Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project

Rogier F de Best; Michel W Coppieters; Emie van Trijffel; Annette Compter; Maarten Uyttenboogaart; Joost C Bot; Rene Castien; Jan J M Pool; Barbara Cagnie; Gwendolyne G M Scholten-Peeters

doi:https://doi.org/10.1093/ptj/pzab166

Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project

Rogier F de Best, Michel W Coppieters, Emie van Trijffel, Annette Compter, Maarten Uyttenboogaart, Joost C Bot, Rene Castien, Jan J M Pool, Barbara Cagnie, Gwendolyne G M Scholten-Peeters

Research output: Contribution to journal › Article › Academic › peer-review

5 Citations (Scopus)

Abstract

OBJECTIVE: Clinicians are recommended to use the clinical reasoning framework developed by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) to provide guidance regarding assessment of the cervical spine and potential for cervical artery dysfunction prior to manual therapy and exercise. However, the interexaminer agreement and reliability of this framework is unknown. This study aimed to estimate the interexaminer agreement and reliability of the IFOMPT framework among physical therapists in primary care.

METHODS: Ninety-six patients who consulted a physical therapist for neck pain or headache were included in the study. Each patient was tested independently by 2 physical therapists, from a group of 17 physical therapists (10 pairs) across The Netherlands. Patients and examiners were blinded to the test results. The overall interexaminer agreement, specific agreement per risk category (high-, intermediate-, and low-risk), and interexaminer reliability (weighted κ) were calculated.

RESULTS: Overall agreement was 71% (specific agreement in high-risk category = 63%; specific agreement in intermediate-risk category = 38%; specific agreement in low-risk category = 84%). Overall reliability was moderate (weighted κ = 0.39; 95% CI = 0.21-0.57) and varied considerably between pairs of physical therapists (κ = 0.14-1.00).

CONCLUSION: The IFOMPT framework showed an insufficient interexaminer agreement and fair interexaminer reliability among physical therapists when screening the increased risks for vascular complications following manual therapy and exercise prior to treatment.

IMPACT: The IFOMPT framework contributes to the safety of manual therapy and exercise. It is widely adopted in clinical practice and educational programs, but the measurement properties are unknown. This project describes the agreement and reliability of the IFOMPT framework.

Original language	English
Article number	pzab166
Pages (from-to)	1-8
Number of pages	8
Journal	PTJ : Physical Therapy & Rehabilitation Journal
Volume	101
Issue number	10
Early online date	25 Jun 2021
DOIs	https://doi.org/10.1093/ptj/pzab166
Publication status	Published - 1 Oct 2021

Keywords

Adverse Events
Carotid Artery
Physiotherapy
Reproducibility
Spinal Manipulation
Vertebral Artery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

https://doi.org/10.1093/ptj/pzab166

Cite this

de Best, R. F., Coppieters, M. W., van Trijffel, E., Compter, A., Uyttenboogaart, M., Bot, J. C., Castien, R., Pool, J. J. M., Cagnie, B., & Scholten-Peeters, G. G. M. (2021). Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project. PTJ : Physical Therapy & Rehabilitation Journal, 101(10), 1-8. Article pzab166. https://doi.org/10.1093/ptj/pzab166

@article{b2ce70e3aa514e11b7e2f6c4232add02,

title = "Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project",

abstract = "OBJECTIVE: Clinicians are recommended to use the clinical reasoning framework developed by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) to provide guidance regarding assessment of the cervical spine and potential for cervical artery dysfunction prior to manual therapy and exercise. However, the interexaminer agreement and reliability of this framework is unknown. This study aimed to estimate the interexaminer agreement and reliability of the IFOMPT framework among physical therapists in primary care.METHODS: Ninety-six patients who consulted a physical therapist for neck pain or headache were included in the study. Each patient was tested independently by 2 physical therapists, from a group of 17 physical therapists (10 pairs) across The Netherlands. Patients and examiners were blinded to the test results. The overall interexaminer agreement, specific agreement per risk category (high-, intermediate-, and low-risk), and interexaminer reliability (weighted κ) were calculated.RESULTS: Overall agreement was 71% (specific agreement in high-risk category = 63%; specific agreement in intermediate-risk category = 38%; specific agreement in low-risk category = 84%). Overall reliability was moderate (weighted κ = 0.39; 95% CI = 0.21-0.57) and varied considerably between pairs of physical therapists (κ = 0.14-1.00).CONCLUSION: The IFOMPT framework showed an insufficient interexaminer agreement and fair interexaminer reliability among physical therapists when screening the increased risks for vascular complications following manual therapy and exercise prior to treatment.IMPACT: The IFOMPT framework contributes to the safety of manual therapy and exercise. It is widely adopted in clinical practice and educational programs, but the measurement properties are unknown. This project describes the agreement and reliability of the IFOMPT framework.",

keywords = "Adverse Events, Carotid Artery, Physiotherapy, Reproducibility, Spinal Manipulation, Vertebral Artery",

author = "{de Best}, {Rogier F} and Coppieters, {Michel W} and {van Trijffel}, Emie and Annette Compter and Maarten Uyttenboogaart and Bot, {Joost C} and Rene Castien and Pool, {Jan J M} and Barbara Cagnie and Scholten-Peeters, {Gwendolyne G M}",

note = "{\textcopyright} The Author(s) 2021. Published by Oxford University Press on behalf of the American Physical Therapy Association.",

year = "2021",

month = oct,

day = "1",

doi = "https://doi.org/10.1093/ptj/pzab166",

language = "English",

volume = "101",

pages = "1--8",

journal = "PTJ : Physical Therapy & Rehabilitation Journal",

issn = "0031-9023",

publisher = "Oxford University Press",

number = "10",

}

de Best, RF, Coppieters, MW, van Trijffel, E, Compter, A, Uyttenboogaart, M, Bot, JC , Castien, R, Pool, JJM, Cagnie, B & Scholten-Peeters, GGM 2021, 'Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project', PTJ : Physical Therapy & Rehabilitation Journal, vol. 101, no. 10, pzab166, pp. 1-8. https://doi.org/10.1093/ptj/pzab166

Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project. / de Best, Rogier F; Coppieters, Michel W; van Trijffel, Emie et al.
In: PTJ : Physical Therapy & Rehabilitation Journal, Vol. 101, No. 10, pzab166, 01.10.2021, p. 1-8.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise

T2 - The Go4Safe Project

AU - de Best, Rogier F

AU - Coppieters, Michel W

AU - van Trijffel, Emie

AU - Compter, Annette

AU - Uyttenboogaart, Maarten

AU - Bot, Joost C

AU - Castien, Rene

AU - Pool, Jan J M

AU - Cagnie, Barbara

AU - Scholten-Peeters, Gwendolyne G M

PY - 2021/10/1

Y1 - 2021/10/1

N2 - OBJECTIVE: Clinicians are recommended to use the clinical reasoning framework developed by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) to provide guidance regarding assessment of the cervical spine and potential for cervical artery dysfunction prior to manual therapy and exercise. However, the interexaminer agreement and reliability of this framework is unknown. This study aimed to estimate the interexaminer agreement and reliability of the IFOMPT framework among physical therapists in primary care.METHODS: Ninety-six patients who consulted a physical therapist for neck pain or headache were included in the study. Each patient was tested independently by 2 physical therapists, from a group of 17 physical therapists (10 pairs) across The Netherlands. Patients and examiners were blinded to the test results. The overall interexaminer agreement, specific agreement per risk category (high-, intermediate-, and low-risk), and interexaminer reliability (weighted κ) were calculated.RESULTS: Overall agreement was 71% (specific agreement in high-risk category = 63%; specific agreement in intermediate-risk category = 38%; specific agreement in low-risk category = 84%). Overall reliability was moderate (weighted κ = 0.39; 95% CI = 0.21-0.57) and varied considerably between pairs of physical therapists (κ = 0.14-1.00).CONCLUSION: The IFOMPT framework showed an insufficient interexaminer agreement and fair interexaminer reliability among physical therapists when screening the increased risks for vascular complications following manual therapy and exercise prior to treatment.IMPACT: The IFOMPT framework contributes to the safety of manual therapy and exercise. It is widely adopted in clinical practice and educational programs, but the measurement properties are unknown. This project describes the agreement and reliability of the IFOMPT framework.

AB - OBJECTIVE: Clinicians are recommended to use the clinical reasoning framework developed by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) to provide guidance regarding assessment of the cervical spine and potential for cervical artery dysfunction prior to manual therapy and exercise. However, the interexaminer agreement and reliability of this framework is unknown. This study aimed to estimate the interexaminer agreement and reliability of the IFOMPT framework among physical therapists in primary care.METHODS: Ninety-six patients who consulted a physical therapist for neck pain or headache were included in the study. Each patient was tested independently by 2 physical therapists, from a group of 17 physical therapists (10 pairs) across The Netherlands. Patients and examiners were blinded to the test results. The overall interexaminer agreement, specific agreement per risk category (high-, intermediate-, and low-risk), and interexaminer reliability (weighted κ) were calculated.RESULTS: Overall agreement was 71% (specific agreement in high-risk category = 63%; specific agreement in intermediate-risk category = 38%; specific agreement in low-risk category = 84%). Overall reliability was moderate (weighted κ = 0.39; 95% CI = 0.21-0.57) and varied considerably between pairs of physical therapists (κ = 0.14-1.00).CONCLUSION: The IFOMPT framework showed an insufficient interexaminer agreement and fair interexaminer reliability among physical therapists when screening the increased risks for vascular complications following manual therapy and exercise prior to treatment.IMPACT: The IFOMPT framework contributes to the safety of manual therapy and exercise. It is widely adopted in clinical practice and educational programs, but the measurement properties are unknown. This project describes the agreement and reliability of the IFOMPT framework.

KW - Adverse Events

KW - Carotid Artery

KW - Physiotherapy

KW - Reproducibility

KW - Spinal Manipulation

KW - Vertebral Artery

UR - http://www.scopus.com/inward/record.url?scp=85118179078&partnerID=8YFLogxK

U2 - https://doi.org/10.1093/ptj/pzab166

DO - https://doi.org/10.1093/ptj/pzab166

M3 - Article

C2 - 34174073

SN - 0031-9023

VL - 101

SP - 1

EP - 8

JO - PTJ : Physical Therapy & Rehabilitation Journal

JF - PTJ : Physical Therapy & Rehabilitation Journal

IS - 10

M1 - pzab166

ER -

de Best RF, Coppieters MW, van Trijffel E, Compter A, Uyttenboogaart M, Bot JC et al. Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project. PTJ : Physical Therapy & Rehabilitation Journal. 2021 Oct 1;101(10):1-8. pzab166. Epub 2021 Jun 25. doi: https://doi.org/10.1093/ptj/pzab166

Interexaminer Agreement and Reliability of an Internationally Endorsed Screening Framework for Cervical Vascular Risks Following Manual Therapy and Exercise: The Go4Safe Project

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Cite this