Journal of Manipulative and Physiological Therapeutics
Volume 22, Issue 8 , Pages 511-516 , October 1999

Interexaminer reliability in physical examination of the cervical spine

  • Ann Fjellner, MD

      Affiliations

    • RehabCentrum, Nacka primärvård, Nacka Närsjukhus and Department of Clinical Sciences, Family Medicine Stockholm, Karolinska Institutet, Huddinge, Sweden
    • ,
  • Catharina Bexander

      Affiliations

    • Haninge Fysiocenter, Jordbro, Sweden
    • ,
  • Ragnar Faleij

      Affiliations

    • Haninge Fysiocenter, Jordbro, Sweden
    • ,
  • Lars-Erik Strender, MD, PhD

      Affiliations

    • Department of Clinical Sciences, Family Medicine Stockholm, Karolinska Institutet, Huddinge, Sweden

Received 4 December 1998 ,Revised 25 January 1999

References 

  1. Kaltenborn FM. Manuell mobilisering av ryggraden. Oslo: Olaf Norlis Bokhandel; 1989;
  2. Haas M. The reliability of reliability. Review of the literature. J Manipulative Physiol Ther. 1991;14:199–208
  3. Strender LE, Lundin M, Nell K. Interexaminer reliability in physical examination of the neck. J Manipulative Physiol Ther. 1997;20:516–520
  4. Hubka MJ, Phelan SP. Interexaminer reliability of palpation for cervical spine tenderness. J Manipulative Physiol Ther. 1994;17:591–595
  5. Viikari-Juntura E. Interexaminer reliability of observations in physical examinations of the neck. Phys Ther. 1987;67:1526–1532
  6. DeBoer KF, Harmon R, Tuttle CD, Wallace H. Reliability study of detection of somatic dysfunction in the cervical spine. J Manipulative Physiol Ther. 1985;8:9–16
  7. Mior SA, King RS, McGregor M, Bernard M. Intra- and inter-examiner reliability of motion palpation in the cervical spine. J Can Chiropract Assoc. 1985;29:195–198
  8. Nansel D, Peneff AL, Jansen RD, Cooperstein R. Interexaminer concordance in detecting joint-play asymmetries in the cervical spines of otherwise asymptomatic subjects. J Manipulative Physiol Ther. 1989;12:428–433
  9. Nilsson N. Measuring cervical muscle tenderness: A study of reliability. J Manipulative Physiol Ther. 1995;18:88–90
  10. Strender LE, Sjöblom A, Sundell K, Ludwig R, Taube A. Interexaminer reliability in physical examination of patients with low back pain. Spine. 1997;22:814–820
  11. Jull G, Bogduk N, Marsland A. The accuracy of manual diagnosis for cervical zygapophysial joint pain syndromes. Med J Aust. 1988;148:233–236
  12. Hamberg J, Evjenth O. Auto-stretching. Alfta, Sweden: Alfta Rehab Förlag; 1991;
  13. Lindgren K-A. The thoracic outlet syndrome and the first rib [dissertation]. Kuopio, Finland: Kuopio Univ; 1992;
  14. Cohen J. Weighted Kappa: Nominal scale agreement with provision for scaled disagreement or partial credit. Psychol Bull. 1968;70:213–220
  15. Brennan P, Silman A. Statistical methods for assessing observer variability in clinical measures. BMJ. 1992;304:1491–1494
  16. Altman DG. Practical statistics for medical research. London: Chapman & Hall; 1991;

☆ Submit reprint requests to: Ann Fjellner, Department of Clinical Sciences, Family Medicine Stockholm, Karolinska Institutet, Novum, S-141 57 Huddinge, Sweden.

PII: S0161-4754(99)70002-3

Journal of Manipulative and Physiological Therapeutics
Volume 22, Issue 8 , Pages 511-516 , October 1999

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