Comparing the intra and inter-rater reliability of PSIS assessment

Item

Title
Comparing the intra and inter-rater reliability of PSIS assessment
Author(s)
Ozygala, Aneta
Abstract
BackgroundPalpation of the PSIS is a very common procedure in clinical back pain management. Many authors in the field of osteopathy claim that identification of asymmetrical bony landmarks may be useful to establish the aetiological factors contributing to the back pain, form a diagnosis and assess treatment effectiveness. However previous studies have failed to establish acceptable intra and inter-rater reliability of the detection of these landmarks. ObjectivesTo compare the intra and inter-rater reliability for assessing of PSISs in standing posture and to investigate whether level of osteopathic experience has any effect on intra and inter-rater reliability.
MethodsTen experienced osteopaths manually palpated the levels of the PSIS in five asymptomatic models. Two assessments of the symmetry of the PSIS were performed on every subject by all raters. Data was analysed using Fleiss Kappa (FK) statistic. ResultsIntra-rater reliability with FK = 0.4-1.0 was greater than inter-rater reliability FK = 0.4 and the level of experience did not appear to greatly influence the results. ConclusionThis study showed poor to excellent intra-rater reliability and poor inter-rater reliability which is in accordance with other studies in the field. The PSIS height is frequently palpated in osteopathic practice; it is important that an accurate and reproducible method is found with good inter and intra-rater reliability.
Date Accepted
2013
Date Submitted
14.11.2018 12:38:26
Type
osteo_thesis
Language
English
Number of pages
22
Submitted by:
4457
Pub-Identifier
16330
Inst-Identifier
1076
Keywords
Intra and inter-rater reliability, palpation, posterior superior iliac spine, asymmetry, reproducibility of results, sacroiliac joint assessment, osteopathic medicine
Recommended
1
Item sets
Thesis

Ozygala, Aneta, “Comparing the intra and inter-rater reliability of PSIS assessment”, Osteopathic Research Web, accessed May 3, 2024, https://www.osteopathicresearch.com/s/orw/item/2019