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Development of structured orthopedic manual therapy assessment proforma for diagnosing subjects on the basis of orthopedic manual therapy

Authors:Radhika Chintamani*, G. Varadharajulu, Amrutkuvar Rayjade
Int J Biol Med Res. 2024; 15(1): 7735-7740  |  PDF File

Abstract

Background: Proper Diagnosis of orthopedic conditions in the early stage may reduce prevalence of missed diagnosis or wrong diagnosis, thus helping in early and proper intervention and early recovery. Utilizing the highly specified assessment technique for each tissue given in specific manual therapy is limited. Study Design: Validation study to define validity and reliability of Structured Orthopedic Manual Therapy Assessment Proforma. Objective: To analyze the Structured Orthopedic Manual Therapy Assessment Proforma and to assess it’s concurrent validity and reliability. Subjects and Methods: To assess reliability, 100 referred non-operated orthopedic subjects with mean age, 55±2 years were assessed on 2 separate occasions (Group 1). To assess concurrent validity, 200 subjects were assessed with the new format and the old existing format (Group 2). Internal consistency, reproducibility and concurrent validity were determined with Cronbach’s ? coefficient, interclass correlation coefficient and Pearson correlation coefficient, respectively. Results: Cronbach’s ? coefficient for the 10 major domains (Pain, Selective tissue tension testing, Balanced ligamentous tension, Soft tissue assessment, End feel, bony assessment, neural assessment and diagnostic criteria) were high. Intraclass correlation was excellent for all domains along with good concurrent validity and internal consistency. Conclusions: The Structured OMT assessment format outcome instrument has satisfactory internal consistency and excellent reproducibility. It is ready for use in clinical studies on non-operated orthopedic conditions who are capable of physiotherapy treatment. The outcome measure provides a convenient brief measure that can be used to and evaluate and diagnose improvements in Physiotherapy referred subjects with non-operated orthopedic conditions and could potentially be adapted for other painful conditions.