Test-Retest Reliability and Practice Effects of the Stability Evaluation Test

2017 ◽  
Vol 26 (3) ◽  
Author(s):  
Richelle M. Williams ◽  
Matthew A. Corvo ◽  
Kenneth C. Lam ◽  
Travis A. Williams ◽  
Lesley K. Gilmer ◽  
...  

Context: Postural control plays an essential role in concussion evaluation. The Stability Evaluation Test (SET) aims to objectively analyze postural control by measuring sway velocity on the NeuroCom VSR portable force platform (Natus, San Carlos, CA). Objective: To assess the test-retest reliability and practice effects of the SET protocol. Design: Cohort. Setting: Research laboratory. Patients or Other Participants: 50 healthy adults (20 men, 30 women, age 25.30 ± 3.60 y, height 166.60± 12.80 cm, mass 68.80 ± 13.90 kg). Interventions: All participants completed 4 trials of the SET. Each trial consisted of six 20-s balance tests with eyes closed, under the following conditions: double-leg firm (DFi), single-leg firm (SFi), tandem firm (TFi), double-leg foam (DFo), single-leg foam (SFo), and tandem foam (TFo). Each trial was separated by a 5-min seated rest period. Main Outcome Measures: The dependent variable was sway velocity (deg/s), with lower values indicating better balance. Sway velocity was recorded for each of the 6 conditions as well as a composite score for each trial. Test-retest reliability was analyzed across 4 trials with intraclass correlation coefficients (ICCs). Practice effects analyzed with repeated measures analysis of variance, followed by Tukey post hoc comparisons for any significant main effects (P < .05). Results: Sway-velocity reliability values were good to excellent: DFi (ICC = .88; 95%CI: .81, .92), SFi (ICC = .75; 95%CI: .61, .85), TFi (ICC = .84; 95%CI: .75, .90), DFo (ICC = .83; 95%CI: .74, .90), SFo (ICC = .82; 95%CI: .72, .89), TFo (ICC = .81; 95%CI: .69, .88), and composite score (ICC = .93; 95%CI: .88, .95). Significant practice effects (P < .05) were noted on the SFi, DFo, SFo, TFo conditions and composite scores. Conclusions: Our results suggest the SET has good to excellent reliability for the assessment of postural control in healthy adults. Due to the practice effects noted, a familiarization session is recommended (ie, all 6 conditions) before data are recorded. Future studies should evaluate injured patients to determine meaningful change scores during various injuries.

Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S16.2-S16
Author(s):  
Brandon Doan ◽  
Jeff Pasley ◽  
Tiffany Rodriguez ◽  
Katherine Valencia ◽  
Tim Tolbert

Postural control is impaired following a concussion and is 1 diagnostic method used by medical professionals for return-to-play decisions in potentially concussed athletes. Circadian rhythm (time-of-day) affects human function, including postural control. This research investigated time-of-day influence on 1 postural control diagnostic protocol, the Stability Evaluation Test (SET) on a Neurocom Balance Master. The Georgia Gwinnett College Institutional Review Board approved this research protocol. The research participants were 9 healthy women with an average age of 20.4 years, height of 165.8 cm, and weight of 65.3 kg. The participants completed the SET in the morning (between 7:00 am and 10:00 am) for 1 treatment and in the evening (between 3:00 pm and 7:00 pm) for the other treatment. A SET familiarization session was completed, and treatment order was randomized and balanced to attempt to account for order effects. Average postural sway velocity for each of the 6 SET conditions were compared between times of day. There was less postural sway during the morning testing for all conditions, reaching statistical significance (p < 0.05) for 2 of the more challenging balance conditions (Foam Double Leg and Foam Tandem) as well as for the overall SET composite score. While greater sample size, age and gender range are needed, these results may begin to inform practitioners as to the importance of controlling time-of-day between baseline and post-injury testing which may enable more accurate and reliable return-to-play decisions.


2017 ◽  
Vol 22 (5) ◽  
pp. 39-43 ◽  
Author(s):  
Richelle M. Williams ◽  
Trevor Rice ◽  
Kenneth Lam ◽  
Tamara Valovich McLeod

Postural control is an integral part of sport participation and is often measured when assessing concussion and rehabilitating musculoskeletal injuries. The purpose of this study was to determine whether developmental differences in postural control, as measured by the Stability Evaluation Test protocol, exist between multiple male age groups (9–25-years-old). Significant differences were present across age groups, suggesting pediatric males demonstrated higher sway velocity scores than older males. We also found that preadolescent males showed increased postural sway when compared with older populations. Overall, it was found that age-related differences exist in postural control, with older males demonstrating less sway, and therefore better postural control.


Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S4.2-S4
Author(s):  
Tamara McLeod ◽  
R. Curtis Bay ◽  
Hannah Gray ◽  
Richelle Marie Williams

ObjectiveThe purpose of this study was to evaluate test-retest reliability and practice effects of the Dynavision D2 in active adolescents.BackgroundFollowing sport-related concussion, assessment of oculomotor function and vision is important. While clinical tests are recommended, computerized devices, such as the Dynavision D2, are emerging as viable tools for vision assessment. As with all concussion assessments, understanding test-retest reliability and susceptibility to practice effects is important for appropriate interpretation of serial assessments post-injury.Design/methodsParticipants included 20 female adolescents (age = 16.6 ± 1.10 years, mass = 62.0 ± 5.9 kg, height = 169.2 ± 5.1 cm). Participants completed 2 test sessions 1 week apart using the Dynavision D2. The Dynavision D2 includes a one-minute drill task where a single light illuminates, and participants hit the light as quickly as possible, completing 3 drills per trial. Participants completed 3 trials during the first session and 2 during the second. Independent variables were day (day 1, day 2) and drills (15 drills). Dependent variables were the number of hits per minute (Hits/min) and average reaction time (AvgRT). Within-day and between-day test-retest reliabilities were analyzed using two-way random effects intraclass correlation coefficients for consistency. Practice effects were analyzed with repeated measures analysis of variance and Helmert contrasts (p = 0=.05).ResultsModerate-to-strong reliability was demonstrated for Hits/min (within-day 1 [ICC = 0.74; 95% CI: 0.53, 0.87]; within-day 2 [ICC = 0.91; 95% CI. 77.97]; between-days [ICC = 0.86; 95% CI. 65.95]). Moderate-to-strong reliability was demonstrated for AvgRT (within-day 1 [ICC = 0.70, 95% CI. 48.86], within-day 2 [ICC = 0.92; 95% CI. 78.97]; between-days [ICC = 0.85; 95% CI: 0.64.94]). Practice effects were noted for Hits/Min (p = 0.001) and AvgRT (p < 0.001). Helmert contrasts suggested that the practice effect plateaued at drill 11 for Hits/min and drill 12 for AvgRT.ConclusionsModerate-to-excellent test-retest reliability was found for the one-minute task drill with better reliability noted on day 2 and between days, compared to day 1. This task is susceptible to practice effects, highlighting the need for familiarization or practice trials prior to documenting patient scores.


1982 ◽  
Vol 25 (4) ◽  
pp. 521-527 ◽  
Author(s):  
David C. Shepherd

In 1977, Shepherd and colleagues reported significant correlations (–.90, –.91) between speechreading scores and the latency of a selected negative peak (VN 130 measure) on the averaged visual electroencephalic wave form. The primary purpose of this current study was to examine the stability, or repeatability, of this relation between these cognitive and neurophysiologic measures over a period of several months and thus support its test-retest reliability. Repeated speechreading word and sentence scores were gathered during three test-retest sessions from each of 20 normal-hearing adults. An average of 56 days occurred from the end of one to the beginning of another speechreading sessions. During each of four other test-retest sessions, averaged visual electroencephalic responses (AVER s ) were evoked from each subject. An average of 49 clays intervened between AVER sessions. Product-moment correlations computed among repeated word scores and VN l30 measures ranged from –.61 to –.89. Based on these findings, it was concluded that the VN l30 measure of visual neural firing time is a reliable correlate of speech-reading in normal-hearing adults.


2018 ◽  
Vol 30 (12) ◽  
pp. 1652-1662 ◽  
Author(s):  
Sophie J. M. Rijnen ◽  
Sophie D. van der Linden ◽  
Wilco H. M. Emons ◽  
Margriet M. Sitskoorn ◽  
Karin Gehring

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yanzhi Bi ◽  
Xin Hou ◽  
Jiahui Zhong ◽  
Li Hu

AbstractPain perception is a subjective experience and highly variable across time. Brain responses evoked by nociceptive stimuli are highly associated with pain perception and also showed considerable variability. To date, the test–retest reliability of laser-evoked pain perception and its associated brain responses across sessions remain unclear. Here, an experiment with a within-subject repeated-measures design was performed in 22 healthy volunteers. Radiant-heat laser stimuli were delivered on subjects’ left-hand dorsum in two sessions separated by 1–5 days. We observed that laser-evoked pain perception was significantly declined across sessions, coupled with decreased brain responses in the bilateral primary somatosensory cortex (S1), right primary motor cortex, supplementary motor area, and middle cingulate cortex. Intraclass correlation coefficients between the two sessions showed “fair” to “moderate” test–retest reliability for pain perception and brain responses. Additionally, we observed lower resting-state brain activity in the right S1 and lower resting-state functional connectivity between right S1 and dorsolateral prefrontal cortex in the second session than the first session. Altogether, being possibly influenced by changes of baseline mental state, laser-evoked pain perception and brain responses showed considerable across-session variability. This phenomenon should be considered when designing experiments for laboratory studies and evaluating pain abnormalities in clinical practice.


Author(s):  
Andrea S. Vincent ◽  
Eugenia Fuenzalida ◽  
Madison Beneda-Bender ◽  
Douglas J. Bryant ◽  
Elizabeth Peters

2017 ◽  
Vol 32 (2) ◽  
Author(s):  
Shannon Gwin ◽  
Paul Branscum ◽  
E. Laurette Taylor

The purpose of this study was to create a valid and reliable instrument to evaluate theory-basedbeliefs towards physical activity among clergy members. Data were collected from 174 clergy that par-ticipated in a 15-item online and paper-based survey. Psychometric properties of the instrument includedconfirmatory factor analysis (construct validity), and cronbach’s alpha (internal consistency reliability).In addition, the stability (test-retest reliability) of each subscale was evaluated with a sub-sample of 30participants. Results show the instrument was both valid and reliable, and will be useful in future studiestargeting this population. Future implications are discussed.


Author(s):  
Jeanette Dobberke ◽  
Omar Baritello ◽  
Miralem Hadzic ◽  
Heinz Völler ◽  
Sarah Eichler ◽  
...  

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