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Randomized Controlled Trial
. 2020 Sep;28(4):236-245.
doi: 10.1080/10669817.2019.1683675. Epub 2019 Oct 31.

Inter and Intra Operator Reliability of Motor and Palpation Evaluation in Fascial Manipulation in individuals with coxarthrosis

Andrea Cotti  1 , Massimiliano Del Corso  2 , Roberto Diana  2 , Luigi Cornale  2 , Alessandra Sudanese  3 , Antonio Stecco  4 , Mirco Branchini  5
Affiliations
Randomized Controlled Trial

Inter and Intra Operator Reliability of Motor and Palpation Evaluation in Fascial Manipulation in individuals with coxarthrosis

Andrea Cotti et al. J Man Manip Ther. 2020 Sep.

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.

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Conflict of interest statement

No potential conflict of interest was reported by the authors.

Figures

Figure 1.
Figure 1.
Diagram of study phases. NRS: Numeric Rating Scale; CG: control group; SG: study group; MoVe: movement verification; PaVe: palpatory verification; T0: first assessment of outcome measures: pain, MoVe, and PaVe; T4: last assessment of outcome measures: pain, MoVe, and PaVe.
Figure 2.
Figure 2.
Center of coordinations in the body segments of Pelvi (PV), Hip (CX), and Knee (GE). AN: antemotion; RE: retromition; ME: mediomotion; LA: lateromotion; ER: extramotion; IR: intramotion.
See this image and copyright information in PMC

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