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Research article

Intra-observer and interobserver reliability of One Leg Stand Test as a measure of postural balance in low back pain patients

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Pages 172-177 | Published online: 18 Jul 2013
 

Abstract

Objective: To determine the absolute and relative reliability of intra-observer and interobserver measurements of postural balance using the One Leg Stand Test in patients with low back pain.

Patients and methods: Forty-eight patients with chronic low back pain advised to do exercise were included. A test protocol was established based on review of the literature and a pilot test. Patients were timed for their ability to stand on one leg with their eyes open and with eyes closed. After a 20-min break, the procedure was repeated to check for reproducibility.

Results: Eyes open: a ceiling effect was seen as more than 48% of patients were able to stand for the maximum time, and no further analysis was done. Eyes closed: intra-observer reliability was tested in 21 patients; absolute reliability showed a standard error of the measurement (SEM) of 2.48 s and a minimal detectable change (MDC) of 6.88. The relative reliability was acceptable with an intra class correlation coefficient (ICC) of 0.86. Interobserver reliability was tested in 27 patients; absolute reliability showed a SEM of 1.42 s and a MDC of 3.95. The relative reliability was acceptable with an ICC of 0.91.

Conclusions: The One Leg Stand Test can be used to test postural balance in patients with chronic low back pain, as the reliability of the test was acceptable.

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