The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Reliability of Diagnostic Tests for Movement System Impairment-based Categories of Mechanical Neck Pain

Document Type : RESEARCH PAPER

Authors
Mehrnoosh Amin 1
Amin Behdarvandan 1
Maryam Saadat 1
Armin Jahangiri babadi 2
Payam Amini 3
Foruzan Orak 4
1 1 Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran 2 Department of Physiotherapy, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 3 Department of Neurosurgery, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3 Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
4 Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
10.22038/abjs.2024.79331.3635
Abstract
Objectives: The aim of the current study was to investigate the inter-tester reliability of the MSI classification test items in patients with neck pain.
Methods: sixty subjects with neck pain (18-65 years) participated in this cross-sectional study. The examination of each patient, included the evaluation of signs and symptoms during posture and movement tests and the MSI diagnosis of subjects with cervical pain, was performed simultaneously by three testers in one session. Kappa and gamma values were used to determine the measure of agreement between testers for each of the test items and classification judgment.
Results: The kappa values for inter-tester reliability of the sign items ranged from 0.36 to 1. For the symptom items kappa values ranged from 0.36 to 1. The kappa values of inter-tester reliability for patients' classification judgments ranged from 0.71 to 0.73.
Conclusion: The inter-tester reliability between three testers according to the MSI approach for neck pain classification, sign and symptom was generally acceptable.
        Level of evidence: III
Keywords
Classification
Impairment
Mechanical neck pain
Movement system
Reliability
Subjects

  1.  

    1. Shin DW, Shin JI, Koyanagi A, et al. Global, regional, and national neck pain burden in the general population, 1990-2019: An analysis of the global burden of disease study 2019. Front Neurol. 2022:13:955367. doi: 10.3389/fneur.2022.955367.
    2. Safiri S, Kolahi A-A, Hoy D, Buchbinder R, Mansournia MA, Bettampadi D, et al. Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ. 2020:368:m791. doi: 10.1136/bmj.m791.
    3. Genebra CVDS, Maciel NM, Bento TPF, Simeão SFAP, De Vitta A. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther. 2017; 21(4):274-280. doi: 10.1016/j.bjpt.2017.05.005.. 2017; 21(4):274-80.
    4. Bogduk N. Neck pain. Aust Fam Physician.1984; 13(1):26-30.
    5. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015; 90(2):284-99. doi: 10.1016/j.mayocp.2014.09.008.
    6. Blanpied PR, Gross AR, Elliott JM, et al. Neck pain: revision 2017. J Orthop Sports Phys Ther. 2017; 47(7):A1-A83. doi: 10.2519/jospt.2017.0302.
    7. Saturno PJ, Medina F, Valera F, Montilla J, Escolar P, Gascón JJ. Validity and reliability of guidelines for neck pain treatment in primary health care. A nationwide empirical analysis in Spain. Int J Qual Health Care. 2003; 15(6):487-93. doi: 10.1093/intqhc/mzg077.
    8. Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine (Phila Pa 1976). 1994; 19(12):1307-9. doi: 10.1097/00007632-199406000-00001.
    9. Escolar-Reina P, Medina-Mirapeix F, Gascón-Cánovas JJ, Montilla-Herrador J, Valera-Garrido JF, Collins SM. Self-management of chronic neck and low back pain and relevance of information provided during clinical encounters: an observational study. Arch Phys Med Rehabil. 2009; 90(10):1734-9. doi: 10.1016/j.apmr.2009.05.012.
    10. Escolar-Reina P, Medina-Mirapeix F, Gascón-Cánovas JJ, et al. How do care-provider and home exercise program characteristics affect patient adherence in chronic neck and back pain: a qualitative study. BMC Health Serv Res. 2010:10:60. doi: 10.1186/1472-6963-10-60.
    11. Bot SD, van der Waal JM, Terwee C, Van Der Windt D, Bouter LM, Dekker J. Course and prognosis of elbow complaints: a cohort study in general practice. Ann Rheum Dis. 2005; 64(9):1331-6. doi: 10.1136/ard.2004.030320.
    12. Jette DU, Jette AM. Physical therapy and health outcomes in patients with spinal impairments. Phys Ther. 1996; 76(9):930-41; discussion 942-5. doi: 10.1093/ptj/76.9.930.
    13. de Zoete RM, Armfield NR, McAuley JH, Chen K, Sterling M. Comparative effectiveness of physical exercise interventions for chronic non-specific neck pain: a systematic review with network meta-analysis of 40 randomised controlled trials. Br J Sports Med. 2020: bjsports-2020-102664. doi: 10.1136/bjsports-2020-102664.
    14. Van Dillen LR, Sahrmann SA, Norton BJ, Caldwell CA, McDonnell MK, Bloom NJ. Movement system impairment-based categories for low back pain: stage 1 validation. J Orthop Sports Phys Ther. 2003; 33(3):126-42. doi: 10.2519/jospt.2003.33.3.126.
    15. Harris-Hayes M, Van Dillen LR. The inter-tester reliability of physical therapists classifying low back pain problems based on the movement system impairment classification system. PM R. 2009; 1(2):117-26. doi: 10.1016/j.pmrj.2008.08.001.
    16. Henry SM, Van Dillen LR, Trombley AR, Dee JM, Bunn JY. Reliability of novice raters in using the movement system impairment approach to classify people with low back pain. Man Ther. 2013; 18(1):35-40. doi: 10.1016/j.math.2012.06.008.
    17. Sahrmann SA. The human movement system: our professional identity. Phys Ther. 2014; 94(7):1034-42. doi: 10.2522/ptj.20130319.
    18. Van Dillen LR, Sahrmann SA, Norton BJ, et al. Reliability of physical examination items used for classification of patients with low back pain. Phys Ther. 1998; 78(9):979-88. doi: 10.1093/ptj/78.9.979.
    19. Seraj MSM, Sarrafzadeh J, Maroufi N, Takamjani IE, Ahmadi A, Negahban H. The ratio of lumbar to hip motion during the trunk flexion in patients with mechanical chronic low back pain according to o’sullivan classification system: A cross-sectional study. Arch Bone Jt Surg. 2018; 6(6):560-569.
    20. Seraj MSM, Sarrafzadeh J, Maroufi N, Takamjani IE, Ahmadi A, Negahban H. Comparison of postural balance between subgroups of nonspecific low-back pain patients based on O’Sullivan classification system and normal subjects during lifting. Arch Bone Jt Surg. 2019; 7(1):52-60.
    21. Sahrmann SA. Does postural assessment contribute to patient care? J Orthop Sports Phys Ther. 2002; 32(8):376-9. doi: 10.2519/jospt.2002.32.8.376.
    22. McDonnell MK, Sahrmann SA, Van Dillen L. A specific exercise program and modification of postural alignment for treatment of cervicogenic headache: a case report. J Orthop Sports Phys Ther. 2005; 35(1):3-15. doi: 10.2519/jospt.2005.35.1.3.
    23. Sahrmann S, Azevedo DC, Van Dillen L. Diagnosis and treatment of movement system impairment syndromes. Braz J Phys Ther. 2017; 21(6):391-399. doi: 10.1016/j.bjpt.2017.08.001.
    24. Tegern M, Aasa U, Ang BO, Harms-Ringdahl K, Larsson H. Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel. PLoS One. 2018; 13(9):e0204552. doi: 10.1371/journal.pone.0204552.
    25. Segarra V, Duenas L, Torres R, Falla D, Jull G, Lluch E. Inter-and intra-tester reliability of a battery of cervical movement control dysfunction tests. Man Ther. 2015; 20(4):570-9. doi: 10.1016/j.math.2015.01.007.

     

    1. Aasa B, Lundström L, Papacosta D, Sandlund J, Aasa U. Do we see the same movement impairments? The inter-rater reliability of movement tests for experienced and novice physiotherapists. European Journal of Physiotherapy. 2014; 16(3):173-82.
    2. Hanney WJ, George SZ, Kolber MJ, Young I, Salamh PA, Cleland JA. Inter-rater reliability of select physical examination procedures in patients with neck pain. Physiother Theory Pract. 2014; 30(5):345-52. doi:        10.3109/09593985.2013.870267.
    3. Kottner J, Audige L, Brorson S, et al. Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. Int J Nurs Stud. 2011; 48(6):661-71. doi: 10.1016/j.ijnurstu.2011.01.016.
    4. Patroncini M, Hannig S, Meichtry A, Luomajoki H. Reliability of movement control tests on the cervical spine. BMC Musculoskelet Disord. 2014:15:402. doi: 10.1186/1471-2474-15-402.
    5. Kajbafvala M, Ebrahimi-Takamjani I, Salavati M,et al. Intratester and intertester reliability of the movement system impairment-based classification for patients with knee pain. Man Ther. 2016:26:117-124. doi: 10.1016/j.math.2016.07.014.
    6. Mousavi SJ, Parnianpour M, Montazeri A,et al. Translation and validation study of the Iranian versions of the Neck Disability Index and the Neck Pain and Disability Scale. Spine (Phila Pa 1976). 2007; 32(26):E825-31. doi: 10.1097/BRS.0b013e31815ce6dd.
    7. Salehi R, Negahban H, Saghayezhian N, Saadat M. The Responsiveness of the Persian Version of Neck Disability Index and Functional Rating Index Following Physiotherapy Intervention in People with Chronic Neck Pain. Iran J Med Sci. 2019; 44(5):390-396. doi: 10.30476/ijms.2019.44963.
    8. Sahrmann S, eds. Movement system impairment syndromes of the extremities, cervical and thoracic spines. 1st Edition. Elsevier Health Sciences; 2010.
    9. Van Dillen LR, Sahrmann SA, Norton BJ,et al. Effect of active limb movements on symptoms in patients with low back pain. J Orthop Sports Phys Ther. 2001; 31(8):402-13; discussion 414-8. doi: 10.2519/jospt.2001.31.8.402.
    10. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics.1977; 33(1):159-74.
    11. Barbiero A, Hitaj A. Goodman and Kruskal’s gamma coefficient for ordinalized bivariate normal distributions. Psychometrika.2020; 85(4):905-925. doi: 10.1007/s11336-020-09730-5.
    12. Torwichien P, Vongsirinavarat M, Sakulsriprasert P, Somprasong S. Intertester reliability of a movement impairment-based classification system for individuals with shoulder pain. Hong Kong Physiother J.2020; 40(1):51-62. doi: 10.1142/S1013702520500067.

     

     

     

     

     

     

     

     

     

     

     

     

     

     



     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

The Archives of Bone and Joint Surgery
Volume 13, Issue 2
February 2025
Pages 106-113

  • Receive Date 26 April 2024
  • Revise Date 23 October 2024
  • Accept Date 22 September 2024