Manual Therapy
Volume 15, Issue 1 , Pages 13-18 , February 2010

The inter-rater reliability of a standardised classification system for pregnancy-related lumbopelvic pain

  • Annelie Gutke

      Affiliations

    • Department of Medicine and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden
    • Corresponding Author InformationCorresponding author. Tel: +46 768 986007/13 221 754; fax: +46 13 221 706.
  • ,
  • Gunilla Kjellby-Wendt

      Affiliations

    • Research and development, Sahlgrenska University Hospital, Göteborg, Sweden
    • Dept of Neuroscience and Physiology/Physiotherapy, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden
  • ,
  • Birgitta Öberg

      Affiliations

    • Department of Medicine and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden

Received 19 June 2008 ,Revised 9 April 2009 ,Accepted 15 May 2009.

References 

  1. Albert H, Godskesen M, Westergaard J. Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J. 2000;9:161–166
  2. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand. 2001;80:505–510
  3. Altman DG. Practical statistics for medical research. London: Chapman & Hall/CRC; 1991;
  4. Bastiaenen CH, de Bie RA, Wolters PM, Vlaeyen JW, Leffers P, Stelma F, et al. Effectiveness of a tailor-made intervention for pregnancy-related pelvic girdle and/or low back pain after delivery: short-term results of a randomized clinical trial [ISRCTN08477490]. BMC Musculoskelet Disord. 2006;7:19
  5. Bogduk N. The anatomical basis for spinal pain syndromes. J Manipulative Physiol Ther. 1995;18:603–605
  6. Bouter LM, van Tulder MW, Koes BW. Methodologic issues in low back pain research in primary care. Spine. 1998;23:2014–2020
  7. Dankaerts W, O'Sullivan PB, Straker LM, Burnett AF, Skouen JS. The inter-examiner reliability of a classification method for non-specific chronic low back pain patients with motor control impairment. Man Ther. 2006;11:28–39
  8. Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: identifying and staging patients for conservative treatment. Phys Ther. 1995;75:470–485discussion 485–9
  9. Donelson R, Silva G, Murphy K. Centralization phenomenon. Its usefulness in evaluating and treating referred pain. Spine. 1990;15:211–213
  10. Donelson R, Aprill C, Medcalf R, Grant W. A prospective study of centralization of lumbar and referred pain. A predictor of symptomatic discs and anular competence. Spine. 1997;22:1115–1122
  11. Dunn KM, Jordan K, Croft PR. Characterizing the course of low back pain: a latent class analysis. Am J Epidemiol. 2006;163:754–761
  12. Fritz JM, Delitto A, Erhard RE. Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain: a randomized clinical trial. Spine. 2003;28:1363–1371discussion 1372
  13. Fritz JM, Brennan GP, Clifford SN, Hunter SJ, Thackeray A. An examination of the reliability of a classification algorithm for subgrouping patients with low back pain. Spine. 2006;31:77–82
  14. Gutke A, Ostgaard HC, Oberg B. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine. 2006;31:E149–E155
  15. Gutke A, Josefsson A, Oberg B. Pelvic girdle pain and lumbar pain in relation to postpartum depressive symptoms. Spine. 2007;32:1430–1436
  16. Gutke A, Ostgaard HC, Oberg B. Association between muscle function and low back pain in relation to pregnancy. J Rehabil Med. 2008;40:304–311
  17. Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy-related low back pain. Spine. 2008;33:E386–E393
  18. Hansen A, Jensen DV, Larsen EC, Wilken-Jensen C, Kaae BE, Frolich S, et al. Postpartum pelvic pain–the “pelvic joint syndrome”: a follow-up study with special reference to diagnostic methods. Acta Obstet Gynecol Scand. 2005;84:170–176
  19. Kent P, Keating J. Do primary-care clinicians think that nonspecific low back pain is one condition?. Spine. 2004;29:1022–1031
  20. Kilpikoski S, Airaksinen O, Kankaanpaa M, Leminen P, Videman T, Alen M. Interexaminer reliability of low back pain assessment using the McKenzie method. Spine. 2002;27:E207–E214
  21. Kristiansson P, Svardsudd K. Discriminatory power of tests applied in back pain during pregnancy. Spine. 1996;21:2337–2343discussion 2343–4
  22. Kristiansson P, Svardsudd K, von Schoultz B. Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol. 1996;175:1342–1347
  23. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159–174
  24. Laslett M, Young SB, Aprill CN, McDonald B. Diagnosing painful sacroiliac joints: a validity study of a McKenzie evaluation and sacroiliac provocation tests. Aust J Physiother. 2003;49:89–97
  25. Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005;10:207–218
  26. Laslett M, McDonald B, Tropp H, Aprill CN, Oberg B. Agreement between diagnoses reached by clinical examination and available reference standards: a prospective study of 216 patients with lumbopelvic pain. BMC Musculoskelet Disord. 2005;6:28
  27. Laslett M, Oberg B, Aprill CN, McDonald B. Centralization as a predictor of provocation discography results in chronic low back pain, and the influence of disability and distress on diagnostic power. Spine J. 2005;5:370–380
  28. Long A, Donelson R, Fung T. Does it matter which exercise? A randomized control trial of exercise for low back pain. Spine. 2004;29:2593–2602
  29. McCarthy CJ, Arnall FA, Strimpakos N, Freemont A, Oldham JA. The biopsychosocial classification of non-specific low back pain: a systematic review. Phys Ther Rev. 2004;9:17–30
  30. McKenzie R, May S. The lumbar spine. Mechanical diagnosis & therapy. vol. 2. Waikanae: Spinal Publications New Zealand Ltd; 2003;p. 731
  31. Mens JM, Vleeming A, Stoeckart R, Stam HJ, Snijders CJ. Understanding peripartum pelvic pain. Implications of a patient survey. Spine. 1996;21:1363–1369discussion 1369–70
  32. Mens JM, Vleeming A, Snijders CJ, Stam HJ, Ginai AZ. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J. 1999;8:468–474
  33. Nilsson-Wikmar L, Holm K, Oijerstedt R, Harms-Ringdahl K. Effect of three different physical therapy treatments on pain and activity in pregnant women with pelvic girdle pain: a randomized clinical trial with 3, 6, and 12 months follow-up postpartum. Spine. 2005;30:850–856
  34. Noren L, Ostgaard S, Johansson G, Ostgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J. 2002;11:267–271
  35. Ostgaard HC, Zetherstrom G, Roos-Hansson E. The posterior pelvic pain provocation test in pregnant women. Eur Spine J. 1994;3:258–260
  36. Ostgaard HC, Zetherstrom G, Roos-Hansson E, Svanberg B. Reduction of back and posterior pelvic pain in pregnancy. Spine. 1994;19:894–900
  37. Ostgaard HC, Roos-Hansson E, Zetherstrom G. Regression of back and posterior pelvic pain after pregnancy. Spine. 1996;21:2777–2780
  38. O'Sullivan PB, Beales DJ. Diagnosis and classification of pelvic girdle pain disorders – part 1: a mechanism based approach within a biopsychosocial framework. Man Ther. 2007;12:86–97
  39. Petersen T, Olsen S, Laslett M, Thorsen H, Manniche C, Ekdahl C, et al. Inter-tester reliability of a new diagnostic classification system for patients with non-specific low back pain. Aust J Physiother. 2004;50:85–94
  40. Sihvonen T, Huttunen M, Makkonen M, Airaksinen O. Functional changes in back muscle activity correlate with pain intensity and prediction of low back pain during pregnancy. Arch Phys Med Rehabil. 1998;79:1210–1212
  41. Stuge B, Laerum E, Kirkesola G, Vollestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine. 2004;29:351–359
  42. Sturesson B, Uden G, Uden A. Pain pattern in pregnancy and “catching” of the leg in pregnant women with posterior pelvic pain. Spine. 1997;22:1880–1883discussion 1884
  43. van Tulder M, Becker A, Bekkering T, Breen A, del Real MT, Hutchinson A, et al. Chapter 3. European guidelines for the management of acute nonspecific low back pain in primary care. Eur Spine J. 2006;15(Suppl. 2):S169–S191
  44. Vibe Fersum K, O'Sullivan PB, Kvale A, Skouen JS. Inter-examiner reliability of a classification system for patients with non-specific low back pain. Man Ther. 2008 Sep 30;
  45. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794–819
  46. Weinreb JC, Wolbarsht LB, Cohen JM, Brown CE, Maravilla KR. Prevalence of lumbosacral intervertebral disk abnormalities on MR images in pregnant and asymptomatic nonpregnant women. Radiology. 1989;170:125–128
  47. Werneke M, Hart DL, Cook D. A descriptive study of the centralization phenomenon. A prospective analysis. Spine. 1999;24:676–683
  48. Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieen JH, Wuisman PI, et al. Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13:575–589

PII: S1356-689X(09)00090-3

doi: 10.1016/j.math.2009.05.005

Manual Therapy
Volume 15, Issue 1 , Pages 13-18 , February 2010