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Table 4 Variability in intertester reliability between subgroups and tests

From: Physiotherapy movement based classification approaches to low back pain: comparison of subgroups through review and developer/expert survey

Classification scheme

Subgroup & Test Variables*

Percentage agreement

Kappa value

Confidence interval

Mechanical Diagnosis and Treatment

Most reliable subgroup-Derangement

 

0.96

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Least reliable subgroup-Unknown

 

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Most reliable test-Centralization

 

0.51-0.96

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Least reliable test- Lateral shift

 

0.52

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Treatment Based Classification*

Most reliable subgroup-Specific exercise

95%

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*Traction subgroup excluded in all cited studies

Least reliable subgroup-Stabilization

64%

---

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Most reliable test-Repeated flexion

 

0.46

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Least reliable test-Aberrant motion

 

0.18

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Pathoanatomic Based Classification

Most reliable subgroup-Zygopophyseal joint syndrome, Dysfunction syndrome, postural syndrome

100%

1.00

1.00 to 1.00

 

Least reliable subgroup-Myofascial pain (MFP) syndrome and other

MFP = 74%

MFP = 0.44

MFP = 0.25 to 0.64

 

Most and least reliable test-Unknown

Other = 82%

Other = 0.32

Other = 0.07 to 0.58

  

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Movement System Impairments

Most reliable subgroup-Flexion, Rotation with flexion

100%

---

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Least reliable subgroup-Rotation

84%

---

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Most reliable test-Unknown

   
 

Least reliable test-Unknown

   

O'Sullivan Classification Scheme

Most reliable subgroup-Control-passive extension

100%

---

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Least reliable subgroup-Control-Active extension

50%

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Most and least reliable test-Unknown

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  1. *Subgroup = the classification category; Test = the observation, movement, or symptomatic response which is used to help distinguish the various subgroups