The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change

Disabil Rehabil. 2005 May 20;27(10):553-9. doi: 10.1080/09638280400018411.

Abstract

Purpose: The objective was to estimate the psychometric properties of the Modified-Modified Schober Test (MMST).

Design: This study compared range of motion measurements of lumbar flexion in low back pain (LBP) patients using the MMST with measurements calculated on X-rays as the gold standard, and compared the measurements taken by two independent examiners.

Method: This study was conducted at the main hospital in the Outaouais area, Quebéc, Canada. Thirty-one subjects with LBP from private and public clinics participated in the study. After a warm-up session, measurements with the MMST were taken in neutral position and an X-ray technician took an exposure in the same position.

Results: Pearson's correlation test (r) between measurements made with the MMST and the gold standard, intra-class correlation coefficient (ICC), minimum metrically detectable change (MMDC) and confidence interval (CI) were used to analyze the data. The MMST demonstrated moderate validity (r=0.67; 95%CI 0.44-0.84), excellent reliability (intra: ICC=0.95; 95%CI 0.89-0.97; inter: ICC=0.91; 95%CI 0.83-0.96) and a MMDC of 1 cm.

Conclusions: In our sample of LBP patients, the MMST showed moderate validity but excellent reliability and MMDC.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Disability Evaluation*
  • Female
  • Humans
  • Low Back Pain / diagnosis*
  • Low Back Pain / diagnostic imaging
  • Low Back Pain / physiopathology
  • Lumbosacral Region / physiopathology*
  • Male
  • Observer Variation
  • Physical Therapy Modalities*
  • Radiography
  • Range of Motion, Articular*
  • Reproducibility of Results