Low Back Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association

. Author manuscript; available in PMC: 2016 Jun 6.

Published in final edited form as: J Orthop Sports Phys Ther. 2012 Mar 30;42(4):A1–57. doi: 10.2519/jospt.2012.42.4.A1

PAIN PROVOCATION WITH SEGMENTAL MOBILITY TESTING
ICF category	Measurement of impairment of body function – pain in back; pain in body part, specified as pain in buttock, groin, and thigh; and mobility of joint functions, specified as mobility in a vertebral segment
Description	Pain provocation during mobility testing
Measurement method	Patient is positioned in prone and examiner palpates the lumbar spinous process and pushes with an anteriorly directed force to detect pain
Nature of variable	Categorical
Units of measurement	Present/absent
Measurement properties	Kappa values are reported to be moderate to good for pain provocation during spring testing of the lumbar vertebrae (k=0.25 to 0.55)¹⁴⁶
Instrument variations	None