Interexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain

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dc.contributor.advisorScott Stoll
dc.contributor.committeeMemberJohn C. Licciardone
dc.contributor.committeeMemberRussell Gamber
dc.creatorRusso, David P.
dc.date.accessioned2019-08-22T21:37:36Z
dc.date.available2019-08-22T21:37:36Z
dc.date.issued2002-05-01
dc.date.submitted2014-03-31T08:48:16-07:00
dc.description.abstractRusso, David P., Interexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain. Master of Science, May 2002, 15 pp., 1 table, 1 figure, bibliography, 26 titles. Osteopathic physicians rely on specific clinical palpatory tests to diagnose somatic dysfunction of the neuromusculoskeletal system. The purpose of this study is to compare the interexaminer reliability of six common osteopathic clinical tests to severity ratings of somatic dysfunction in six body regions. Ten trained and clinically supervised predoctoral osteopathic manipulative medicine fellows collected palpatory data using the Standardized Outpatient Osteopathic Soap Note Form (SNF) and recorded findings for six pre-selected osteopathic clinical diagnostic tests as part of a randomized controlled trial of osteopathic manipulative treatment for chronic low back pain. Kappa coefficients were used to assess overall examiner agreement for the osteopathic clinical tests. Intraclass correlational coefficients (ICC) and Chronbach’s alpha were used to assess examiner agreement for the severity ratings. Kappa values for the six clinical tests ranged from 0 to 0.32. The single item ICC was 0.32, average item ICC was .74, and the coefficient alpha for internal consistency of the six body region scores was 0.80. These results indicate that diagnostic impressions of somatic dysfunction severity may be more reliable than outcomes from isolated osteopathic clinical tests.
dc.format.mimetypeapplication/pdf
dc.identifier.urihttps://hdl.handle.net/20.500.12503/29469
dc.language.isoen
dc.provenance.legacyDownloads0
dc.subjectAlternative and Complementary Medicine
dc.subjectClinical Epidemiology
dc.subjectDiagnosis
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectInvestigative Techniques
dc.subjectMedicine and Health Sciences
dc.subjectMusculoskeletal System
dc.subjectOsteopathic Medicine and Osteopathy
dc.subjectOther Rehabilitation and Therapy
dc.subjectPublic Health
dc.subjectRehabilitation and Therapy
dc.subjectSomatic Bodywork and Related Therapeutic Practices
dc.subjectInterexaminer
dc.subjectreliability
dc.subjectsomatic palpatory findings
dc.subjectchronic low back pain
dc.subjectclinical tests
dc.subjectsomatic dysfunction
dc.subjectOMM
dc.subjectosteopathic manipulative medicine
dc.subjectsoap note form
dc.subjectintraclass correlational coefficients
dc.subjectchronbach’s alpha
dc.subjectseverity
dc.titleInterexaminer Reliability of Somatic Palpatory Findings Associated with Chronic Low Back Pain
dc.typeThesis
dc.type.materialtext
thesis.degree.departmentGraduate School of Biomedical Sciences
thesis.degree.grantorUniversity of North Texas Health Science Center at Fort Worth
thesis.degree.nameMaster of Science

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