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Vol. 23. Issue 6.
Pages 541-548 (01 November 2019)
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Vol. 23. Issue 6.
Pages 541-548 (01 November 2019)
Original Research
DOI: 10.1016/j.bjpt.2018.10.014
Reliability of two functional clinical tests to evaluate trunk and lumbopelvic neuromuscular control and proprioception in a healthy population
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Cedric De Blaiser
Corresponding author
Cedric.DeBlaiser@Ugent.be

Corresponding author at: Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Campus UZ Gent, Corneel Heymanslaan 10, 2B3, Entrance 46, BE-9000 Ghent, Belgium.
, Roel De Ridder, Tine Willems, Lieven Danneels, Philip Roosen
Department of Rehabilitation Sciences, Ghent University, Campus UZ Gent, Ghent, Belgium
Highlights

  • Scoring methods for two lumbopelvic sensorimotor control tests were developed.

  • Good to excellent reliability was found for the lateral step test scoring method.

  • Fair to excellent reliability was found for the lumbopelvic position–reposition test.

  • The lateral step down test can be used in clinical practice.

  • The scoring method for the lumbopelvic position–reposition test needs to improve.

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Tables (4)
Table 1. Scoring method used for the lateral step down test and the lumbopelvic position–reposition test.
Table 2. Descriptive statistics of the lateral step down test and lumbopelvic position–reposition test.
Table 3. Intra- and inter-tester reliability of the lateral step down test and lumbopelvic position–reposition test (ICC values, based on the aggregate test scores, with corresponding SEM values and MDC values).
Table 4. Intra- and inter-tester reliability of the different items of the lateral step down test and the lumbopelvic position–reposition test (linear weighted kappa coefficients, with percentage agreement between examiners for each item scored).
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Abstract
Objectives

The need to accurately assess trunk and lumbopelvic proprioception and neuromuscular control is widely accepted. However, based on current literature, there is a lack of reliable clinical tests to evaluate these aspects in clinical practice. The objective of this study is to investigate intra- and inter-tester reliability of the lateral step down test and the lumbopelvic position–reposition test in a healthy population.

Methods

Protocol and scoring methods were developed for the lateral step down test and lumbopelvic position–reposition test, used to assess trunk and lumbopelvic neuromuscular control and proprioception respectively. Each test was performed once by thirty participants and video analysis for test scoring was performed. Three items on the lateral step down test were scored to evaluate neuromuscular control and, four items on the lumbopelvic position–reposition test were scored to evaluate proprioception. Aggregate scores for each test were calculated based on the separate item scores. Intraclass correlation coefficients and linear weighted kappa coefficients were determined for intra- and inter-tester reliability.

Results

Based on the aggregate score, excellent intra- and inter-tester reliability (ICC (2,1)=0.73–0.88) was found for both tests. Moderate/almost perfect intra-and inter-tester agreement (K=0.62–0.91) was found for the separate items of the lateral step down test and fair/substantial agreement (K=0.25–0.76) for the items of the lumbopelvic position–reposition test.

Conclusion

Current testing protocol and scoring method for the lateral step down test is reliable. Adjustments for the scoring method of the lumbopelvic position–reposition test are warranted to improve reliability.

Keywords:
Reliability
Proprioception
Injury prevention
Screening
Lumbopelvic hip complex
Core stability

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