scholarly journals One-week test-retest reliability of nine binocular tests and saccades used in concussion

2019 ◽  
Author(s):  
Stephanie Long ◽  
Tibor Schuster ◽  
Russell Steele ◽  
Suzanne Leclerc ◽  
Ian Shrier
Keyword(s):  
Binocular Vision ◽  
Visual Function ◽  
Ocular Motility ◽  
List Type ◽  
Limits Of Agreement ◽  
Retest Reliability ◽  
Motor Test ◽  
The One ◽  
Test Retest Reliability ◽  
Healthy Participants

AbstractBackgroundTests of binocular vision (BVTs) and ocular motility are used in concussion assessment and management.PurposeTo determine the one-week test-retest reliability of 9 binocular vision tests (BVTs) and a test of saccades proposed for use in concussion management.Study DesignProspective test-retest.MethodsWe examined the one-week test-retest reliability of 9 BVTs in healthy participants: 3D vision (gross stereoscopic acuity), phoria at 30cm and 3m, ability of eyes to move/fixate in-sync (positive and negative fusional vergence at 30cm and 3m, near point of convergence and near point of convergence – break [i.e. double vision]) and 1 ocular motor test, saccades.ResultsWe tested 10 males and 10 females without concussion and a mean age of 25.5 (4.1) years. The intraclass correlations suggest good reliability for phoria 3m (0.88) and gross stereoscopic acuity (0.86), and moderate reliability for phoria 30cm (0.69), near point of convergence (0.54), positive fusional vergence (0.54) and negative fusional vergence (0.66) at 30cm, and near point of convergence - break (0.64). There was poor reliability for saccades (0.34), and both positive and negative fusional vergence (0.49 and 0.43, respectively) at 3m. Limits of agreement (LoA) were best for saccade (±34%) and worst for phoria 30 cm (±121%) and ranged from ±58% to ±70% for 7 of the 8 other tests. The LoA for phoria at 3m were uninformative because measurements for 18 of 20 participants were identical.ConclusionWe found test-retest reliability of the BVTs and saccades ranging from poor to good in healthy participants, with the majority being moderate.Clinical RelevanceFor these vision tests to be clinically useful, the effect of concussion must have a moderate to large effect on the scores of most of the tests.What is known about the subjectConcussions may affect some parts of visual function1-week test-retest reliability for most visual tests is under-studiedWhat this study adds to existing knowledgeWe provide intra-class coefficients and limits of agreement for 10 different visual function tests commonly conducted by clinicians in patients with concussion.

scholarly journals One-year test-retest reliability of ten vision tests in Canadian athletes

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Intraclass Correlation ◽  
Limits Of Agreement ◽  
Male Athletes ◽  
Retest Reliability ◽  
Concussion Management ◽  
Baseline Testing ◽  
One Year ◽  
The One ◽  
Test Retest Reliability

Background: Vision tests are increasingly being suggested for use in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Therefore, our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines, etc.). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.55 when an outlier was excluded in a sensitivity analysis. There was good to moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccade (ICC=0.56). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.21 after removing one outlier. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Four tests had moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.

scholarly journals One-year test-retest reliability of ten vision tests in Canadian athletes

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Intraclass Correlation ◽  
Limits Of Agreement ◽  
Male Athletes ◽  
Retest Reliability ◽  
Concussion Management ◽  
Baseline Testing ◽  
One Year ◽  
The One ◽  
Test Retest Reliability

Background: Vision tests are used in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.53 when an outlier was excluded in a sensitivity analysis. There was good to moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccades (ICC=0.61). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.45 after removing two outliers. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Five tests had good to moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.

scholarly journals One-year test-retest reliability of ten vision tests in Canadian athletes

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Intraclass Correlation ◽  
Limits Of Agreement ◽  
Male Athletes ◽  
Retest Reliability ◽  
Concussion Management ◽  
Baseline Testing ◽  
One Year ◽  
The One ◽  
Test Retest Reliability

Background: Vision tests are used in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.55 when an outlier was excluded in a sensitivity analysis. There was good to moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccade (ICC=0.56). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.21 after removing one outlier. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Five tests had good to moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.

scholarly journals One-year test-retest reliability of ten vision tests in Canadian athletes

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Sensitivity Analysis ◽  
Intraclass Correlation ◽  
Limits Of Agreement ◽  
Male Athletes ◽  
Retest Reliability ◽  
Concussion Management ◽  
Baseline Testing ◽  
One Year ◽  
The One ◽  
Test Retest Reliability

Background: Vision tests are used in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.53 when an outlier was excluded in a sensitivity analysis. There was good to moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccades (ICC=0.61). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.21 after removing one outlier. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Five tests had good to moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.

scholarly journals One-year test-retest reliability of ten vision tests in Canadian athletes

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1032
Author(s):  
Mehdi Aloosh ◽  
Suzanne Leclerc ◽  
Stephanie Long ◽  
Guowei Zhong ◽  
James M. Brophy ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation ◽  
Limits Of Agreement ◽  
Male Athletes ◽  
Retest Reliability ◽  
Concussion Management ◽  
Baseline Testing ◽  
One Year ◽  
The One ◽  
Test Retest Reliability

Background: Vision tests are increasingly being suggested for use in concussion management and baseline testing. Concussions, however, often occur months after baseline testing and reliability studies generally examine intervals limited to days or one week. Therefore, our objective was to determine the one-year test-retest reliability of these tests. Methods: We assessed one-year test-retest reliability of ten vision tests in elite Canadian athletes followed by the Institut National du Sport du Quebec. We included athletes who completed two baseline (preseason) annual evaluations by one clinician within 365±30 days. We excluded athletes with any concussion or vision training in between the annual evaluations or presented with any factor that is believed to affect the tests (e.g. migraines, etc.). Data were collected from clinical charts. We evaluated test-retest reliability using Intraclass Correlation Coefficient (ICC) and 95% limits of agreement (LoA). Results: We examined nine female and seven male athletes with a mean age of 22.7 (SD 4.5) years. Among the vision tests, we observed excellent test-retest reliability in Positive Fusional Vergence at 30cm (ICC=0.93) but this dropped to 0.55 when an outlier was excluded. There was moderate reliability in Negative Fusional Vergence at 30cm (ICC=0.78), Phoria at 30cm (ICC=0.68), Near Point of Convergence break (ICC=0.65) and Saccade (ICC=0.56). The ICC for Positive Fusional Vergence at 3m (ICC=0.56) also decreased to 0.45 after removing one outlier. We found poor reliability in Near Point of Convergence (ICC=0.47), Gross Stereoscopic Acuity (ICC=0.03) and Negative Fusional Vergence at 3m (ICC=0.0). ICC for Phoria at 3m was not appropriate because scores were identical in 14/16 athletes. 95% LoA of the majority of tests were ±40% to ±90%. Conclusions: Four tests had moderate one-year test-retest reliability. The remaining tests had poor reliability. The tests would therefore be useful only if concussion has a moderate-large effect on scores.

scholarly journals The Brief International Cognitive Assessment in Multiple Sclerosis (BICAMS): Validation in Arabic and Lebanese Normative Values

2021 ◽  
pp. 1-10
Author(s):  
Hala Darwish ◽  
Pia Zeinoun ◽  
Natali Farran ◽  
Husam Ghusn ◽  
Bassem Yamout ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Psychometric Properties ◽  
Cognitive Assessment ◽  
Healthy Subjects ◽  
Good Evidence ◽  
Normative Values ◽  
Arabic Version ◽  
Retest Reliability ◽  
Test Retest Reliability ◽  
Healthy Participants

Abstract Objective: Multiple sclerosis (MS) is often associated with cognitive deficits. Accurate evaluation of the MS patients’ cognitive performance is essential for diagnosis and treatment recommendation. The Brief International Cognitive Assessment in Multiple Sclerosis (BICAMS), widely used cognitive testing battery, examines processing speed, verbal and visuospatial learning, and memory. Our study aims to examine the psychometric properties of an Arabic version of the BICAMS and to provide normative values in a Lebanese sample. Method: The BICAMS, comprised of the Symbol Digit Modalities Test (SDMT), Brief Visuospatial Memory Test-Revised (BVMT-R), and a newly developed verbal learning/memory test, the Verbal Memory Arabic Test (VMAT), were administered on healthy subjects and MS patients. The sample consisted of 180 healthy individuals, of whom 63 were retested after 2–3 weeks. Forty-three MS patients matched with 43 healthy subjects based on age, sex, and years of education were assessed. A sample of 10 MS patients was also examined on two occasions. Test–retest reliability and criterion-related validity were examined, and regression-based norms were derived. Results: The test–retest correlations showed good evidence of reliability with coefficients ranging between 0.64 and 0.73 in the healthy sample, and between 0.43 and 0.92 in the MS sample. The BICAMS was able to discriminate between MS patients and matched healthy participants on the SDMT and BVMT-R. Normative data were comparable to other studies. Conclusions: This new Arabic version of the BICAMS shows initial good psychometric properties. While good evidence of VMAT’s reliability was shown in the healthy participants, less test–retest reliability in this tool was seen in the MS group, and partial criterion-related validity was evident. This renders further examination of the VMAT. We provide regression-based norms for a Lebanese sample and encourage the use of this battery in both research and clinical settings.

Test–Retest Reliability of the Mini-BESTest in People With Mild to Moderate Multiple Sclerosis

2021 ◽  
Author(s):  
A Wallin ◽  
M Kierkegaard ◽  
E Franzén ◽  
S Johansson
Keyword(s):  
Multiple Sclerosis ◽  
Measurement Errors ◽  
Balance Control ◽  
Intraclass Correlation ◽  
Repeated Measurements ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Limits Of Agreement ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Objective The mini-BESTest is a balance measure for assessment of the underlying physiological systems for balance control in adults. Evaluations of test–retest reliability of the mini-BESTest in larger samples of people with multiple sclerosis (MS) are lacking. The purpose of this study was to investigate test–retest reliability of the mini-BESTest total and section sum scores and individual items in people with mild to moderate overall MS disability. Methods This study used a test–retest design in a movement laboratory setting. Fifty-four people with mild to moderate overall MS disability according to the Expanded Disability Status scale (EDSS) were included, with 28 in the mild subgroup (EDSS 2.0–3.5) and 26 in the moderate subgroup (EDSS 4.0–5.5). Test–retest reliability of the mini-BESTest was evaluated by repeated measurements taken 1 week apart. Reliability and measurement error were analyzed. Results Test–retest reliability for the total scores were considered good to excellent, with intraclass correlation coefficients of .88 for the whole sample, .83 for the mild MS subgroup, and .80 for the moderate MS subgroup. Measurement errors were small, with standard error of measurement and minimal detectable change of 1.3 and 3.5, respectively, in mild MS, and 1.7 and 4.7, respectively, in moderate MS. The limits of agreement were − 3.4 and 4.6. Test–retest reliability for the section scores were fair to good or excellent; weighted kappa values ranged from .62 to .83. All items but 1 showed fair to good or excellent test–retest reliability, and percentage agreement ranged from 61% to 100%. Conclusions The mini-BESTest demonstrated good to excellent test–retest reliability and small measurement errors and is recommended for use in people with mild to moderate MS. Impact Knowledge of limits of agreement and minimal detectable change contribute to interpretability of the mini-BESTest total score. The findings of this study enhance the clinical usefulness of the test for evaluation of balance control and for designing individually customized balance training with high precision and accuracy in people with MS.

Test–retest reliability of grip strength measurement in full elbow extension to evaluate maximum grip strength

2012 ◽  
Vol 38 (2) ◽  
pp. 183-186 ◽  
Author(s):  
C. Savva ◽  
C. Karagiannis ◽  
A. Rushton
Keyword(s):  
Grip Strength ◽  
Elbow Extension ◽  
Strength Measurement ◽  
Retest Reliability ◽  
Maximum Grip Strength ◽  
Grip Strength Measurement ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement ◽  
Healthy Participants ◽  
Maximum Grip

The objective of this study was to investigate the test–retest reliability of measurement of grip strength in full elbow extension. The grip strengths of 19 healthy participants were measured using the Jamar dynamometer by the same rater on two occasions with an interval of 7 days between measures. Test–retest reliability of grip strength measurement was excellent in full elbow extension and associated with low values of standard error of measurement and small variations in the differences between the two measurements in both testing sessions.

Test–Retest Reliability of Skill Tests in the F-MARC Battery for Youth Soccer Players

2019 ◽  
Vol 126 (5) ◽  
pp. 1006-1023 ◽  
Author(s):  
Alexis Padrón-Cabo ◽  
Ezequiel Rey ◽  
Alexandra Pérez-Ferreirós ◽  
Anton Kalén
Keyword(s):  
Intraclass Correlation ◽  
Young Male ◽  
Soccer Players ◽  
Limits Of Agreement ◽  
Retest Reliability ◽  
Youth Soccer ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement ◽  
Absolute Reliability ◽  
Error Of Measurement

This study aimed to evaluate the test–retest reliability of soccer skill tests belonging to the F-MARC test battery. To avoid bias during talent identification and development, coaches and scouts should be using reliable tests for assessing soccer-specific skills in young male players. Fifty-two U-14 outfield male soccer players performed F-MARC soccer skill tests on two occasions, separated by 7 days. After familiarization, we administered two trial sessions of five skill tests: speed dribbling, juggling, shooting, passing, and heading. We assessed absolute reliability by expressing the standard error of measurement as a coefficient of variation with 95% limits of agreement, and we assessed relative reliability with the intraclass correlation coefficient and with Pearson’s correlation ( r). The results demonstrated satisfactory relative and absolute reliability for speed dribbling, right foot juggling, short passing, shooting a dead ball right, shooting from a pass, heading in front, and heading right. However, reliability values for left foot juggling, chest-head-foot juggling, head-left-foot-right foot-chest-head juggling, long pass, and shooting a dead ball left tests were not strong enough to suggest their usage by coaches in training or sport scientists in research.

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