Influence of standardized procedures on the reliability of hip clinical assessment

St-Pierre, M.-O., Boivin, K., Fontaine, N., Saadé, N. et Sobczak, S. (2021). Influence of standardized procedures on the reliability of hip clinical assessment. Journal of Manipulative and Physiological Therapeutics, 44 (2). pp. 137-145. ISSN 0161-4754 DOI 10.1016/j.jmpt.2020.09.003

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Résumé

Objective: This study evaluated a standardized and personalized approach to verify the effects of conditions on intrarater and interrater reliability, standard error of measurement, and minimal detectable difference for provocative tests and range-of-motion (ROM) tests used in hip pain assessment: flexion-adduction-internal rotation (FADIR), flexion-abduction-external rotation-extension (FABER), and hip internal rotation with 90° of hip flexion (hip IR). Methods: Nineteen participants (mean [± SD] age = 24 ± 2 years; 10 women and 9 men) without lower limb or back pain were recruited. Three raters evaluated each participant during 2 testing sessions, 1 day apart. Raters performed the 3 tests in 4 conditions: classic (C), controlled pressure duration (CPD), subject-specific position (SSP), and mixed (M = CPD + SSP). Results: For intrarater reliability, the CPD condition showed the highest intraclass correlation coefficients (ICCs; mean and 95% confidence interval [CI]) for hip IRROM (0.83; 95% CI, 0.53-0.94) and FADIRROM (0.75; 95% CI, 0.60-0.89). The SSP condition showed the highest ICCs for FABERheight (0.71; 95% CI, 0.42-0.87) and FABERROM (0.62; 95% CI, 0.27-0.83). Concerning interrater reliability, the classic condition presented the highest ICCs for FABER variables (height: 0.54; 95% CI, 0.28-0.76; ROM: 0.58; 95% CI, 0.32-0.79) and hip IR ROM (0.72; 95% CI, 0.51-0.87). The CPD condition showed the highest ICC for FADIRROM (0.57; 95% CI, 0.32-0.78). Conclusion: In the conditions of this study, CPD showed the highest ICCs for hip IRROM and FADIRROM, and SSP showed the highest ICCs for FABERheight and FABERROM. © 2021

Type de document:	Article
Mots-clés libres:	Hip Joint Range of Motion, Articular Reproducibility of Results Abduction Adult Anatomic landmark Article Backache Clinical article Clinical assessment Controlled study Female Flexion adduction internal rotation Flexion abduction external rotation extension Hip flexion Hip pain Human Interrater reliability Intrarater reliability Joint characteristics and functions Joint mobility Limb pain Male Minimum detectable change Pain assessment Standing Young adult Arthralgia Hip Middle aged Movement (physiology) Muscle contraction Muscle strength Physical examination Physiology Reproducibility Rotation Humans Movement
Date de dépôt:	03 mars 2022 19:17
Dernière modification:	03 mars 2022 19:17
Version du document déposé:	Post-print (version corrigée et acceptée)
URI:	https://depot-e.uqtr.ca/id/eprint/9995

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