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- W2085962494 abstract "Cross-sectional study of patients with mechanical low back pain (MLBP).To test the construct validity of 3 categories of a movement system impairment-based classification proposed for use with patients with MLBP.A pathoanatomic basis for directing treatment has not proven useful in a wide variety of patients with MLBP. In addition, there is a paucity of data describing the movement system impairments that characterize many of the pathoanatomically based MLBP diagnoses. Because of the mechanical nature of MLBP, a system based on groups of signs and symptoms relevant to conservative management needs to be developed.A movement system impairment-based classification was proposed that defined 5 categories of MLBP based on the findings from a standardized examination. Using the examination, 5 physical therapists examined a total of 188 patients with MLBP. A principal components analysis with an oblique rotation was conducted. Eigenvalues were plotted and a scree test was used to determine the number of factors to retain. A split-sample cross-validation procedure was conducted to verify the factor structure.Three factors were identified in both samples: 2 factors related to symptoms with lumbar rotation and lumbar extension alignments or movements, and 1 factor related to signs of lumbar rotation with different alignments and movements.Our results provide support for 3 factors related to 3 of the 5 proposed categories: lumbar rotation with extension, lumbar rotation, and lumbar extension. The existence of these 3 factors provides preliminary evidence for specific clusters of tests of alignment and movement impairments that could be used in classifying patients with MLBP into movement-system-related categories." @default.
- W2085962494 created "2016-06-24" @default.
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- W2085962494 date "2003-03-01" @default.
- W2085962494 modified "2023-10-14" @default.
- W2085962494 title "Movement System Impairment-Based Categories for Low Back Pain: Stage 1 Validation" @default.
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- W2085962494 doi "https://doi.org/10.2519/jospt.2003.33.3.126" @default.
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