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Subject: Leg Length Inequality Assessment / Isolation Tests
Title: Interexaminer Reliability of an Isolation Test for the Presence of an Upper Cervical Isolation Subluxation.
Reference: Youngquist MW, Fuhr AW, Osterbauer PJ. Interexaminer reliability of an isolation test for the presence of an upper cervical isolation subluxation. J Manipulative Physiol Ther 1989; 12:93-97
Abstract: A reliability study was conducted to determine whether prone leg length analysis in association with an isolation test maneuver was reproducible. Seventy-two subjects were evaluated by two examiners on separate occasions for the presence of C1 subluxation. Concordance was assessed by the Kappa statistic, and interexaminer percentage of agreement was compared. Agreement beyond chance for the two groups was K = 0.52, p < 0.01 and 0.55, p < 0.001, respectively. The results indicate good reliability using this method of analysis for putative upper cervical subluxation in this patient population. Further investigations is necessary to correlate this method of analysis with the empirical evidence of manipulable lesions or subluxations. J Manipulative Physiol Ther 1989; 12:93-97.
Key Words: Manipulation, Leg Length Insufficiency, Chiropractic.
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