• Disabil Rehabil · May 2005

    The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change.

    • M Tousignant, L Poulin, S Marchand, A Viau, and C Place.
    • Faculty of Health Sciences, School of Rehabilitation, Physiotherapy Program, University of Ottawa, Ottawa, Ontario, Canada. Michel.Tousignant@USherbrooke.ca
    • Disabil Rehabil. 2005 May 20;27(10):553-9.

    PurposeThe objective was to estimate the psychometric properties of the Modified-Modified Schober Test (MMST).DesignThis study compared range of motion measurements of lumbar flexion in low back pain (LBP) patients using the MMST with measurements calculated on X-rays as the gold standard, and compared the measurements taken by two independent examiners.MethodThis study was conducted at the main hospital in the Outaouais area, Quebéc, Canada. Thirty-one subjects with LBP from private and public clinics participated in the study. After a warm-up session, measurements with the MMST were taken in neutral position and an X-ray technician took an exposure in the same position.ResultsPearson's correlation test (r) between measurements made with the MMST and the gold standard, intra-class correlation coefficient (ICC), minimum metrically detectable change (MMDC) and confidence interval (CI) were used to analyze the data. The MMST demonstrated moderate validity (r=0.67; 95%CI 0.44-0.84), excellent reliability (intra: ICC=0.95; 95%CI 0.89-0.97; inter: ICC=0.91; 95%CI 0.83-0.96) and a MMDC of 1 cm.ConclusionsIn our sample of LBP patients, the MMST showed moderate validity but excellent reliability and MMDC.

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