{"id":"https://openalex.org/W292451676","doi":null,"title":"Strength of agreement between diagnoses reached by clinical examination and available reference standards : a prospective validity study of 216 patients with lumbopelvic pain and/or symptoms referred into the lower extremity","display_name":"Strength of agreement between diagnoses reached by clinical examination and available reference standards : a prospective validity study of 216 patients with lumbopelvic pain and/or symptoms referred into the lower extremity","publication_year":2012,"publication_date":"2012-01-01","ids":{"openalex":"https://openalex.org/W292451676","mag":"292451676"},"language":"en","primary_location":{"id":"mag:292451676","doi":null,"is_oa":false,"landing_page_url":"http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A558417","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5051204211","display_name":"Mark Laslett","orcid":"https://orcid.org/0000-0002-9187-754X","observed_orcids":["https://orcid.org/0000-0002-9187-754X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mark Laslett","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081632775","display_name":"Barry William McDonald","orcid":"https://orcid.org/0000-0002-8954-3313","observed_orcids":["https://orcid.org/0000-0002-8954-3313"]},"institutions":[{"id":"https://openalex.org/I51158804","display_name":"Massey University","ror":"https://ror.org/052czxv31","country_code":"NZ","type":"education","lineage":["https://openalex.org/I51158804"]}],"countries":["NZ"],"is_corresponding":false,"raw_author_name":"Barry McDonald","raw_affiliation_strings":["Massey University"],"raw_orcid":"https://orcid.org/0000-0002-8954-3313","affiliations":[{"raw_affiliation_string":"Massey University","institution_ids":["https://openalex.org/I51158804"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018211352","display_name":"Hans Tropp","orcid":"https://orcid.org/0000-0003-3094-6721","observed_orcids":["https://orcid.org/0000-0003-3094-6721"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hans Tropp","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0003-3094-6721","affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036300025","display_name":"Charles N. Aprill","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Charles N. Aprill","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5047033777","display_name":"Birgitta E. \u00d6berg","orcid":"https://orcid.org/0000-0001-8612-583X","observed_orcids":["https://orcid.org/0000-0001-8612-583X"]},"institutions":[{"id":"https://openalex.org/I102134673","display_name":"Link\u00f6ping University","ror":"https://ror.org/05ynxx418","country_code":"SE","type":"education","lineage":["https://openalex.org/I102134673"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Birgitta \u00d6berg","raw_affiliation_strings":["Link\u00f6ping University,#TAB#"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Link\u00f6ping University,#TAB#","institution_ids":["https://openalex.org/I102134673"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.8769999742507935,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.8769999742507935,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.11729999631643295,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11840","display_name":"Pain Management and Treatment","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-low-back-pain","display_name":"chronic low back pain","score":0.7760000228881836},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.746999979019165},{"id":"https://openalex.org/keywords/physical-examination","display_name":"physical examination","score":0.44699999690055847},{"id":"https://openalex.org/keywords/reference-materials","display_name":"reference materials","score":0.7269999980926514},{"id":"https://openalex.org/keywords/sacroiliac-joint","display_name":"sacroiliac joint","score":0.7720000147819519},{"id":"https://openalex.org/keywords/facet-joints","display_name":"facet joints","score":0.9179999828338623},{"id":"https://openalex.org/keywords/intervertebral-disc","display_name":"intervertebral disc","score":0.8069999814033508},{"id":"https://openalex.org/keywords/discogenic-pain","display_name":"discogenic pain","score":0.7480000257492065},{"id":"https://openalex.org/keywords/radicular-pain","display_name":"radicular pain","score":0.6230000257492065},{"id":"https://openalex.org/keywords/mckenzie-method","display_name":"McKenzie method","score":0.43700000643730164},{"id":"https://openalex.org/keywords/centralization","display_name":"centralization","score":0.6600000262260437},{"id":"https://openalex.org/keywords/medial-branch-block","display_name":"medial branch block","score":0.6729999780654907},{"id":"https://openalex.org/keywords/discography","display_name":"discography","score":0.8579999804496765},{"id":"https://openalex.org/keywords/disability","display_name":"disability","score":0.5559999942779541},{"id":"https://openalex.org/keywords/psychosocial-distress","display_name":"psychosocial distress","score":0.9869999885559082}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.833730936050415},{"id":"https://openalex.org/C2778614933","wikidata":"https://www.wikidata.org/wiki/Q1543208","display_name":"Sacroiliac joint","level":2,"score":0.7935695648193359},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.6974543333053589},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.6399523019790649},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6287602782249451},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.5946505665779114},{"id":"https://openalex.org/C534262118","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Medical diagnosis","level":2,"score":0.57283616065979},{"id":"https://openalex.org/C2781310810","wikidata":"https://www.wikidata.org/wiki/Q1097931","display_name":"Neurogenic claudication","level":4,"score":0.5277087092399597},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.5256931781768799},{"id":"https://openalex.org/C110586980","wikidata":"https://www.wikidata.org/wiki/Q4168588","display_name":"Provocation test","level":3,"score":0.4687390923500061},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.44632551074028015},{"id":"https://openalex.org/C2779978343","wikidata":"https://www.wikidata.org/wiki/Q2561634","display_name":"Radicular pain","level":3,"score":0.4189334511756897},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.4024180471897125},{"id":"https://openalex.org/C2779631646","wikidata":"https://www.wikidata.org/wiki/Q17164695","display_name":"Lumbar spinal stenosis","level":3,"score":0.39264973998069763},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.2571224570274353},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.1830383837223053},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.12865430116653442},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.11373528838157654},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"mag:292451676","doi":null,"is_oa":false,"landing_page_url":"http://www.diva-portal.org/smash/record.jsf?pid=diva2%3A558417","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":70,"referenced_works":["https://openalex.org/W12615478","https://openalex.org/W69389541","https://openalex.org/W87452813","https://openalex.org/W109679666","https://openalex.org/W201705162","https://openalex.org/W313369389","https://openalex.org/W1526848747","https://openalex.org/W1529423940","https://openalex.org/W1536957439","https://openalex.org/W1922031010","https://openalex.org/W1963938800","https://openalex.org/W1964546182","https://openalex.org/W1965618802","https://openalex.org/W1965803661","https://openalex.org/W1966010948","https://openalex.org/W1975446127","https://openalex.org/W1987904586","https://openalex.org/W1993576676","https://openalex.org/W1993785493","https://openalex.org/W1995639141","https://openalex.org/W2003489322","https://openalex.org/W2005183658","https://openalex.org/W2007689133","https://openalex.org/W2008427994","https://openalex.org/W2008529103","https://openalex.org/W2013980338","https://openalex.org/W2014215375","https://openalex.org/W2017158376","https://openalex.org/W2021409496","https://openalex.org/W2024317704","https://openalex.org/W2024369445","https://openalex.org/W2040979255","https://openalex.org/W2041967314","https://openalex.org/W2042047209","https://openalex.org/W2044431856","https://openalex.org/W2050558487","https://openalex.org/W2052384436","https://openalex.org/W2053569634","https://openalex.org/W2054834444","https://openalex.org/W2057928029","https://openalex.org/W2061518489","https://openalex.org/W2076693839","https://openalex.org/W2080075544","https://openalex.org/W2082145182","https://openalex.org/W2085894326","https://openalex.org/W2086023264","https://openalex.org/W2086429324","https://openalex.org/W2092585554","https://openalex.org/W2114093434","https://openalex.org/W2118516436","https://openalex.org/W2129812678","https://openalex.org/W2131214793","https://openalex.org/W2131943867","https://openalex.org/W2136677324","https://openalex.org/W2149024517","https://openalex.org/W2164777277","https://openalex.org/W2164871802","https://openalex.org/W2170066319","https://openalex.org/W2170332928","https://openalex.org/W2171434335","https://openalex.org/W2172456887","https://openalex.org/W2416962155","https://openalex.org/W2798319388","https://openalex.org/W3150473352","https://openalex.org/W3212084793","https://openalex.org/W4237755043","https://openalex.org/W4251330088","https://openalex.org/W4317564313","https://openalex.org/W4327634969","https://openalex.org/W4327634983"],"related_works":["https://openalex.org/W234168956","https://openalex.org/W1528911980","https://openalex.org/W2612188380","https://openalex.org/W7095632664","https://openalex.org/W7026481396","https://openalex.org/W4362676953","https://openalex.org/W2092541423","https://openalex.org/W2091076341","https://openalex.org/W2136677324","https://openalex.org/W6939223597"],"abstract_inverted_index":{"It":[0],"is":[1,33,539,549,804],"often":[2],"stated":[3],"that":[4,193,238],"most":[5,38,94,117,475],"cases":[6,650],"of":[7,24,67,77,92,100,120,138,152,205,249,276,336,344,410,432,462,494,504,560,579,585,604,616,624,629,636,649,701,706,713,737,773,783,800,810,821,831,837],"persistent":[8,101,495],"low":[9,121,278],"back":[10,56,102,122,279],"pain":[11,57,210,280,308,318,328,331,367,383,496,543,553,600,659,694,728,774,832],"are":[12,18,112,131],"diagnostically":[13],"indeterminate.":[14],"Diagnostic":[15],"accuracy":[16,76,431,664,736],"estimates":[17],"obtained":[19],"by":[20,722,746],"comparing":[21],"the":[22,74,93,107,116,148,172,201,206,221,240,271,284,292,342,359,433,622,630,667,699,711,714,734,747,751,789,808],"results":[23,417,665],"clinical":[25,41,79,191,236,285,411,434,453,477,562,668,791],"tests":[26,42,241,611,642],"with":[27,167,468,651,677],"diagnostic":[28,75,161,252,430,663,735],"reference":[29,53,88,226,250,293,324,363,379,456,752],"standards.":[30],"Although":[31],"data":[32],"available":[34,87],"from":[35],"past":[36],"research,":[37],"commonly":[39],"used":[40,242,315],"have":[43],"not":[44,577,671,731],"been":[45],"evaluated":[46,756],"in":[47,55,84,180,243,270,341,523,583,834],"validity":[48],"studies.":[49],"Significant":[50],"issues":[51],"regarding":[52],"standards":[54,89,392],"research":[58],"exist,":[59],"such":[60,254],"as":[61,224],"availability,":[62],"cost":[63],"and":[64,82,98,123,128,156,215,246,265,274,298,311,321,349,399,418,441,455,516,564,596,614,618,634,645,654,690,698,716,727,750,771,816,829],"invasiveness.The":[65],"aim":[66,144],"this":[68],"thesis":[69],"work":[70,163],"was":[71,145,329,368,384,643,660,755,775,786],"to":[72,86,114,146,220,302,316,420,568,758,798,806],"explore":[73],"non-invasive":[78],"examination":[80,192,199,237,275,435,669,792],"techniques":[81],"variables,":[83],"relation":[85],"for":[90,326,365,381,393,436,542,552,666,719,813],"diagnosis":[91],"common":[95,118],"patho-anatomic":[96,769],"sources":[97,119,770,828],"causes":[99,137,772,830],"pain.":[103,125,141,444,524],"The":[104,296,362,378,445,474,480,602],"intervertebral":[105],"disc,":[106],"zygapophysial":[108,258,439,506],"joints,":[109],"sacroiliac":[110,212,222,261,442,588],"joints":[111,223],"believed":[113],"be":[115,569,761],"referred":[124],"Spinal":[126],"stenosis":[127,398,653],"herniated":[129,400,655],"discs":[130],"infrequent":[132],"but":[133],"regularly":[134],"occurring":[135],"lumbar":[136],"causing":[139,402,657],"radicular":[140,403,658],"A":[142,558],"secondary":[143],"evaluate":[147,317],"potential":[149],"confounding":[150],"influences":[151],"disability,":[153],"psychosocial":[154,322],"distress":[155,725],"inappropriate":[157,707],"illness":[158,688,708],"behaviours":[159,689],"on":[160,407,449,764,768,826],"accuracy.This":[162],"comprises":[164],"two":[165],"projects":[166],"different":[168],"patient":[169],"samples":[170],"attending":[171],"same":[173],"specialist":[174],"interventional":[175],"radiology":[176],"spinal":[177,397,652],"diagnostics":[178],"clinic":[179],"New":[181],"Orleans,":[182],"USA.":[183],"In":[184,228,621],"Project":[185,229,244],"1":[186],"48":[187],"patients":[188,232,281,465,510,592,626],"received":[189,233,466,511,593],"a":[190,195,225,247,337,345,408,471,570,580,795],"included":[194,239],"McKenzie-styled":[196],"repeated":[197],"movement's":[198],"identifying":[200],"presence":[202,343,603,700],"or":[203,374,414,422,520,606,638,703,739],"absence":[204],"centralization":[207,481,631,715,738],"phenomenon,":[208,632],"six":[209],"provocation":[211,256,609],"joint":[213,259,262,373,440,443,507,589],"tests,":[214],"controlled":[216,586],"(double":[217],"anesthetic)":[218],"blocks":[219,515,595,812],"standard.":[227],"2,":[230],"216":[231],"an":[234],"extensive":[235],"1,":[245],"variety":[248],"standard":[251,294,325,364,380,457,753],"procedures":[253],"as;":[255],"discography,":[257],"blocks,":[260,263],"MRI":[264,415],"CT":[266,353,413],"scans.":[267],"Physiotherapists":[268],"experienced":[269,288],"McKenzie":[272],"method":[273],"chronic":[277],"carried":[282,290],"out":[283,291],"examinations.":[286,295],"An":[287],"radiologist":[289,297],"physiotherapists":[299],"were":[300,314,405,427,576,670,674],"blinded":[301],"each":[303],"other's":[304],"results.":[305],"Pain":[306],"drawings,":[307],"intensity":[309,729],"VAS's,":[310],"three":[312,637,702],"questionnaires":[313],"characteristics,":[319],"disability":[320,697],"distress.The":[323],"discogenic":[327],"concordant":[330],"production":[332],"during":[333,339],"hydraulic":[334],"distention":[335],"disc":[338,348,401,437,656],"discography":[340,351,467,721,802],"negative":[346],"control":[347],"post":[350],"axial":[352],"images":[354],"demonstrating":[355],"annular":[356],"fissuring":[357],"involving":[358],"outer":[360],"annulus.":[361],"ZJ":[366,514,814],"substantial":[369,385],"relief":[370,386],"following":[371,387],"intraarticular":[372],"medial":[375],"branch":[376],"blocks.":[377,390],"SIJ":[382,389,599,610,641,823],"intra-articular":[388],"Reference":[391],"nerve":[394],"root":[395],"pain,":[396,404,438],"based":[406,745,763],"combination":[409],"findings,":[412],"imaging":[416],"response":[419],"selective":[421],"caudal":[423],"epidural":[424],"blockade.Five":[425],"papers":[426],"produced":[428],"reporting":[429],"sixth":[446],"paper":[447],"reports":[448],"agreement":[450,742,785],"between":[451,497,743],"physiotherapy":[452,790],"diagnoses":[454,744,754],"/":[458],"expert":[459],"opinion":[460],"diagnoses.Prediction":[461],"discography:":[463],"118":[464],"70%":[469],"having":[470],"positive":[472,608,640,720,801],"response.":[473],"useful":[476,571],"signs":[478,563,705],"were:":[479],"phenomenon":[482],"(sensitivity":[483,489,500,534,544,554],"25%,":[484],"specificity":[485,491,502,536,546,556,615,635,712],"96%);":[486],"directional":[487,717,740],"preference":[488,718],"49%,":[490],"91%);":[492],"history":[493],"acute":[498],"episodes":[499],"32%,":[501],"92%).Prediction":[503],"screening":[505,513,811],"blocks:":[508,590],"120":[509],"unconfounded":[512],"13":[517],"had":[518,527,598,612,692],"95%":[519],"more":[521,607,639,704],"reduction":[522,582],"Three":[525],"variables":[526],"some":[528],"predictive":[529,572,578],"value:":[530],"Age":[531],"over":[532,835],"55":[533],"39%,":[535],"85%),":[537],"Walking":[538],"best":[540,550],"activity":[541],"31%,":[545],"92%),":[547],"Sitting":[548],"position":[551],"33%,":[555],"90%).":[557],"cluster":[559],"seven":[561],"symptoms":[565],"previously":[566],"thought":[567],"model":[573],"('Revel's":[574],"criteria')":[575],"75%":[581],"pain.Prediction":[584],"(double)":[587],"43":[591],"double":[594],"11":[597],"confirmed.":[601],"3":[605],"sensitivity":[613,633],"91%":[617,644],"78%":[619],"respectively.":[620],"subset":[623,796],"34":[625],"without":[627],"evidence":[628],"87%":[646],"respectively.The":[647],"number":[648],"low,":[661],"so":[662],"reported":[672],"separately.Patients":[673],"typically":[675],"chronic,":[676],"51%":[678],"being":[679,682],"distressed,":[680],"60%":[681],"severely":[683],"disabled,":[684],"30%":[685],"exhibiting":[686],"overt":[687],"24%":[691],"abnormal":[693],"drawings.":[695],"Severe":[696],"behaviour":[709],"reduced":[710],"20%.":[723],"Psychosocial":[724],"categorization":[726],"did":[730],"substantially":[732],"confound":[733],"preference.Overall":[741],"physiotherapist's":[748],"examinations":[749],"compared":[757],"what":[759],"could":[760],"expected":[762],"chance":[765,784],"agreements.":[766],"Agreement":[767,825],"56%":[776],"(kappa":[777],"0.31).":[778],"Proportional":[779],"Chance":[780],"Criterion":[781],"estimate":[782],"33%.In":[787],"conclusion,":[788],"can":[793,817],"identify":[794,818],"(up":[797],"5O%)":[799],"cases;":[803],"unable":[805],"predict":[807],"outcome":[809],"pain;":[815],"approximately":[819],"88%":[820],"painful":[822],"cases.":[824,838],"pathoanatomic":[827],"occurs":[833],"50%":[836]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
