Inter-examiner Reliability, Location and Nature of Restriction or Lesion, Non-specific Back Pain
Conditions
Keywords
Global osteopathic evaluation, Non-specific back pain, Inter-examiner reliability
Brief summary
The purpose of this study is to determine whether two osteopathic evaluators with less than 5 years experience will be able to determine the same location and nature of the primary lesion(s) or restriction(s)in patients with chronic non-specific back pain using a global osteopathic evaluation approach.
Detailed description
Back pain is one of the leading causes of consultation for rehabilitation. Establishing a diagnosis in the initial patient assessment is essential to choosing a specific treatment plan for that patient, regardless of the type of therapy the patient chooses to pursue. Evidence based medicine is the current gold standard for most manual-therapy professions, and there has been a great deal of research performed in an attempt to give credibility to the one tool that all manual therapy professions share in common: palpation. Few studies have been able to demonstrate an acceptable rate of inter-examiner reliability for palpation. This study will combine a global testing regime, consensus training for evaluators, and access to history of injury with symptomatic subjects to verify the inter-examiner reliability of an osteopathic evaluation on patients with chronic, non-specific low back pain.
Interventions
OTHERGeneral Osteopathic Evaluation
2 general osteopathic evaluations of approximately 1 hour in duration done consecutively on the same day with a 15 minute break between evaluations
Sponsors
Kirnan, Jaime
Study design
Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Men and women ages 18-60 * Must have a history of non-specific back pain (not due to any known pathology eg. disc herniation or disc degenerative disease) that is currently not irritated and has not been, in the past 8 weeks * Must be available for 3 consecutive hour
Exclusion criteria
* Patients with a known cause for their back pain * Patients who have had a flare up of symptoms within the last 8 weeks * Patients who are currently undergoing any rehabilitation or who have received manual treatment in the last 8 weeks. * Patients who are taking daily medications for pain * Pregnant women * Major medical conditions: fractures, degenerative arthritis, inflammatory disorders, ankylosing spondylitis, multiple sclerosis, cancer, paralysis stroke or recent concussion history * Any other conditions that would prevent the participant from completing the evaluation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Inter-examiner reliability | Day 1 | Inter-examiner reliability between two evaluators for nature and location of primary restriction(s), lesion(s) found during a global osteopathic evaluation |
Countries
Canada
Outcome results
None listed