Intrarater and interrater reliability of select clinical tests in patients referred for diagnostic facet joint blocks in the cervical spine

Schneider, Geoff M., Jull, Gwendolen, Thomas, Kenneth, Smith, Ashley, Emery, Carolyn, Faris, Peter, Schneider, Kathryn and Salo, Paul (2013) Intrarater and interrater reliability of select clinical tests in patients referred for diagnostic facet joint blocks in the cervical spine. Archives of Physical Medicine and Rehabilitation, 94 8: 1628-1634. doi:10.1016/j.apmr.2013.02.015


Author Schneider, Geoff M.
Jull, Gwendolen
Thomas, Kenneth
Smith, Ashley
Emery, Carolyn
Faris, Peter
Schneider, Kathryn
Salo, Paul
Title Intrarater and interrater reliability of select clinical tests in patients referred for diagnostic facet joint blocks in the cervical spine
Journal name Archives of Physical Medicine and Rehabilitation   Check publisher's open access policy
ISSN 0003-9993
1532-821X
Publication date 2013-08-01
Sub-type Article (original research)
DOI 10.1016/j.apmr.2013.02.015
Open Access Status Not Open Access
Volume 94
Issue 8
Start page 1628
End page 1634
Total pages 7
Place of publication Maryland Heights, MO, United States
Publisher W.B. Saunders
Language eng
Formatted abstract
Objective: To measure the intra- and interrater reliability of select standardized clinical tests used for the assessment of patients with axial neck pain referred for diagnostic facet joint blocks.

Design: Single-group, repeated-measures study.

Setting: Tertiary interventional pain management center.

Participants: Consecutive patients with persistent neck pain, referred to a tertiary interventional pain management center, were approached to participate. Fifty-six patients consented to participate in the study.

Interventions: Subjects underwent a standardized clinical testing protocol, performed by 2 physiotherapists, before receiving diagnostic facet joint blocks. Subjects were examined twice by 1 assessor for the determination of the intrarater reliability of the testing protocol, and again by a second assessor for determination of interrater reliability.

Main Outcome Measures: Intraclass correlation coefficients (ICCs), kappa coefficients, and 95% confidence intervals were calculated to determine the intra- and interrater reliability for cervical range of motion (ROM; 6 directions), extension-rotation (ER) test, manual spinal examination (MSE), and palpation for paraspinal tenderness (PST) from C2 through C7.

Results: For intrarater reliability, kappa coefficients ranged from.51 to.88 for the ER test, MSE, and PST, and ICCs ranged from.91 to.97 for ROM. For interrater reliability, kappa coefficients ranged from.74 to.96 for the ER test, MSE, and PST, and ICCs ranged from.90 to.95 for ROM.

Conclusions: The standardized clinical tests exhibited moderate to substantial reliability in patients with axial neck pain referred for diagnostic facet joint blocks. The data justify the incorporation of these tests into a clinical prediction model to screen patients before referral for diagnostic facet blocks.
Keyword Facet joint
Neck
Neck pain
Physical examination
Rehabilitation
Reliability (epidemiology)
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
 
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