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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

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.

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