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首页> 美国卫生研究院文献>Journal of Sports Science Medicine >Intra and Inter-Rater Reliability of Screening for Movement Impairments: Movement Control Tests from The Foundation Matrix
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Intra and Inter-Rater Reliability of Screening for Movement Impairments: Movement Control Tests from The Foundation Matrix

机译：筛查运动障碍的内部和外部之间可靠性：来自基金会矩阵的运动控制测试

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Pre-season screening is well established within the sporting arena, and aims to enhance performance and reduce injury risk. With the increasing need to identify potential injury with greater accuracy, a new risk assessment process has been produced; The Performance Matrix (battery of movement control tests). As with any new method of objective testing, it is fundamental to establish whether the same results can be reproduced between examiners and by the same examiner on consecutive occasions. This study aimed to determine the intra-rater test re-test and inter-rater reliability of tests from a component of The Performance Matrix, The Foundation Matrix. Twenty participants were screened by two experienced musculoskeletal therapists using nine tests to assess the ability to control movement during specific tasks. Movement evaluation criteria for each test were rated as pass or fail. The therapists observed participants real-time and tests were recorded on video to enable repeated ratings four months later to examine intra-rater reliability (videos rated two weeks apart). Overall test percentage agreement was 87% for inter-rater reliability; 98% Rater 1, 94% Rater 2 for test re-test reliability; and 75% for real-time versus video. Intraclass-correlation coefficients (ICCs) were excellent between raters (0.81) and within raters (Rater 1, 0.96; Rater 2, 0.88) but poor for real-time versus video (0.23). Reliability for individual components of each test was more variable: inter-rater, 68-100%; intra-rater, 88-100% Rater 1, 75-100% Rater 2; and real-time versus video 31-100%. Cohen’s Kappa values for inter-rater reliability were 0.0-1.0; intra-rater 0.6-1.0 for Rater 1; -0.1-1.0 for Rater 2; and -0.1-1 for real-time versus video. It is concluded that both inter and intra-rater reliability of tests in The Foundation Matrix are acceptable when rated by experienced therapists. Recommendations are made for modifying some of the criteria to improve reliability where excellence was not reached.Key points class="unordered" style="list-style-type:disc">The movement control tests of The Foundation Matrix had acceptable reliability between raters and within raters on different daysAgreement between observations made on tests performed real-time and on video recordings was low, indicating poor validity of use of video recordingsSome movement evaluation criteria related to specific tests that did not achieve excellent agreement could be modified to improve reliability
机译：季前筛查在体育领域已经很成熟，旨在提高性能并降低受伤风险。随着人们越来越需要更加准确地识别潜在伤害，已经产生了新的风险评估程序。性能矩阵（运动控制测试电池）。与任何新的客观测试方法一样，基本的要点是确定是否可以在审查员之间以及同一审查员连续两次重现相同的结果。这项研究的目的是从性能矩阵（基础矩阵）的组件中确定评估者内部测试的重新测试和评估者之间的可靠性。两名经验丰富的肌肉骨骼治疗师对20名参与者进行了筛选，他们使用9种测试来评估在特定任务中控制动作的能力。每个测试的运动评估标准被评定为合格或不合格。治疗师实时观察参与者，并在视频上记录测试，以便四个月后进行重复评分，以检查评分者内部的可靠性（间隔两周的视频）。评估者之间的整体测试百分率一致性为87％； 98％评估者1、94％评估者2用于重新测试的可靠性；实时和视频的比例为75％。类内相关系数（ICC）在评估者之间（0.81）和在评估者内部（等级1，0.96;评估者2，0.88）极好，但对于实时与视频（0.23）则很差。每个测试的各个组成部分的可靠性变化更大：互评者为68-100％；内部评估者，88-100％评估者1、75-100％评估者2；以及实时视频（31-100％）。 Cohen评估者间可靠性的Kappa值为0.0-1.0；评估人1的内部评估人0.6-1.0；评分者2为-0.1-1.0；和-0.1-1（实时与视频）。结论是，当由经验丰富的治疗师进行评估时，The Foundation Matrix中测试的内部和外部评估者可靠性都是可以接受的。提出了一些修改建议，以提高未达到卓越水平的可靠性。要点 class =“ unordered” style =“ list-style-type：disc”> <！-list-behavior = unordered prefix- word = mark-type = disc max-label-size = 0-> 基金会矩阵的移动控制测试在评估者之间和评估者内部在不同的日期具有可接受的可靠性 观察结果之间的协议实时执行的测试和视频记录上的测试率较低，表明使用视频记录的有效性较差 某些与特定测试相关的运动评估标准未能达成良好的一致性，可以对其进行修改以提高可靠性 li>

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