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Intraexaminer and interexaminer reliability of the Gillet test
W Meijne1, K van Neerbos, G Aufdemkampe
1Institute for Physical Therapy, Bussum, The Netherlands.
Objectives:
The purpose of this study was to determine the intraexaminer and interexaminer reliability of the Gillet test.
Study Design:
In a test-retest study the incidence of asymmetric or symmetric sacroiliac joint motion was investigated with the Gillet test.
Methods:
Forty-one male subjects volunteered for this study (mean age, 23 +/- 2.24 years). Thirty-eight subjects were examined in the first test procedure, and at least 4 days later 37 subjects were examined again. The subjects were subdivided into symptomatic and asymptomatic groups on the basis of certain criteria.
Results:
To obtain the intraexaminer and interexaminer reliability values, Cohen's kappa, the percentage agreement, bias-adjusted kappa, and prevalence-adjusted bias-adjusted kappa were used. The mean Cohen's kappa did not exceed the value of 0.081. Only the percentage agreement of the symptomatic group did exceed the minimum level of 80%. When kappa was positive, the prevalence-adjusted bias-adjusted kappa was markedly higher than kappa; when kappa was negative, the prevalence-adjusted bias-adjusted kappa was only slightly higher than kappa. Only small differences were found between kappa and bias-adjusted kappa.
Conclusion:
The Gillet test, as performed in this study, does not appear to be reliable.