) , Hart, Dennis L. (and ††Providence VA Medical Center, Providence, RI, and Department of Health Services, Policy and Practice, Brown University, Providence, RI.) , Stratford, Paul , Ladin, Joel , Weinberg, Jon , Herbowy, Scott , Resnik, Linda
STUDY DESIGN.: Inter-rater chance-corrected agreement study. OBJECTIVE.: The aim was to examine the association between therapists’ level of formal precredential McKenzie postgraduate training and agreement on the following McKenzie classification variables for patients with low back pain: main McKenzie syndromes, presence of lateral shift, derangement reducibility, directional preference, and centralization. SUMMARY OF BACKGROUND DATA.: Minimal level of McKenzie postgraduate training needed to achieve acceptable agreement of McKenzie classification system is unknown. METHODS.: Raters (N = 47) completed multiple sets of 2 independent successive examinations at 3 different stages of McKenzie postgraduate training (levels parts A and B, part C, and part D). Agreement was assessed with &kgr; coefficients and associated 95% confidence intervals. A minimum &kgr; threshold of 0.60 was used as a predetermined criterion for level of agreement acceptable for clinical use. RESULTS.: Raters examined 1662 patients (mean age = 51 ± 15; range, 18–91; females, 57%). Data distributions were not even and were highly skewed for all classification variables. No training level studied had acceptable agreement for any McKenzie classification variable. Agreements for all levels of McKenzie postgraduate training were higher than expected by chance for most of the classification variables except parts A and B training level for judging lateral shift and centralization and part D training level for judging reducibility. Agreement between training levels parts A and B, part C, and part D were similar with overlapping 95% confidence intervals. CONCLUSION.: Results indicate that level of inter-rater chance-corrected agreement of McKenzie classification system was not acceptable for therapists at any level of formal McKenzie postgraduate training. This finding raises concerns about the clinical utility of the McKenzie classification system at these training levels. Additional studies are needed to assess agreement levels for therapists who receive additional training or experience at the McKenzie credentialed or diploma levels.Level of Evidence: 2
Brennan Spine 2006 10.1097/01.brs.0000202807.72292.a8 31 623
Fritz JOSPT 2007 10.2519/jospt.2007.2498 37 290
Henry J Orthop Sports Phys Ther 2012 10.2519/jospt.2012.4078 42 797
Long Spine 2004 10.1097/01.brs.0000146464.23007.2a 29 2593
Riddle Phys Ther 1998 10.1093/ptj/78.7.708 78 708
Viera Fam Med 2005 37 360
Donelson Spine (Phila Pa 1) 1997 10.1097/00007632-199705150-00011 22 1115
May Man Ther 2012 1- 10
Battie Phys Ther 1994 10.1093/ptj/74.3.219 74 219
Byrne Man Ther 2006 10.1016/j.math.2005.06.002 11 272
Foster Spine 1999 10.1097/00007632-199907010-00011 24 1332
Gracey Spine 2002 10.1097/00007632-200202150-00017 27 406
Riddle Spine 1993 10.1097/00007632-199308000-00013 18 1333
Kilby Physiotherapy 1990 10.1016/S0031-9406(10)63053-2 76 579
Kilpikoski Spine 2002 10.1097/00007632-200204150-00016 27 E207
Clare J Manipulative Physiol Ther 2005 10.1016/j.jmpt.2005.01.003 28 122
Bossuyt Ann Intern Med 2003 10.7326/0003-4819-138-1-200301070-00012-w1 138 W1
Kottner J Clin Epidemiol 2011 10.1016/j.jclinepi.2010.03.002 64 96
Deutscher Arch Phys Med Rehabil 2009 10.1016/j.apmr.2009.02.005 90 1349
May Aust J Physiother 2006 10.1016/S0004-9514(06)70044-7 52 91
Clare Physiotherapy 2004 10.1016/j.physio.2004.05.001 90 114
Cleland Arch Phys Med Rehabil 2006 10.1016/j.apmr.2006.06.011 87 1388
Dankaerts Man Ther 2006 10.1016/j.math.2005.02.001 11 28
Fersum Br J Sports Med 2009 10.1136/bjsm.2009.063289 44 1054
Martin J Orthop Sports Phys Ther 2008 10.2519/jospt.2008.2677 38 71
Waddell Spine (Phila Pa 1) 1992 10.1097/00007632-199206000-00001 17 617
Brennan Phys Ther 2006 10.2522/ptj.20050382 86 1251
Cleland Phys Ther 2009 10.2522/ptj.20080033 89 38
Aina Man Ther 2004 10.1016/j.math.2004.03.004 9 134
Donelson Spine (Phila Pa 1) 1990 10.1097/00007632-199003000-00010 15 211
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