Construct validity and reliability of tests for sacroiliac dysfunction: standing flexion test (STFT) and sitting flexion test (SIFT)
| Autor: | Rafael Paiva Ribeiro, Luiza Rampi Pivotto, Mateus Alves Aimi, Cláudia Tarragô Candotti, Eduardo N. Camargo, Filipe G. Guerrero, Jefferson Fagundes Loss |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Complementary and Manual Therapy Sacroiliac joint Orthodontics Sitting Position Flexion Test Reproducibility of Results Validity Construct validity Context (language use) medicine.anatomical_structure Cohen's kappa Complementary and alternative medicine Standing Flexion Test medicine Humans Female Prospective Studies Range of Motion Articular Physical Examination Reliability (statistics) Mathematics |
| Zdroj: | Journal of Osteopathic Medicine. 121:849-856 |
| ISSN: | 2702-3648 |
| DOI: | 10.1515/jom-2021-0025 |
| Popis: | Context Sacroiliac dysfunction is characterized by a hypomobility of the range of motion of the joint, followed by a positional change regarding the relationship between the sacrum and the iliac. In general, the clinical tests that evaluate the sacroiliac joint (SIJ) and its dysfunctions lack validity and reliability values. Objectives This article aims to evaluate the construct validity and intra- and inter-rater reliability of the standing flexion test (STFT) and sitting flexion test (SIFT). Methods In this prospective study, the sample consisted of 30 individuals of both sexes, and the evaluation team was composed of five researchers. The evaluations took place on two different days: first day, inter-rater reliability and construct validity; and second day, intra-rater reliability. The reference standard for the construct validity was 3-dimensional measurements obtained utilizing the BTS SMART-DX system. For statistical analysis, the percentage (%) agreement and the kappa statistic (K) were utilized. Results The construct validity was determined for STFT (70% agreement; K=0.49; pK=0.29; pK=0.43; pK=0.38; pK=−0.02; p=0.825) and SIFT (13.3% agreement; K=0.01; p=0.836). Conclusions The STFT confirmed the construct validity and was reliable when applied by the same rater to healthy people, even if the rater had no experience. It was not possible to achieve minimum scores using the SIFT either for construct validity or reliability. We suggest that further studies be conducted to investigate the measurement properties of palpatory clinical tests for SIJ mobility, especially in symptomatic patients. |
| Databáze: | OpenAIRE |
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