Reliability of the assessment of impairments and disabilities in survey research in the field of physical therapy.

Abstract

Objective: to evaluate the reliability of diagnostic assessment based on clinical observations by physical therapists.

Design: interobserver studies between two pairs of physical therapists.

Setting: two primary-care physical therapy practices.

Patients: all applying to the practices for treatment.

Exclusions: physical therapy in previous 3 months, or need for acute treatment.

Assessments: schedule derived from the ICIDH.

Results: agreement on disabilities better than on impairments, the latter revealing problems particularly with pain and restricted range of motion.

Conclusions: reliability of assessments of most of the categories considered was reliable; in two categories the reliability was poor, and the categories were modified.