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Titre : | Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain (2023) |
Auteurs : | C. Kapitza ; K. Luedtke ; M. Komenda ; M. Kiefhaber ; A.B. Schmid ; N. Ballenberger ; B. Tampin |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 67, October 2023) |
Article en page(s) : | 102853 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Classification |
Mots-clés: | Spine-related neck-arm pain ; Reliability ; Pain type |
Résumé : | Objective A mechanism-based clinical framework for spine-related pain differentiates (i) somatic referred pain, ii) heightened nerve mechanosensitivity, iii) radicular pain, iv) radiculopathy and mixed-pain. This study aimed to determine the reliability of proposed framework. Method Fifty-one people with unilateral spine-related neck-arm pain were assessed and categorized by examiner-1. The classifications were compared to those made by two other examiners, based on written documentation of examiner-1. Cohens kappa was calculated between examiner-pairs; Fleiss Kappa among all examiners to assess agreement in classifying subgroups and entire framework. Result Inter-rater-reliability showed moderate to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI 0.87?1.0) to 1.0 (95% CI: 1.0?1.0), radicular pain: 0.46 (95% CI: 0.19?0.69) to 0.62 (95% CI: 0.42?0.81), radiculopathy: 0.65 (95% CI: 0.43?0.84) to 0.80 (95% CI: 0.63?0.96) mixed-pain: 0.54 (95% CI: 0.21?0.81) to 0.75 (95% CI: 0.48?0.94). There was almost perfect to moderate reliability among all examiners (somatic: no variation, mechanosensitivity: 0.97 (95% CI: 0.82?1.0), radicular pain: 0.56 (95% CI: 0.40?0.71), radiculopathy: 0.74 (95% CI: 0.58?0.90), mixed-pain: 0.63 (95% CI: 0.47?0.79), entire framework: 0.64 (95% CI: 0.57?0.71)). Intra-rater-reliability showed substantial to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI: 0.87?1.0), radicular pain: 0.76 (95% CI: 0.57?0.92), radiculopathy: 0.84 (95% CI: 0.67?0.96), mixed-pain: 0.83 (95% CI: 0.60?1.0), entire framework: 0.80 (95% CI: 0.61?0.92). Conclusion Moderate to almost perfect reliability in subgrouping people with spine-related neck-arm pain and substantial reliability for entire framework support this classification's reliability. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781223001388 |