Dr. Stuart McGill provided an insightful commentary on the issues surrounding the usefulness of reliable clinical tests in the management of patients with spinal pain conditions. In this response, we will address the points raised in the commentary and provide a rationale for the use of reliable tests in the development of clinical decision guides.
List of abbreviations:CDG (clinical decision guide), MSE (manual spinal examination), PST (palpation for segmental tenderness), ROM (range of motion)
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Published online: June 21, 2013
Supported by the Canadian Institutes of Health Research, LifeMark Health, Calgary Orthopaedic Research and Education Fund, and Alberta Spine Foundation.
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
© 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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- Invited Commentary on Intrarater and Interrater Reliability of Select Clinical Tests in Patients Referred for Diagnostic Facet Joint Blocks in the Cervical SpineArchives of Physical Medicine and RehabilitationVol. 94Issue 8
- PreviewThe authors of an article in this issue of Archives of Physical Medicine and Rehabilitation have advanced our understanding of reliability of clinical tests designed to provide insight into suspected facet joint pain generators. Because the issue of reliability influences, and is influenced by, political and clinical issues, my commentary has 2 parts. First is a general commentary on reliability of assessment tests, followed by comments specific to this article.