Andrea Cotti1, Massimiliano Del Corso2, Roberto Diana2, Luigi Cornale2, Alessandra Sudanese3, Antonio Stecco4, Mirco Branchini5. 1. Department of Rehabilitation, Rizzoli Orthopaedic Institute, Bologna, Italy. 2. Freelance, Bologna, Italy. 3. Orthopaedic-Trauma and Prosthetic Surgery, Hip Revisions, Knee Implants, Rizzoli Institute, Bologna, Italy. 4. School of Medicine, New York University, New York, NY, USA. 5. Department of Hip and Knee Prosthesis Surgery Unit, Rizzoli Orthopaedic Institute, Bologna, Italy.
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.
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.
Entities:
Keywords:
Fascial manipulation; Inter reliability; coxarthrosis; intra reliability; motor evaluation; movement evaluation; pain; palpation evaluation
Authors: Alessandro Chiarotto; Ron Clijsen; Cesar Fernandez-de-Las-Penas; Marco Barbero Journal: Arch Phys Med Rehabil Date: 2015-10-17 Impact factor: 3.966