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The inter-rater reliability of a standardised classification system for pregnancy-related lumbopelvic pain
Linköping University, Department of Medicine and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.
Sahlgrens University Hospital.
Linköping University, Department of Medicine and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre for Public Health Sciences.
2010 (English)In: MANUAL THERAPY, ISSN 1356-689X, Vol. 15, no 1, 13-18 p.Article in journal (Refereed) Published
Abstract [en]

Pregnancy-related lumbopelvic pain has varying clinical presentations and effects among subgroups. Different lumbopelvic pain subgroups require different specific management approaches which require the differentiation between lumbar and pelvic girdle pain (PGP). Thirty-one consecutive pregnant women with non-specific lumbopelvic pain were evaluated by two examiners and classified into lumbar pain, PGP, or combined pelvic girdle and lumbar pain. A standard history about different positions/activities of daily life such as bending, sitting, standing, walking, and lying, was followed by a standardised mechanical assessment of the lumbar spine (Mechanical Diagnosis and Therapy), including tests of repeated end-range movements to standing and lying, pelvic pain provocation tests (distraction test, posterior pelvic pain provocation test, Gaenslens test, compression test, and sacral thrust) a hip-rotation range-of-motion test, the active straight-leg-raising test, and a neurological examination. Agreement for the three syndromes (lumbar pain, PGP, or combined pelvic girdle and lumbar pain) was 87% (27/31), with a kappa coefficient of 0.79 (95% CI 0.60-0.98). It was possible to perform the classification procedure throughout pregnancy. There was substantial agreement between the two examiners for the classification of non-specific lUrnbopelvic pain into lumbar pain and PGP in pregnant women.

Place, publisher, year, edition, pages
2010. Vol. 15, no 1, 13-18 p.
Keyword [en]
Low back pain, Pregnancy, Classification, Reliability
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-54501DOI: 10.1016/j.math.2009.05.005ISI: 000275140700004OAI: oai:DiVA.org:liu-54501DiVA: diva2:304599
Note
Original Publication: Annelie Gutke, Gunilla Kjellby-Wendt and Birgitta Öberg, The inter-rater reliability of a standardised classification system for pregnancy-related lumbopelvic pain, 2010, MANUAL THERAPY, (15), 1, 13-18. http://dx.doi.org/10.1016/j.math.2009.05.005 Copyright: Elsevier Science B.V., Amsterdam http://www.elsevier.com/ Available from: 2010-03-19 Created: 2010-03-19 Last updated: 2010-03-25

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Gutke, AnnelieÖberg, Birgitta

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CiteExportLink to record
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