INTER-RATER RELIABILITY OF THE SELECTIVE FUNCTIONAL MOVEMENT ASSESSMENT (SFMA) BY SFMA CERTIFIED PHYSICAL THERAPISTS WITH SIMILAR CLINICAL AND RATING EXPERIENCE.

Autor:	Dolbeer, Jeffery, Mason, John, Morris, Jamie, Crowell, Michael, Goss, Donald
Předmět:	ANALYSIS of variance BIOPHYSICS CONFIDENCE intervals POSTURAL balance MUSCULOSKELETAL system PHYSICAL therapists POSTURE PROBABILITY theory SCIENTIFIC apparatus & instruments STATISTICS VIDEO recording BODY movement VISUAL analog scale INTER-observer reliability DATA analysis software FUNCTIONAL assessment DESCRIPTIVE statistics INTRACLASS correlation
Zdroj:	International Journal of Sports Physical Therapy; Oct2017, Vol. 12 Issue 5, p752-763, 12p
Abstrakt:	Background: The Selective Functional Movement Assessment (SFMA) assesses posture, muscle balance, and movement patterns in order to identify relevant musculoskeletal dysfunction in a clinical population. Purpose: The purposes of this study were to: (1) determine if raters with similar clinical experience and rating experience exhibit adequate agreement of the scoring for the SFMA during clinical use; (2) determine the reliability of the categorical scoring of the SFMA in a clinical population; (3) determine the reliability of the criterion checklist scoring of the SFMA in a clinical population; (4) compare the reliability of real-time assessment to recorded assessment. Design: Inter-rater reliability study Methods: 49 clinical subjects (20.7 years ± 1.6) were simultaneously assessed in real-time by two physical therapists and were recorded with digital video cameras in the sagittal and frontal view while they performed the fifteen component movement patterns that comprise the top-tier SFMA. The third physical therapist assessed the patterns from the video. Subjects were assessed using the SFMA categorical scoring and criterion checklist scoring tools. Results: The two live clinical raters demonstrated the greatest Cohen's Kappa scores (10 of 15) with moderate or better inter-rater agreement (Kappa > 0.40) using the categorical scoring tool. The overall ICC [2,1] score indicated fair to moderate agreement between all raters for the criterion checklist scoring (ICC, SEM, p-value) (0.61, 8.23, p < 0.001). Real time clinical use was the most reliable method for using the criterion checklist scoring tool (0.72, 1.95, p = 0.43). Conclusions: Using the categorical and criterion checklist tools in a clinical population to score the fifteen component fundamental movements of the SFMA demonstrated moderate or better reliability when performed clinically by certified SFMA raters. Level of Evidence: Reliability, Level 2 [ABSTRACT FROM AUTHOR]
Databáze:	Supplemental Index
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