Please use this identifier to cite or link to this item: https://hdl.handle.net/10321/2586
Title: Inter- and intra-examiner reliability of lumbar spine radiograph analysis by chiropractors and its impact on clinical management
Authors: Mdakane, Zandile 
Issue Date: 2017
Abstract: 
Radiographs are the most commonly used modalities for the purpose of diagnosing skeletal disorders. Radiographs are important for chiropractors to exclude any contra-indications prior to spinal manipulative therapy. If contra-indications are found treatment is modified to what best suits each patient. There is a gap in the literature regarding chiropractors reading the same set of radiographs and agreeing on findings.

Objectives
The study investigated inter- and intra-examiner reliability of lumbar spine radiograph analysis by chiropractors and its impact on clinical management.

Methods
Inter- and intra-examiner examination of radiographs occurred in two rounds separated by two weeks. Six chiropractors read the same 30 radiographs and clinical history was only available in the second round.

Results
Inter-observer agreement for categorisation for Round One was 96.78% and Round Two 89.49%. Inter-observer agreement in management was 96.45% in round one and 96.00% in Round two. Agreement between chiropractors had no statistically significant difference. Identification average improved from 0.09 to 0.89 kappa. Overall specificity was relatively high and sensitivity was relatively low.

Conclusion
Reliability/Agreement between chiropractors was strong in both rounds. Categorising of the diagnosis improved from poor to substantial from Round One to Round Two. Case history improved the accuracy of interpreting the radiographs although this change was not statistically significant.
Description: 
Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2017.
URI: http://hdl.handle.net/10321/2586
DOI: https://doi.org/10.51415/10321/2586
Appears in Collections:Theses and dissertations (Health Sciences)

Files in This Item:
File Description SizeFormat
MDAKANE_Z_2017.pdf753.9 kBAdobe PDFThumbnail
View/Open
Show full item record

Page view(s)

405
checked on Jul 17, 2024

Download(s)

234
checked on Jul 17, 2024

Google ScholarTM

Check

Altmetric

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.