Anatomical landmark asymmetry assessment in the lumbar spine and pelvis: a review of reliability

PM & R : the Journal of Injury, Function, and Rehabilitation
Bradley Alan Stovall, Shrawan Kumar

Abstract

The purpose of this article is to review current research investigating the reliability of bony anatomical landmark positional asymmetry assessment in the lumbar spine and pelvis, to determine the agreement on findings between authors, and to explore future directions in the area to address the significant issues. The databases MEDLINE, CINAHL, AMED, MANTIS, Academic Search Complete, and Web of Knowledge were searched. A total of 23 articles were identified and reviewed, 10 of which met the inclusion criteria. For these 10 articles, the average interexaminer reliability for bony anatomical landmark positional asymmetry assessment was slightly above chance for all landmarks except medial malleolus, which had fair reliability. Interexaminer reliability on average was less than intraexaminer reliability (anterior superior iliac spine, k = 0.128/0.414; posterior superior iliac spine, k = 0.092/0.371). All interexaminer reliability averages were below values of clinical significance. From the current literature review, bony anatomical landmark positional asymmetry assessment in the lumbar spine and pelvis has not been demonstrated to be a reliable assessment method. However, there are unexplored factors that, after standardization, ...Continue Reading

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Citations

Apr 20, 2012·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Charles N R Henderson
Jul 8, 2010·Journal of Manipulative and Physiological Therapeutics·Bradley A StovallShrawan Kumar
May 6, 2015·Journal of Manipulative and Physiological Therapeutics·Rafael Gnat, Maciej Biały
May 15, 2015·Journal of Manipulative and Physiological Therapeutics·Luciana Cid PóvoaJulio Guilherme Silva
Apr 26, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Derek Miles, Mark Bishop
Jul 30, 2019·Physical Therapy·Thorvaldur S PalssonMervyn Travers
Aug 22, 2018·The Journal of the American Osteopathic Association·Giacomo ConsortiMarco Petracca
Feb 27, 2018·The Journal of the American Osteopathic Association·Eric J SniderBrian F Degenhardt

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