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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Intertester and intratester reliability of movement control tests on the hip for patients with hip osteoarthritis

Authors: Rahel Lenzlinger-Asprion, Niculina Keller, André Meichtry, Hannu Luomajoki

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

Hip joint complaints are a problem associated with increasing age and impair the mobility of a large section of the elderly population. Reliable and valid tests are necessary for a thorough investigation of a joint. A fundamental function of the hip joint is movement control and a test of this function forms a part of the standard examination. Until now there have been few scientific studies which specifically investigate the reliability of measurement tests of movement control of the hip joint. The aim of this study was to examine the intratester and intertester reliability of the movement control tests of the hip joint which are in use in current clinical practice.

Methods

Sixteen participants with hip joint complaints and 14 without hip joint impairment were recruited. All participants performed five active movement control tests for the hip joint and were video filmed whilst performing these tests. These films formed the basis for the evaluation and were assessed by two independent physiotherapists. For the intertester and intratester reliability calculations specially set weighted kappa values and the calculated percentages were used.

Results

The intertester reliability of the five examined movement control tests of the hip joint showed good to almost perfect values (weighted kappa (wk) = 0.56–0.87). The intratester reliability of the more experienced evaluator A was better in regards to the less experienced evaluator B (average wk = 0.62 vs 0.38).

Conclusion

The visual evaluation of movement control tests of the hip joint is especially reliable when carried out by an experienced evaluator. 4 out of 5 tests also showed good results for intertester reliability and support their use in clinical practice.
Literature
1.
Dawson J, et al. Epidemiology of hip and knee pain and its impact on overall health status in older adults. Rheumatology (Oxford). 2004;43(4):497–504.CrossRef
2.
Dagenais S, Garbedian S, Wai EK. Systematic review of the prevalence of radiographic primary hip osteoarthritis. Clin Orthop Relat Res. 2009;467(3):623–37.CrossRefPubMed
3.
4.
Picavet HS, Hoeymans N. Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Ann Rheum Dis. 2004;63(6):723–9.CrossRefPubMedPubMedCentral
5.
Dobson F, et al. Clinimetric properties of observer-assessed impairment tests used to evaluate hip and groin impairments: a systematic review. Arthritis Care Res (Hoboken). 2012;64(10):1565–75.CrossRef
6.
Allet L, et al. ICF-Interventionskategorien für die Physiotherapie bei muskuloskelettalen Gesundheitsstörungen. Physioscience. 2007;3:54–62.
7.
Fritz JM, Wainner RS. Examining diagnostic tests: an evidence-based perspective. Phys Ther. 2001;81:1546–64.PubMed
8.
Pua YH, et al. Intrarater test-retest reliability of hip range of motion and hip muscle strength measurements in persons with hip osteoarthritis. Arch Phys Med Rehabil. 2008;89(6):1146–54.CrossRefPubMed
9.
Malliaras P, et al. Hip flexibility and strength measures: reliability and association with athletic groin pain. Br J Sports Med. 2009;43(10):739–44.CrossRefPubMed
10.
Croft PR, et al. Interobserver reliability in measuring flexion, internal rotation, and external rotation of the hip using a plurimeter. Ann Rheum Dis. 1996;55(5):320–3.CrossRefPubMedPubMedCentral
11.
Cibere J, et al. Reliability of the hip examination in osteoarthritis: effect of standardization. Arthritis Rheum. 2008;59(3):373–81.CrossRefPubMed
12.
Poulsen E, et al. Reproducibility of range of motion and muscle strength measurements in patients with hip osteoarthritis - an inter-rater study. BMC Musculoskelet Disord. 2012;13:242.CrossRefPubMedPubMedCentral
13.
Sherrington C, Lord SR. Reliability of simple portable test of physical in older people after hip fracture. Clin Rehabil. 2005;19:496–504.CrossRefPubMed
14.
Giorgetti MM, Harris BA, Jette A. Reliability of clinical balance outcome measures in the elderly. Physiother Res Int. 1998;3(4):274–83.CrossRefPubMed
15.
Poulsen DR, James CR. Concurrent validity and reliability of clinical evaluation of the single leg squat. Physiother Theory Pract. 2011;27(8):586–94.CrossRefPubMed
16.
Tidstrand J, Horneij E. Inter-rater reliability of three standardized functional tests in patients with low back pain. BMC Musculoskelet Disord. 2009;10:58.CrossRefPubMedPubMedCentral
17.
Roussel NA, et al. Low back pain: clinimetric properties of the trendelenburg test, active straight leg raise test, and breathing pattern during active straight leg raising. J Manip Physiol Ther. 2007;30(4):270–8.CrossRef
18.
Harris-Hayes M, et al. Classification of Lower Extremity Movement Patterns Based on Visual Assessment: Reliability and Correlation With 2-Dimensional Video Analysis. J Athl Train. 2014;49(3):304-10.
19.
Ageberg E, et al. Validity and inter-rater reliability of medio-lateral knee motion observed during a single-limb mini squat. BMC Musculoskelet Disord. 2010;11:265.CrossRefPubMedPubMedCentral
20.
Crossley KM, et al. Performance on the single-leg squat task indicates hip abductor muscle function. Am J Sports Med. 2011;39(4):866–73.CrossRefPubMed
21.
22.
Sim J, Wright CC. The kappa statistic in reliability studies: use, interpretation, and sample size requirements. Phys Ther. 2005;85(3):257–68.PubMed
23.
Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74.CrossRefPubMed
24.
25.
Dankaerts W, et al. The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment. Man Ther. 2006;11(1):28–39.CrossRefPubMed
Metadata
Title
Intertester and intratester reliability of movement control tests on the hip for patients with hip osteoarthritis
Authors
Rahel Lenzlinger-Asprion
Niculina Keller
André Meichtry
Hannu Luomajoki
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1388-5

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