| Titre : | Lumbar movement control in non-specific chronic low back pain: Evaluation of a direction-specific battery of tests using item response theory (2021) |
| Auteurs : | Elisabeth Adelt ; Thomas Schoettker-Koeniger ; Kerstin Luedtke ; Toby Hall ; Axel Schafer |
| Type de document : | Article |
| Dans : | Musculoskeletal Science and Practice (Vol. 55, October 2021) |
| Article en page(s) : | p. 1-7 |
| Note générale : | doi:10.1016/j.msksp.2021.102406 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Diagnostic ; Douleur chronique ; Lombalgie ; Mouvement du corps |
| Résumé : |
Question:
What tests are most useful to identify poor lumbar movement control (LMC) and what are the dimensional and psychometric properties of these tests? Design: Multicenter, cross-sectional cohort study. Participants: Adults with non-specific chronic low back pain (NSCLBP). Methods: A literature review was conducted to identify LMC tests with good reliability (0.61) and their dimensionality was examined. Based on item response theory, psychometric properties of individual items and the entire battery of LMC tests were determined. Results: 277 participants with NSCLBP were included and tested by 21 physiotherapists in 19 clinics in Germany and Austria. 15 tests for LMC were assessed. The battery of LMC tests showed a direction-specific structure representing extension, flexion and rotation/lateral flexion control, for which unidimensionality and local independence were confirmed (eigenvalue >1; factor loading >0.4, Yen's Q3 Conclusions: A battery of LMC tests is proposed as the most appropriate to examine individuals with precise to poor LMC. Each direction of LMC should be examined separately. Tests can be sorted according to test difficulty, so that only three tests are initially required to screen for poor LMC. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781221000904 |
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