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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2016

Open Access 01-12-2016 | Research article

Inter-rater reliability of clinical mobility measures in ankylosing spondylitis

Authors: J. Calvo-Gutiérrez, J. L. Garrido-Castro, C. González-Navas, M. C. Castro-Villegas, R. Ortega-Castro, C. López-Medina, P. Font-Ugalde, A. Escudero-Contreras, E. Collantes-Estévez

Published in: BMC Musculoskeletal Disorders | Issue 1/2016

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Abstract

Background

Several measurements are often used in daily clinical practice in the assessment of Ankylosing Spondylitis (AS) patients. The Assessment in SpondyloArthiritis International Society (ASAS) recommend in its core set: chest expansion modified Schöber test, Occiput to wall distance, lateral lumbar flexion, cervical rotation and The Bath Ankylosing Spondylitis Metrology Index (BASMI). BASMI also includes five measurements, some of them recommended by ASAS. Three versions of BASMI have been published with different scales and intervals for each component of the index. Though studies about reliability of these measurements are needed. The aim of this study was to analyze inter-rater reliability of recommended spinal mobility measures in AS.

Methods

We examined reproducibility of spinal mobility measurements on 33 AS patients performed by two experienced rheumatologists in the same day. Descriptive statistics, Intraclass Correlation Coefficients (ICC), and Smallest Detectable Difference (SDD) using the Bland-Altman criteria were obtained for all the measurements.

Results

Chest expansion showed the lowest value of ICC (0.66) and occiput-wall the highest (0.97). SDD was 2.43 units for BASMI2 and 1.27 units for BASMI10.

Conclusions

Reliability according to ICC was moderate to high in all measurements. BASMI10, instead BASMI2, must be used: measurements used to calculate are the same but there is better reliability. Inter-rater variation, expressed as SDD, must be taken in account: smaller improvements do not demonstrate the efficacy of treatment because they can be due to experimental error and not to the treatment itself.
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Metadata
Title
Inter-rater reliability of clinical mobility measures in ankylosing spondylitis
Authors
J. Calvo-Gutiérrez
J. L. Garrido-Castro
C. González-Navas
M. C. Castro-Villegas
R. Ortega-Castro
C. López-Medina
P. Font-Ugalde
A. Escudero-Contreras
E. Collantes-Estévez
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2016
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-016-1242-1

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