Evidence map›Paper›PMID 32778081›Full record

ArticleBMC musculoskeletal disorders2020

Intra- and inter-rater reliability of thoracic spine mobility and posture assessments in subjects with thoracic spine pain.

Jani Takatalo, Jari Ylinen, Tuomo Pienimäki, Arja Häkkinen

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01884818 nacompletednot on this map

The Effect of Manipulation for Thoracic Spine Pain and Mobility, and Reliability of Used Mobility Measurements.

TypeinterventionalSponsorUniversity of JyvaskylaRan2011 to 2017Enrolled78ConditionsPainArmsManipulation vs. TNS thoracic pain
NCT06049264 nacompletednot on this mapstarted 2023, after this paper: background citation

Short-term Effects of Thoracic Spine Manual Traction With Mobilization Versus Thoracic Manipulation in Patients With Mid Thoracic Pain and Pseudo Visceral Symptoms

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2024Enrolled34ConditionsThoracicArmsThoracic spine manual traction with mobilization protocol., Thoracic manipulation protocol
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jani TakataloFaculty of Sport and Health Sciences, University of Jyvaskyla, Jyväskylä, Finland. jani.takatalo@fimnet.fi.ORCID http://orcid.org/0000-0002-1008-7416
Jari YlinenCentral Finland Central Hospital, Jyväskylä, Finland.
Tuomo PienimäkiThe Social Insurance Institution of Finland, Helsinki, Finland.
Arja HäkkinenFaculty of Sport and Health Sciences, University of Jyvaskyla, Jyväskylä, Finland.
Central Finland Health Care District · FIOulu University Hospital · FISocial Insurance Institution · FI

Funding

Association of Finnish Orthopaedic Manual Therapy -Finnish Association of Physiotherapist -
6 · The paper itself

Abstract

backgroundThe thoracic spine (TS) has been neglected in the study of the spine despite its essential role in the stability and posture of the entire spinal complex. Therefore, there is an inevitable need to investigate the reproducibility of different thoracic spinal posture measures used in subjects with TS pain.

methodsThirty-two subjects (16 females and 16 males, mean age 39 years) were evaluated by two physiotherapists on the same day to gauge inter-rater reliability and on two consecutive days to gauge intra-rater reliability. TS posture was assessed by observation, and thoracic spine mobility was measured by manual assessment of segmental flexion and extension mobility in a seated position. Additionally, posterior-to-anterior accessory mobility in a prone position was assessed manually. Moreover, cervicothoracic flexion in a seated position, thoracic posture, and thoracic flexion and extension mobility in a standing position were assessed with a tape measure, and flexion and extension mobility in a seated position and TS posture in seated and standing positions were measured with an inclinometer. The intraclass correlation coefficient (ICC), standard error of measurement (SEM), mean difference (MD), Bland-Altman (B&A) plot features and coefficient of repeatability (CR) were calculated.

resultsThe mean and standard deviation (SD) of the duration of TS pain was 22 (SD 45) months, with the intensity of pain being rated at 27 (SD 21) mm on a visual analogue scale (VAS). Intra-rater reliability was very strong (ICC ≥ 0.80) for the evaluation of seated and standing upper TS posture, standing whole TS posture and seated lower TS posture with an inclinometer. Moreover, TS posture evaluation with a measuring tape, posture inspection in a seated position, and manual assessment of segmental extension were found to have very strong intra-rater reliability. Inter-rater reliability was very strong for inclinometer measurements of standing and seated upper TS posture as well as standing whole TS posture.

conclusionIntra-rater reliability was higher than inter-rater reliability in most of the evaluated measurements. Overall, posture measurements with an inclinometer were more reliable than mobility measurements with the same instrument. The manual assessments can be used reliably when same evaluator performs the examination.

trial registrationClinical Trials, NCT01884818. Registered 24 June 2013, https://clinicaltrials.gov/ct2/show/NCT01884818?cond=thoracic+spine&cntry=FI&rank=1.

Indexed as

PostureSpineAdultFemaleHumansMaleObserver VariationRange of Motion, ArticularReproducibility of ResultsClinical examinationInclinometerManual therapyObservationPainPalpationReliabilitySpineTape measureThoracic

Identifiers

PMID32778081
PMCPMC7418198
OpenAlexW3048729484

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.