Inter and Intra Operator Reliability of Motor and Palpation Evaluation in Fascial Manipulation in individuals with coxarthrosis
- PMID: 31668142
- PMCID: PMC8550619
- DOI: 10.1080/10669817.2019.1683675
Inter and Intra Operator Reliability of Motor and Palpation Evaluation in Fascial Manipulation in individuals with coxarthrosis
Abstract
Objective: An inter and intra rater reliability (INTERR and INTRAR) study was designed.
Methods: 71 subjects, with primary hip coxarthrosis, were included and randomly divided in a study group (SG= 36) and a control group (CG= 35) to assess the efficacy of the Fascial Manipulation® (FM®) method. The primary objective was the assessment of INTERR and INTRAR about movement verification (MV) and palpation verification (PV) of FM® performed by two physiotherapists (PtA and PtB). The secondary objective was evaluate the efficacy of FM® through MV, PV and pain score. Pain was assessed using the Numeric Rating Scale (NRS). SG received three weekly sessions of FM® byPtA. PtB re-evaluated all the subjects at the end of the study.
Results: Results of the INTERR analysis showed for SG: MV (ICC= 0.92, k= 72.7%); PV (ICC= 0.91, k= 75.7%). For CG : MV (ICC= 0.95, k= 84.2%); PV (ICC= 0.90, k= 75%). Results of the INTRAR analysis for SG reported: MV (ICC= 0.82, k= 74,8%); PV (ICC= 0.60, k= 46.8%); for CG: MV (ICC= 0.93, k= 78.7%); PV (ICC= 0.84, k= 53.3%). Statistical significance were reported in NRS (p = 0.001), MV (p = 0.0003) and PV (p < 0.0001) with better results for SG using "Intention To Treat" method.
Discussion: This study demonstrates that FM® assessment procedures have a high reliability even if applied by practitioners with basic experience. Furthermore FM® treatment can improve pain and ROM in individuals with primary coxarthrosis.
Keywords: Fascial manipulation; Inter reliability; coxarthrosis; intra reliability; motor evaluation; movement evaluation; pain; palpation evaluation.
Conflict of interest statement
No potential conflict of interest was reported by the authors.
Figures


References
-
- Dommerholt J, Hooks T, Chou LW, et al. A critical overview of current myofascial pain literature March 2015. J Bodyw Mov Ther. 2015. Apr;19(2):337–349. - PubMed
-
- Hansen C, Taylor-Piliae RE.. What is Bowenwork®? A systematic review. J Altern Complement Med. 2011. Nov;17(11):1001–1006. - PubMed
-
- Bernau-Eigen M. Rolfing: a somatic approach to the integration of human structures. Nurse Pract Forum. 1998. Dec;9(4):235–242. - PubMed
-
- Chiarotto A, Clijsen R, Fernandez-de-Las-Penas C, et al. Prevalence of myofascial trigger points in spinal disorders: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2016. Feb;97(2):316–337. - PubMed
-
- Ajimsha MS, Al-Mudahka NR, Al-Madzhar JA. Effectiveness of myofascial release: systematic review of randomized controlled trials. J Bodyw Mov Ther. 2015. Jan;19(1):102–112. - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources