The Reliability of Selected Techniques in Clinical Arthrometrics

A number of studies which have examined reliability of spinal assessment procedures in manual therapy are reviewed. The tests examined were Passive Accessory Intervertebral Movements, Passive Physiological Intervertebral Movements, Straight Leg Raise and Forward Flexion. In general, tests of pain were found to be much more reproducible than tests of compliance. Straight Leg Raise and Forward Flexion tests were consistently more reliable than the Passive Intervertebral Movement tests. Possible explanations for these findings are advanced. The role of tests of compliance based on passive intervertebral movements in clinical decision-making may need to be re-examined. An appendix on reliability theory is included for the uninitiated reader