Development of Clinical Rating Criteria for Tests of Lumbopelvic Stability

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.

"This paper focuses again on one of the tests that we include within our assessment guidelines- single leg squat- for review of lumbo-sacral stability. This article mostly validates the test. Our focus with this test should remain 1-knee valgus, and 2-unstable-pronated foot position. " - Dr Bob Eckles

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