Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain
<strong>Objective<br></strong> A mechanism-based clinical framework for spine-related pain differentiates (i) somatic referred pain, ii) heightened nerve mechanosensitivity, iii) radicular pain, iv) radiculopathy and mixed-pain. This study aimed to determine the reliability of prop...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Elsevier
2023
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| _version_ | 1811140942058487808 |
|---|---|
| author | Kapitza, C Luedtke, K Komenda, M Kiefhaber, M Schmid, AB Ballenberger, N Tampin, B |
| author_facet | Kapitza, C Luedtke, K Komenda, M Kiefhaber, M Schmid, AB Ballenberger, N Tampin, B |
| author_sort | Kapitza, C |
| collection | OXFORD |
| description | <strong>Objective<br></strong>
A mechanism-based clinical framework for spine-related pain differentiates (i) somatic referred pain, ii) heightened nerve mechanosensitivity, iii) radicular pain, iv) radiculopathy and mixed-pain. This study aimed to determine the reliability of proposed framework.
<br><strong>
Method<br></strong>
Fifty-one people with unilateral spine-related neck-arm pain were assessed and categorized by examiner-1. The classifications were compared to those made by two other examiners, based on written documentation of examiner-1. Cohens kappa was calculated between examiner-pairs; Fleiss Kappa among all examiners to assess agreement in classifying subgroups and entire framework.
<br><strong>
Result<br></strong>
Inter-rater-reliability showed moderate to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI 0.87–1.0) to 1.0 (95% CI: 1.0–1.0), radicular pain: 0.46 (95% CI: 0.19–0.69) to 0.62 (95% CI: 0.42–0.81), radiculopathy: 0.65 (95% CI: 0.43–0.84) to 0.80 (95% CI: 0.63–0.96) mixed-pain: 0.54 (95% CI: 0.21–0.81) to 0.75 (95% CI: 0.48–0.94). There was almost perfect to moderate reliability among all examiners (somatic: no variation, mechanosensitivity: 0.97 (95% CI: 0.82–1.0), radicular pain: 0.56 (95% CI: 0.40–0.71), radiculopathy: 0.74 (95% CI: 0.58–0.90), mixed-pain: 0.63 (95% CI: 0.47–0.79), entire framework: 0.64 (95% CI: 0.57–0.71)).
<br>
Intra-rater-reliability showed substantial to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI: 0.87–1.0), radicular pain: 0.76 (95% CI: 0.57–0.92), radiculopathy: 0.84 (95% CI: 0.67–0.96), mixed-pain: 0.83 (95% CI: 0.60–1.0), entire framework: 0.80 (95% CI: 0.61–0.92).
<br><strong>
Conclusion<br></strong>
Moderate to almost perfect reliability in subgrouping people with spine-related neck-arm pain and substantial reliability for entire framework support this classification's reliability. |
| first_indexed | 2024-03-07T08:01:00Z |
| format | Journal article |
| id | oxford-uuid:c75e5d10-083a-4193-9b49-aae7a9ce24a9 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-09-25T04:29:59Z |
| publishDate | 2023 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oxford-uuid:c75e5d10-083a-4193-9b49-aae7a9ce24a92024-08-27T14:09:58ZInter- and intra-rater-reliability of a clinical framework for spine-related neck-arm painJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c75e5d10-083a-4193-9b49-aae7a9ce24a9EnglishSymplectic ElementsElsevier2023Kapitza, CLuedtke, KKomenda, MKiefhaber, MSchmid, ABBallenberger, NTampin, B<strong>Objective<br></strong> A mechanism-based clinical framework for spine-related pain differentiates (i) somatic referred pain, ii) heightened nerve mechanosensitivity, iii) radicular pain, iv) radiculopathy and mixed-pain. This study aimed to determine the reliability of proposed framework. <br><strong> Method<br></strong> Fifty-one people with unilateral spine-related neck-arm pain were assessed and categorized by examiner-1. The classifications were compared to those made by two other examiners, based on written documentation of examiner-1. Cohens kappa was calculated between examiner-pairs; Fleiss Kappa among all examiners to assess agreement in classifying subgroups and entire framework. <br><strong> Result<br></strong> Inter-rater-reliability showed moderate to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI 0.87–1.0) to 1.0 (95% CI: 1.0–1.0), radicular pain: 0.46 (95% CI: 0.19–0.69) to 0.62 (95% CI: 0.42–0.81), radiculopathy: 0.65 (95% CI: 0.43–0.84) to 0.80 (95% CI: 0.63–0.96) mixed-pain: 0.54 (95% CI: 0.21–0.81) to 0.75 (95% CI: 0.48–0.94). There was almost perfect to moderate reliability among all examiners (somatic: no variation, mechanosensitivity: 0.97 (95% CI: 0.82–1.0), radicular pain: 0.56 (95% CI: 0.40–0.71), radiculopathy: 0.74 (95% CI: 0.58–0.90), mixed-pain: 0.63 (95% CI: 0.47–0.79), entire framework: 0.64 (95% CI: 0.57–0.71)). <br> Intra-rater-reliability showed substantial to almost perfect reliability (somatic: no variation, mechanosensitivity: 0.96 (95% CI: 0.87–1.0), radicular pain: 0.76 (95% CI: 0.57–0.92), radiculopathy: 0.84 (95% CI: 0.67–0.96), mixed-pain: 0.83 (95% CI: 0.60–1.0), entire framework: 0.80 (95% CI: 0.61–0.92). <br><strong> Conclusion<br></strong> Moderate to almost perfect reliability in subgrouping people with spine-related neck-arm pain and substantial reliability for entire framework support this classification's reliability. |
| spellingShingle | Kapitza, C Luedtke, K Komenda, M Kiefhaber, M Schmid, AB Ballenberger, N Tampin, B Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain |
| title | Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain |
| title_full | Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain |
| title_fullStr | Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain |
| title_full_unstemmed | Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain |
| title_short | Inter- and intra-rater-reliability of a clinical framework for spine-related neck-arm pain |
| title_sort | inter and intra rater reliability of a clinical framework for spine related neck arm pain |
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