+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Manual physical assessment of spinal segmental motion: intent and validity

Manual physical assessment of spinal segmental motion: intent and validity

Manual Therapy 14(1): 36-44

Validity of a clinical test can be defined as the extent to which the test actually assesses what it is intended to assess. In order to investigate the validity of manual physical assessment of the spine, it is therefore essential to establish what physical therapists intend to assess when they are applying these tests. The aims of this study were to (1) establish what manual physical therapists are intending to assess while applying passive intervertebral motion tests; and (2) examine the face validity and content validity for manual physical assessment of the spine. We surveyed 1502 members of the national manual physical therapist organisations of New Zealand and the United States of America using a web-based survey instrument. Sixty-six percent of 466 respondents believed passive accessory intervertebral motion (PAIVM) tests were valid for assessing quantity of segmental motion, and 76% believed passive physiologic intervertebral motion (PPIVM) tests were valid for assessing quantity of segmental motion. Ninety-eight percent of manual physical therapists base treatment decisions at least in part on the results of segmental motion tests. Quality of resistance to passive segmental motion was considered of greater importance than quantity of kinematic motion during PAIVM tests, while the quality of complex kinematic motion was considered of greater importance than quantity of displacement kinematics during PPIVM tests. Manual physical therapists accept the face validity of manual physical assessment of spinal segmental motion to a great extent, however a minority voice scepticism. Content validity is dominated by concepts of segmental kinematics and the force-displacement relationship. Intent of assessment does, however, vary widely between therapists. These data will inform the design of concurrent validity studies. Further work is recommended to increase consistency of intent, methodology and terminology in manual physical assessment of the spine.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054254817

Download citation: RISBibTeXText

PMID: 17997344

DOI: 10.1016/j.math.2007.09.011

Related references

Lumbar segmental instability: a criterion-related validity study of manual therapy assessment. Bmc Musculoskeletal Disorders 6(): 56-56, 2005

The efficacy of thoracolumbar bracing on spinal immobilization - A precise assessment of gross, intersegmental, and segmental spinal motion restriction by a 3D kinematic system. World Neurosurgery, 2018

Segmental lumbar mobility in individuals with low back pain: in vivo assessment during manual and self-imposed motion using dynamic MRI. Bmc Musculoskeletal Disorders 8(): 8-8, 2007

Criterion validity of manual assessment of spinal stiffness. Manual Therapy 19(6): 589-594, 2016

Short-term responsiveness of manual thoracic end-play assessment to spinal manipulation: a randomized controlled trial of construct validity. Journal of Manipulative and Physiological Therapeutics 18(9): 582-589, 1995

Influence of spinal loco motion on segmental and inter segmental reflex pathways from cutaneous afferents to moto neurons. Journal of Physiology (Cambridge) (284): 175P-176P, 1978

The physical activity recall assessment for people with spinal cord injury: validity. Medicine and Science in Sports and Exercise 38(2): 208-216, 2006

A content validity of a clinical education performance tool: the physical therapist manual for the assessment of clinical skills. Journal of Allied Health 34(1): 24-30, 2005

The role and position of passive intervertebral motion assessment within clinical reasoning and decision-making in manual physical therapy: a qualitative interview study. Journal of Manual & Manipulative Therapy 18(2): 111-118, 2011

Segmental vertebral motion in the assessment of neck range of motion in whiplash patients. International Journal of Legal Medicine 118(4): 235-239, 2004

Validity and reliability of measures obtained from the OSI CA-6000 Spine Motion Analyzer for lumbar spinal motion. Manual Therapy 2(4): 206-215, 2001

The influence of segmental level and direction of movement on age changes in lumbar motion as assessed by manual examination. Physiotherapy Practice 3(3): 107-116, 1987

Time-motion analysis of basketball players: a reliability assessment of Video Manual Motion Tracker 1.0 software. Journal of Sports Sciences 32(1): 53-59, 2015

Inter segmental coordination in the isolated spinal cord of the lamprey ichthyomyzon unicuspis during fictive loco motion as compared with swimming in the intact and spinal lamprey. Journal of Physiology (Cambridge) 325: 30P-31P, 1982

Active range of cervical motion in healthy subjects and in spinal disorders. DBC equipment validity in complex cervical motion evaluation. Chirurgia Narzadow Ruchu i Ortopedia Polska 69(3): 159-166, 2004