Inter- and Intratester Reliability of Lower Extremity Circumference Measurements

1998 ◽  
Vol 7 (4) ◽  
pp. 300-306 ◽  
Author(s):  
Gary L. Harrelson ◽  
Deidre Leaver-Dunn ◽  
A. Louise Fincher ◽  
James D. Leeper

The purpose of this study was to examine the inter- and intratester reliability of lower extremity circumference measurements obtained by two testers using the same tape measure and two different tape measures. Twenty-one male high school student-athletes participated in this study. Two testers measured lower extremity circumference at three sites using a standard flexible tape measure and a Lufkin tape measure with a Gulick spring-loaded handle attachment. Measurement sites were medial joint line, 20 cm above medial joint line, and 15 cm below medial joint line. Intraclass correlation coefficients were computed for inter- and intratester comparisons for each measuring device and each measurement site. Results indicated high reliability but a significant difference between the two tape measures. These findings indicate that the reliability of lower extremity circumference measurements is not influenced by tester experience and that the Lufkin tape measure with the Gulick handle attachment is the more accurate of the two tape measures.

Author(s):  
Marcos A Soriano ◽  
G Gregory Haff ◽  
Paul Comfort ◽  
Francisco J Amaro-Gahete ◽  
Antonio Torres-González ◽  
...  

The aims of this study were to (I) determine the differences and relationship between the overhead press and split jerk performance in athletes involved in weightlifting training, and (II) explore the magnitude of these differences in one-repetition maximum (1RM) performances between sexes. Sixty-one men (age: 30.4 ± 6.7 years; height: 1.8 ± 0.5 m; body mass 82.5 ± 8.5 kg; weightlifting training experience: 3.7 ± 3.5 yrs) and 21 women (age: 29.5 ± 5.2 yrs; height: 1.7 ± 0.5 m; body mass: 62.6 ± 5.7 kg; weightlifting training experience: 3.0 ± 1.5 yrs) participated. The 1RM performance of the overhead press and split jerk were assessed for all participants, with the overhead press assessed on two occasions to determine between-session reliability. The intraclass correlation coefficients (ICC) and 95% confidence intervals showed a high reliability for the overhead press ICC = 0.98 (0.97 – 0.99). A very strong correlation and significant differences were found between the overhead press and split jerk 1RM performances for all participants (r = 0.90 [0.93 – 0.85], 60.2 ± 18.3 kg, 95.7 ± 29.3 kg, p ≤ 0.001). Men demonstrated stronger correlations between the overhead press and split jerk 1RM performances (r = 0.83 [0.73-0.90], p ≤ 0.001) compared with women (r = 0.56 [0.17-0.80], p = 0.008). These results provide evidence that 1RM performance of the overhead press and split jerk performance are highly related, highlighting the importance of upper-limb strength in the split jerk maximum performance.


2014 ◽  
Vol 104 (6) ◽  
pp. 601-609 ◽  
Author(s):  
Thales R. Souza ◽  
Haroldo L. Fonseca ◽  
Ana Carolina A. Vaz ◽  
Juliana S. Antero ◽  
Cristiano S. Marinho ◽  
...  

Background Detailed description of foot pronation-supination requires multisegment evaluation of the kinematics of the foot-ankle complex. There are noninvasive methods with independent (single) tracking markers attached directly to the skin. However, these methods are inconsistent with the usual rigid segments assumption. In contrast, using clustered markers is compatible with this assumption and is necessary for analyses that need tracking markers to be distant from the foot (eg, shod walking). This study investigated the between-day reliability of a cluster-based method for multisegment analysis of foot-ankle angles related to pronation-supination. Methods Ten healthy adults participated in the study. An anatomically based, three-dimensional model comprising the shank, calcaneus, and forefoot was created. Rigid clusters of tracking markers were used to determine the relative positions and motions of the segments. Mean positions were measured with the subtalar joint in neutral position during standing. Furthermore, mean angles, peaks, and timings of peaks were measured during the stance phase of walking. All of the variables were measured twice, with a 1-week interval. To evaluate reliability, intraclass correlation coefficients were calculated for discrete variables and coefficients of multiple correlation for entire gait curves. Results Intraclass correlation coefficients varied from 0.8 to 0.93 for the angles obtained when the subtalar joint was in neutral and from 0.76 to 0.9 for walking variables. Coefficients of multiple correlation varied from 0.93 to 0.97 for walking curves. Conclusions The method described has good to high reliability and provides a systematic method for multisegment kinematic evaluation of foot-ankle pronation-supination.


2011 ◽  
Vol 8 (1) ◽  
pp. 52-61 ◽  
Author(s):  
Au Bich Thuy ◽  
Leigh Blizzard ◽  
Michael Schmidt ◽  
Costan Magnussen ◽  
Emily Hansen ◽  
...  

Background:Pedometer measurement of physical activity (PA) has been shown to be reliable and valid in industrialized populations, but its applicability in economically developing Vietnam remains untested. This study assessed the feasibility, stability and validity of pedometer estimates of PA in Vietnam.Methods:250 adults from a population-based survey were randomly selected to wear Yamax pedometers and record activities for 7 consecutive days. Stability and concurrent validity were assessed using intraclass correlation coefficients (ICC) and Spearman correlation coefficients.Results:Overall, 97.6% of participants provided at least 1 day of usable recordings, and 76.2% wore pedometers for all 7 days. Only 5.2% of the sample participants were involved in work activities not measurable by pedometer. The number of steps increased with hours of wear. There was no significant difference between weekday and weekend in number of steps, and at least 3 days of recordings were required (ICC of the 3 days of recordings: men 0.96, women 0.97). Steps per hour were moderately correlated (men r = .42, women r = .26) with record estimates of total PA.Conclusions:It is feasible to use pedometers to estimate PA in Vietnam. The measure should involve at least 3 days of recording irrespective of day of the week.


2010 ◽  
Vol 26 (4) ◽  
pp. 407-414 ◽  
Author(s):  
Rebecca E. Fellin ◽  
Kurt Manal ◽  
Irene S. Davis

Researchers conduct gait analyses utilizing both overground and treadmill modes of running. Previous studies comparing these modes analyzed discrete variables. Recently, techniques involving quantitative pattern analysis have assessed kinematic curve similarity in gait. Therefore, the purpose of this study was to compare hip, knee and rearfoot 3-D kinematics between overground and treadmill running using quantitative kinematic curve analysis. Twenty runners ran at 3.35 m/s ± 5% during treadmill and overground conditions while right lower extremity kinematics were recorded. Kinematics of the hip, knee and rearfoot at footstrike and peak were compared using intraclass correlation coefficients. Kinematic curves during stance phase were compared using the trend symmetry method within each subject. The overall average trend symmetry was high, 0.94 (1.0 is perfect symmetry) between running modes. The transverse plane and knee frontal plane exhibited lower similarity (0.86–0.90). Other than a 4.5 degree reduction in rearfoot dorsiflexion at footstrike during treadmill running, all differences were ≤1.5 degrees. 17/18 discrete variables exhibited modest correlations (>0.6) and 8/18 exhibited strong correlations (>0.8). In conclusion, overground and treadmill running kinematic curves were generally similar when averaged across subjects. Although some subjects exhibited differences in transverse plane curves, overall, treadmill running was representative of overground running for most subjects.


Purpose: To investigate stereo acuity of professional athletes in an open (baseball) and closed (golf) skilled sport compared to nonathletes using a new digitized version of the Titmus Stereo Test/Wirt Circles. Additionally, to examine the new test for reliability and validity. Methods: Participants included professional baseball players (PBP; n = 265) and professional women golfers (LPGA; n = 52), and nonathletes (n = 107). All participants were tested on the RightEye Fine Depth Perception (FDP) test and a subset (n = 20) was retested to determine reliability and internal consistency. A different subset (n = 81) was tested for validity comparing the Titmus Stereo Test/Wirt Circles to the RightEye FDP test. Cronbach’s Alpha, intraclass correlation coefficients (ICC) were examined for reliability and ANOVA was conducted to determine convergent validity as well as differences in stereo acuity between groups. Results: Results: The test was revealed to have high reliability and validity, therefore being a good measure of stereo acuity. Furthermore, significant differences (p<.001) between athletes and non-athletes were found. Both PBP and LPGA athletes were significantly different from non-athletes (p<.05). No differences were found between athlete groups. Conclusions: The RightEye FDP test is both reliable and valid and can therefore be used confidently as a measure of static stereo acuity. Elite athletes in open and closed skills show significantly better stereo acuity than non-athletes.


2014 ◽  
Vol 28 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Dominic A. Giuliano ◽  
Marion McGregor

Objective This study combined a learning outcomes-based checklist and salient characteristics derived from wisdom-of-crowds theory to test whether differing groups of judges (diversity maximized versus expertise maximized) would be able to appropriately assess videotaped, manikin-based simulation scenarios. Methods Two groups of 3 judges scored 9 videos of interns managing a simulated cardiac event. The first group had a diverse range of knowledge of simulation procedures, while the second group was more homogeneous in their knowledge and had greater simulation expertise. All judges viewed 3 types of videos (predebriefing, postdebriefing, and 6 month follow-up) in a blinded fashion and provided their scores independently. Intraclass correlation coefficients (ICCs) were used to assess the reliability of judges as related to group membership. Scores from each group of judges were averaged to determine the impact of group on scores. Results Results revealed strong ICCs for both groups of judges (diverse, 0.89; expert, 0.97), with the diverse group of judges having a much wider 95% confidence interval for the ICC. Analysis of variance of the average checklist scores indicated no significant difference between the 2 groups of judges for any of the types of videotapes assessed (F = 0.72, p = .4094). There was, however, a statistically significant difference between the types of videos (F = 14.39, p = .0004), with higher scores at the postdebrief and 6-month follow-up time periods. Conclusions Results obtained in this study provide optimism for assessment procedures in simulation using learning outcomes-based checklists and a small panel of judges.


1998 ◽  
Vol 6 (4) ◽  
pp. 317-326 ◽  
Author(s):  
Johanne Desrosiers ◽  
François Prince ◽  
Annie Rochette ◽  
Michel Raîche

The objectives of this study were to standardize measurement procedures and study the test-retest and interrater reliability of the belt-resisted method for measuring the lower extremity isometric strength of three muscle groups. The strength of 33 healthy, elderly, community-dwelling subjects was evaluated with a hand-held dynamometer using the belt-resisted method. Isometric strength testing of three muscle groups (hip flexors, knee extensors, and ankle dorsiflexors) was performed on two separate occasions, I week apart, by the same tester to determine test-retest reliability. The test results of two different examiners testing on different days were used to determine interrater reliability. Test-retest reliability was higher than interrater reliability. Test-retest reliability coefficients of the three muscle groups were high (J9-.95). For interrater reliability, intraclass correlation coefficients varied from .64 to .92. depending on the muscle group and side. For the two kinds of reliability, intraclass correlation coefficients increased from proximal to distal. The method for the hip muscle group should be modified to increase reliability of the measure.


2003 ◽  
Vol 12 (3) ◽  
pp. 208-220 ◽  
Author(s):  
Tricia J. Hubbard ◽  
John E. Kovaleski ◽  
Thomas W. Kaminski

Context:Measurement reliability is critical when new sports-medicine devices or techniques are developed.Objective:To determine the reliability of laxity measurements obtained from an instrumented ankle arthrometer.Design:Intratester reliability was examined using a test–retest design, and intertester reliability was assessed using the measurements recorded by 2 different examiners on a separate group of participants.Setting:Sports-medicine research laboratory.Participants:40 participants with no history of ankle injury, equally divided across the 2 studies.Measurements:Laxity measurements included anteroposterior (AP) displacement during loading to 125 N. Inversion–eversion (I–E) rotation was tested during loading to 4000 N-mm. The measures were analyzed using intraclass correlation coefficients (ICCs) and dependentttests.Results:Good to excellent ICCs (.80–.99) for intratester and intertester reliability. A significant difference in measures was observed between testers for both AP displacement and I–E rotation.Conclusions:Laxity measurements from an instrumented ankle arthrometer are reliable across test days and examiners


2021 ◽  
Vol 9 (10) ◽  
pp. 232596712110416
Author(s):  
Ben R. Hando ◽  
W. Casan Scott ◽  
Jacob F. Bryant ◽  
Juste N. Tchandja ◽  
Ryan M. Scott ◽  
...  

Background: Markerless motion capture (MMC) systems used to screen for musculoskeletal injury (MSKI) risk have become popular in military and collegiate athletic settings. However, little is known regarding the test-retest reliability or, more importantly, the ability of these systems to accurately identify individuals at risk for MSKI. Purpose: To determine the association between scores from a proprietary MMC movement screen test and the likelihood of suffering a subsequent MSKI and establish the test-retest reliability of the MMC system used. Study Design: Cohort study; Level of evidence, 3. Methods: Trainees for the Air Force Special Warfare program underwent MMC screenings immediately before entering the 8-week training course. MSKI data were extracted from a database for the surveillance period for each trainee. Logistic regression analyses were performed to identify associations between baseline MMC scores and the likelihood of suffering any MSKI or, specifically, a lower extremity MSKI. The test-retest portion of the study collected MMC scores from 10 separate participants performing 4 trials of the standard test procedures. Reliability was assessed using intraclass correlation coefficients by a single rater. Results: Overall, 1570 trainees, of whom 800 (51%) suffered an MSKI, were included in the analysis. MMC scores poorly predicted the likelihood of any or a lower extremity MSKI (odds ratio, 1.01-1.02). Further, receiver operating characteristic curve analyses demonstrated poor sensitivity and specificity for prediction of MSKI with MMC scores (area under the curve = 0.53). Finally, intraclass correlation coefficients from the test-retest analysis of MMC scores ranged from 0.157 to 0.602. Conclusion: This MMC system displayed poor to moderate test-retest reliability and did not demonstrate the ability to discriminate between individuals who were and were not likely to suffer an MSKI.


2010 ◽  
Vol 45 (4) ◽  
pp. 349-356 ◽  
Author(s):  
Roger O. Kollock ◽  
James A. Onate ◽  
Bonnie Van Lunen

Abstract Context: Insufficient lower extremity strength may be a risk factor for lower extremity injuries such as noncontact anterior cruciate ligament tears. Therefore, clinicians need reliable instruments to assess strength deficiencies. Objective: To assess the intrarater, interrater, intrasession, and intersession reliability of a portable fixed dynamometer in measuring the strength of the hip and knee musculature. Design: Crossover study. Setting: Sports medicine research laboratory. Patients or Other Participants: Three raters (A, B, C) participated in this 2-phase study. Raters A and B tested 11 healthy college graduate students (2 men, 9 women) in phase 1. Raters A and C tested 26 healthy college undergraduate students (7 men, 19 women) in phase 2. Main Outcome Measure(s): The dependent variables for the study were hip adductor, hip abductor, hip flexor, hip extensor, hip internal rotator, hip external rotator, knee flexor, and knee extensor peak force. Results: The phase 1 intrasession intraclass correlation coefficients for sessions 1, 2, and 3 ranged from 0.88 to 0.99 (SEM  =  0.08–3.02 N), 0.85 to 0.99 (SEM  =  0.26–3.88 N), and 0.92 to 0.96 (SEM  =  0.52–2.76 N), respectively. Intraclass correlation coefficients ranged from 0.57 to 0.95 (SEM  =  1.72–13.15 N) for phase 1 intersession values, 0.70 to 0.94 (SEM  =  1.42–9.20 N) for phase 2 intrarater reliability values, and 0.69 to 0.88 (SEM  =  1.20–8.50 N) for phase 2 interrater values. Conclusions: The portable fixed dynamometer showed good to high intrasession and intersession reliability values for hip and knee strength. Intrarater and interrater reliability were fair to high, except for hip internal rotation, which showed poor reliability.


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