Reliability, standard error of measurement, and minimal detectable change of the star excursion balance test in children with cerebral palsy

2020 ◽  
Vol 33 (6) ◽  
pp. 909-912
Author(s):  
Do-Hyun Kim ◽  
Duk-Hyun An ◽  
Won-Gyu Yoo
Keyword(s):  
Cerebral Palsy ◽  
Standard Error ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Balance Test ◽  
Rater Reliability ◽  
Children With Cerebral Palsy ◽  
Star Excursion Balance Test ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

OBJECTIVE: The present study aimed to estimate the reliability, standard error of measurement (SEM), and minimum detectable change (MDC) of the star excursion balance test (SEBT) in children with cerebral palsy (CP). METHODS: Eight children with CP (five boys and three girls, sixteen legs) participated in this study. Each child carried out the SEBT and was assessed by two examiners. To determine intra-rater reliability, the intra-class correlation coefficient (ICC) model (3, 3) was calculated. To determine the inter-rater reliability, the ICC model (2, 3) was computed. RESULTS: In terms of the intra-rater reliability of the SEBT, the ICC varied from 0.98 to 0.99 and the total ICC score was 0.99 (p< 0.001). For the inter-rater reliability, the ICC varied from 0.98 to 1.00 and the total ICC score was 0.99 (p< 0.001). The SEBT had an SEM of 2.63 and an MDC of 7.31. CONCLUSION: The SEBT is not only reliable with a small SEM, but is also a simple and cheap assessment of dynamic balance in children with CP.

scholarly journals Reliability of a Smartphone Goniometric Application in the Measurement of Hip Range of Motion Among Experienced and Novice Clinicians

2020 ◽  
pp. 1-4
Author(s):  
Enda Whyte ◽  
Tiarnán O. Doinn ◽  
Miriam Downey ◽  
Siobhán O’Connor
Keyword(s):  
Confidence Interval ◽  
Range Of Motion ◽  
Standard Error ◽  
External Rotation ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Hip Range Of Motion ◽  
Goniometric Measurements ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Context: Deficits in the hip range of motion are associated with hip and groin injuries. Accurate and reliable goniometric measurements are important in identifying those at risk of injury and determining the efficacy of treatment interventions. Smartphone goniometric applications are regularly used to assess joint ranges of motion; however, there is limited knowledge on the reliability of this method in relation to the hip, particularly between clinicians with different levels of experience. Objective: To determine the intratester and intertester reliability of a smartphone clinometer application for the assessment of hip goniometric measurements in healthy volunteers by an experienced and novice clinician. Design: Reliability study. Setting: University Athletic Therapy facility. Participants: Physically active, university students. Main Outcome Measures: The study determined the intra- and intertester (experienced vs novice clinician) reliability of goniometric measurements of the hip joint (modified Thomas test and seated hip internal and external rotation) using a smartphone goniometric application. Intraclass correlation coefficients (ICCs), standard error of measurement, and minimal detectable change at a 95% confidence interval were used to assess reliability. Results: Goniometric measurements demonstrated good to excellent relative intratester reliability for the modified Thomas test (ICC = .94), external rotation (ICC = .93–.95), and internal rotation (ICC = .80–.81). Intertester reliability for expert and novice clinicians was also excellent for the modified Thomas test (ICC = .98), external rotation (ICC = .95), and internal rotation (ICC = .92). Intratester and intertester standard error of measurement and minimal detectable change at 95% confidence interval values were similar for both testers and ranged from 1.9° to 3.6° and 5° to 10.1° and from 1.1° to 2.3° and 2.9° to 6.5°, respectively. Conclusion: Smartphone-based goniometric measurements of hip range of motion have high intratester and intertester reliability for novice and expert clinicians. It may be a useful, simple, and inexpensive resource for clinicians.

Cross-cultural adaptation and measurement properties of the Patient-Rated Tennis Elbow Evaluation for the Persian language

Hand Therapy ◽  
2020 ◽  
Vol 25 (2) ◽  
pp. 56-62 ◽  
Author(s):  
Erfan Shafiee ◽  
Maryam Farzad ◽  
Joy Macdermid ◽  
Amirreza Smaeel Beygi ◽  
Atefeh Vafaei ◽  
...  
Keyword(s):  
Standard Error ◽  
Cultural Adaptation ◽  
Convergent Validity ◽  
Tennis Elbow ◽  
Cross Cultural ◽  
Detectable Change ◽  
Cross Cultural Adaptation ◽  
Minimum Detectable Change ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Introduction The Patient-Rated Tennis Elbow Evaluation (PRTEE) questionnaire is a tool designed for self-assessment of forearm pain and disability in patients with tennis elbow. The aims of this study were to translate and cross-culturally adapt the PRTEE questionnaire into Persian and evaluate its reliability and construct validity. Methods The PRTEE questionnaire was translated into and cross-culturally adapted to Persian in 90 consecutive patients with tennis elbow, according to well-established guidelines. Reliability was tested by means of test–retest and internal consistency. The measurement error was measured by calculating the standard error of measurement. Based on the standard error of measurement, the minimum detectable change was calculated. To evaluate construct and convergent validity, correlation with the PRTEE with the Disabilities of the Arm, Shoulder and Hand questionnaire and Visual analogue scale was used. Results In the process of cross-cultural adaptation, two items (6 and 8) were modified. In item 6, the term “door knob” was changed to “turn a key”, and in the item 8, “cup of coffee” was changed to “cup of milk”. Item-total correlations were greater than 0.55 (ranged from 0.55 to 0.76), internal consistency was high (Cronbach’s alpha, 0.94) and a high intraclass correlation coefficient (0.98) indicated excellent reliability of the P-PRTEE. The standard error of measurement and minimum detectable change were 5.40 and 14.24, respectively. The Persian version of the PRTEE questionnaire (P-PRTEE) shows strong construct and convergent validity ( r values = 0.85, p < 0.05). Conclusions The P-PRTEE is valid and reliable in assessing disability and pain in Persian patients with tennis elbow. The excellent psychometric properties of the P-PRTEE endorse the use of this questionnaire in clinical settings.

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