Schober Test: Difference between revisions

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== Technique ==
== Technique ==


#Original Schöber Test<br>The patient is standing with his back towards the examiner. The examiner determines the location of the lumbosacral junction and marks it by drawing a horizontal line. A second line is marked 10 cm above the first line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))<ref name="1" />.  
#Original Schöber Test<br>The patient is standing with his back towards the examiner. The examiner determines the location of the lumbosacral junction and marks it by drawing a horizontal line. A second line is marked 10 cm above the first line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))<ref name="p1" />.  
#Modified Schöber Index (also called short Schöber test) (Lilius 1989 (1B))<ref name="2">G.Lilius, Laasonen EM, Myllynen P, Harilainen A, Gronlund G,  Lumbar facet joint syndrome, Helsinki university hospital, vol 71B, No. 4, August 1989, 681-684 (Level of evidence: 1B)</ref>.<br>The patient is standing with his back towards the examiner. The examiner determines the location of the lumbosacral junction by precising the location of the dimples of Venus. The intersection of the top of the dimples of Venus is marked by drawing a horizontal line. This line acts as the landmark. The second line is marked 10 cm above the first and the third is marked 5 cm below the first line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))<ref name="1" />.
#Modified Schöber Index (also called short Schöber test) (Lilius 1989 (1B))<ref name="p2">G.Lilius, Laasonen EM, Myllynen P, Harilainen A, Gronlund G,  Lumbar facet joint syndrome, Helsinki university hospital, vol 71B, No. 4, August 1989, 681-684 (Level of evidence: 1B)</ref>.<br>The patient is standing with his back towards the examiner. The examiner determines the location of the lumbosacral junction by precising the location of the dimples of Venus. The intersection of the top of the dimples of Venus is marked by drawing a horizontal line. This line acts as the landmark. The second line is marked 10 cm above the first and the third is marked 5 cm below the first line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))<ref name="p1" />.
#Modified-modified Schöber Test<br>The patient is standing with his back towards the examiner. The examiner locates the inferior margin of the SIPS with the thumbs and then marks the intersections of the SIPS by drawing a horizontal line. The second line is drawn 15 cm above the midpoint of the first horizontal line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))<ref name="1" />.  
#Modified-modified Schöber Test<br>The patient is standing with his back towards the examiner. The examiner locates the inferior margin of the SIPS with the thumbs and then marks the intersections of the SIPS by drawing a horizontal line. The second line is drawn 15 cm above the midpoint of the first horizontal line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))<ref name="p1" />.  


<u>Movies :</u><br>https://www.youtube.com/watch?v=B9RaFB5BwrQ<br>https://www.youtube.com/watch?v=YULeqz1G1HU<br>
<u>Movies :</u><br>https://www.youtube.com/watch?v=B9RaFB5BwrQ<br>https://www.youtube.com/watch?v=YULeqz1G1HU<br>
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== Evidence ==
== Evidence ==


#Original Schöber Test<br>The validity against radiographs was according to Macrae. strong (r=0.90), according to Rahali-Khachlouf. moderate (r=0.68).<br>The interclass (r=0.90) and intraclass (r=0.96) reliability was found to be excellent. (Rezvani. 2012 (1B)) <ref name="1" />.
#Original Schöber Test<br>The validity against radiographs was according to Macrae. strong (r=0.90), according to Rahali-Khachlouf. moderate (r=0.68).<br>The interclass (r=0.90) and intraclass (r=0.96) reliability was found to be excellent. (Rezvani. 2012 (1B)) <ref name="p1" />.
#Modified Schöber Index<br>The validity against radiographs was according to Macrae. strong (r=0.97), according to Rahali-Khachlouf. moderate (r=0.59).<br>The interclass (r=0.92) and intraclass (r=0.96) reliability was found to be excellent (Tousignant 2005 (4))<ref name="3">M Tousignant, Poulin L, Marchand S, , the modified-modified schober test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change, disability and rehabilitation, 2005, VOL.27, NO.10, Pages 553-559 (Level of evidence: 4)</ref>.
#Modified Schöber Index<br>The validity against radiographs was according to Macrae. strong (r=0.97), according to Rahali-Khachlouf. moderate (r=0.59).<br>The interclass (r=0.92) and intraclass (r=0.96) reliability was found to be excellent (Tousignant 2005 (4))<ref name="p3">M Tousignant, Poulin L, Marchand S, , the modified-modified schober test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change, disability and rehabilitation, 2005, VOL.27, NO.10, Pages 553-559 (Level of evidence: 4)</ref>.
#Modified-modified Schöber Test<br>The validity of the modified-modified Schober test is moderate (r=0.67) with an excellent interclass (r=0.91) and intraclass (r=95) reliability. (Rezvani. 2012 (1B))<ref name="1" />.<br><br>
#Modified-modified Schöber Test<br>The validity of the modified-modified Schober test is moderate (r=0.67) with an excellent interclass (r=0.91) and intraclass (r=95) reliability. (Rezvani. 2012 (1B))<ref name="p1" />.<br><br>


== Recources ==
== Recources ==

Revision as of 12:46, 6 June 2017

 

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Purpose[edit | edit source]

The purpose of the Schober test is to reflect the lumbar ROM during flexion.(Rezvani. 2012 (1B))[1].

Technique[edit | edit source]

  1. Original Schöber Test
    The patient is standing with his back towards the examiner. The examiner determines the location of the lumbosacral junction and marks it by drawing a horizontal line. A second line is marked 10 cm above the first line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))[2].
  2. Modified Schöber Index (also called short Schöber test) (Lilius 1989 (1B))[3].
    The patient is standing with his back towards the examiner. The examiner determines the location of the lumbosacral junction by precising the location of the dimples of Venus. The intersection of the top of the dimples of Venus is marked by drawing a horizontal line. This line acts as the landmark. The second line is marked 10 cm above the first and the third is marked 5 cm below the first line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))[2].
  3. Modified-modified Schöber Test
    The patient is standing with his back towards the examiner. The examiner locates the inferior margin of the SIPS with the thumbs and then marks the intersections of the SIPS by drawing a horizontal line. The second line is drawn 15 cm above the midpoint of the first horizontal line. The difference between the measurements in erect and flexion positions indicates the outcome of the lumbar flexion. (Rezvani. 2012 (1B))[2].

Movies :
https://www.youtube.com/watch?v=B9RaFB5BwrQ
https://www.youtube.com/watch?v=YULeqz1G1HU

Evidence[edit | edit source]

  1. Original Schöber Test
    The validity against radiographs was according to Macrae. strong (r=0.90), according to Rahali-Khachlouf. moderate (r=0.68).
    The interclass (r=0.90) and intraclass (r=0.96) reliability was found to be excellent. (Rezvani. 2012 (1B)) [2].
  2. Modified Schöber Index
    The validity against radiographs was according to Macrae. strong (r=0.97), according to Rahali-Khachlouf. moderate (r=0.59).
    The interclass (r=0.92) and intraclass (r=0.96) reliability was found to be excellent (Tousignant 2005 (4))[4].
  3. Modified-modified Schöber Test
    The validity of the modified-modified Schober test is moderate (r=0.67) with an excellent interclass (r=0.91) and intraclass (r=95) reliability. (Rezvani. 2012 (1B))[2].

Recources[edit | edit source]

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References[edit | edit source]

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  1. Rezvani A, Ergin O., Karacan I., Validity and reliability of the Metric Measurements in the Assessment of Lumbar Spine Motion in patients with Ankylosing Spondylitis., 2012, Lippincott Williams & Wilkins, SPINE vol 37, Number 19, pp E1189-E1196 (level of Evidence: 1B)
  2. 2.0 2.1 2.2 2.3 2.4 Cite error: Invalid <ref> tag; no text was provided for refs named p1
  3. G.Lilius, Laasonen EM, Myllynen P, Harilainen A, Gronlund G, Lumbar facet joint syndrome, Helsinki university hospital, vol 71B, No. 4, August 1989, 681-684 (Level of evidence: 1B)
  4. M Tousignant, Poulin L, Marchand S, , the modified-modified schober test for range of motion assessment of lumbar flexion in patients with low back pain: a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change, disability and rehabilitation, 2005, VOL.27, NO.10, Pages 553-559 (Level of evidence: 4)