Abstract
Background. Lumbopelvic stability (LPS) is regarded as important for injury prevention, yet there are few reliable or valid tests that can be used in the clinical assessment of LPS. Three dynamic functional tests were identified that assess LPS in multiple planes of motion: dip test (DT), single leg squat (SLS), and runner pose test (RPT). Existing rating criteria for SLS have limited reliability and rating criteria for DT and RPT have not been established. Objective. To develop rating criteria for three clinical tests of LPS. Design. Qualitative research: focus group. Method. A focus group of five expert physiotherapists used qualitative methods to develop rating criteria for the three clinical tests. Results. Detailed rating criteria were established for the three tests. Each key factor considered important for LPS had characteristics described that represented both good and poor LPS. Conclusion. This study established rating criteria that may be used to clinically assess LPS.
Highlights
Lumbopelvic stability (LPS) is a highly complex integrated function involving control of many segments of the body [1]
Material related to LPS was presented to a focus group of expert physiotherapists, discussion on characteristics of good and poor LPS was held, themes related to assessment of these characteristics were clarified, and rating criteria were qualitatively developed
The present study has developed detailed rating criteria that may be used by clinicians to rate the LPS of individuals using three clinical tests
Summary
Lumbopelvic stability (LPS) is a highly complex integrated function involving control of many segments of the body [1]. Few reliable or valid clinical tests of LPS have been identified, and attempts to establish their reliability may have been hampered by a lack of suitable rating criteria [3]. It is important to establish reliable and valid clinical tests as deficits in factors that contribute to a stable lumbopelvic region have consequences for individuals. Bergmark proposed a mechanical engineering description of stability [18] This stated that stability exists when the forces and the resulting moment acting on a structure maintain the structure in a state of equilibrium. Lumbopelvic stability (LPS) is regarded as important for injury prevention, yet there are few reliable or valid tests that can be used in the clinical assessment of LPS. A focus group of five expert physiotherapists used qualitative methods to develop rating criteria for the three clinical tests. This study established rating criteria that may be used to clinically assess LPS
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