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Predictive factors in poor inter-rater reliability among physical therapists

Publication ,  Journal Article
Cook, C; Tarney, L; Ramirez, L; Miles, A; Haas, S; Karakostas, T
Published in: Journal of Manual and Manipulative Therapy
January 1, 2002

Manual therapy is a widely used form of treatment among physical therapists and has been shown to be effective in the treatment of musculoskeletal disorders. In numerous studies, the reliability of clinicians performing the four grades of mobilization of manual therapy has been poor. A sample of 23 licensed physical therapists participated in quasi-experimental repeated measures designed to determine if predictive factors such as gender or years of experience contribute to inter-rater reliability variances. In this design, therapists performed Grade I, II, III and IV mobilizations on two asymptomatic volunteers at the level of L3, based on resistance defined Grades of Movement. The Kistler Force Plate ™ was used to record mobilization forces for each physical therapist at a rate of 600 data-point measurements per second. Data were assessed to determine if poor inter-rater reliability is reflective of certain predictive variables. The results identified that the independent variables of age, years of experience, gender, frequency of use, education, and background of the rater did not contribute to the overall variance within the study. Further investigation is required as to what determines the poor inter-rater reliability of spinal accessory mobilizations by practicing clinicians.

Duke Scholars

Published In

Journal of Manual and Manipulative Therapy

DOI

ISSN

1066-9817

Publication Date

January 1, 2002

Volume

10

Issue

4

Start / End Page

200 / 205

Related Subject Headings

  • Orthopedics
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences
 

Citation

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Cook, C., Tarney, L., Ramirez, L., Miles, A., Haas, S., & Karakostas, T. (2002). Predictive factors in poor inter-rater reliability among physical therapists. Journal of Manual and Manipulative Therapy, 10(4), 200–205. https://doi.org/10.1179/106698102790819102
Cook, C., L. Tarney, L. Ramirez, A. Miles, S. Haas, and T. Karakostas. “Predictive factors in poor inter-rater reliability among physical therapists.” Journal of Manual and Manipulative Therapy 10, no. 4 (January 1, 2002): 200–205. https://doi.org/10.1179/106698102790819102.
Cook C, Tarney L, Ramirez L, Miles A, Haas S, Karakostas T. Predictive factors in poor inter-rater reliability among physical therapists. Journal of Manual and Manipulative Therapy. 2002 Jan 1;10(4):200–5.
Cook, C., et al. “Predictive factors in poor inter-rater reliability among physical therapists.” Journal of Manual and Manipulative Therapy, vol. 10, no. 4, Jan. 2002, pp. 200–05. Scopus, doi:10.1179/106698102790819102.
Cook C, Tarney L, Ramirez L, Miles A, Haas S, Karakostas T. Predictive factors in poor inter-rater reliability among physical therapists. Journal of Manual and Manipulative Therapy. 2002 Jan 1;10(4):200–205.
Journal cover image

Published In

Journal of Manual and Manipulative Therapy

DOI

ISSN

1066-9817

Publication Date

January 1, 2002

Volume

10

Issue

4

Start / End Page

200 / 205

Related Subject Headings

  • Orthopedics
  • 1106 Human Movement and Sports Sciences
  • 1103 Clinical Sciences