scholarly journals Interrater and Intrarater Reliability of Cranial Anthropometric Measurements in Infants with Positional Plagiocephaly

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 306
Author(s):  
Iñaki Pastor-Pons ◽  
María Orosia Lucha-López ◽  
Marta Barrau-Lalmolda ◽  
Iñaki Rodes-Pastor ◽  
Ángel Luis Rodríguez-Fernández ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Anthropometric Measurements ◽  
Intrarater Reliability ◽  
Positional Plagiocephaly ◽  
Altman Plot ◽  
Bland Altman Plot ◽  
Cranial Asymmetry

(1) Background: anthropometric measurements with calipers are used to objectify cranial asymmetry in positional plagiocephaly but there is controversy regarding the reliability of different methodologies. Purpose: to analyze the interrater and intrarater reliability of direct anthropometric measurements with caliper on defined craniofacial references in infants with positional plagiocephaly. (2) Methods: 62 subjects (<28 weeks), with a difference of at least 5 mm between cranial diagonal diameters. Maximal cranial circumference, length and width and diagonal cranial diameters were measured. Intrarater (2 measurements) and interrater (2 raters) reliability was analyzed. (3) Results: intra- and interrater reliability of the maximal cranial length and width and right cranial diagonal was excellent: intraclass correlation coefficient (ICC) > 0.9. Intrarater and interrater reliability for the left cranial diagonal was excellent: ICC > 0.9 and difference in agreement in the Bland-Altman plot 0.0 mm, respectively. Intrarater and interrater reliability for the maximal cranial circumference was good: differences in agreement in Bland-Altman plots: intra: −0.03 cm; inter: −0.12 cm. (4) Conclusions: anthropometric measurements in a sample of infants with moderate positional plagiocephaly have shown excellent intra- and interrater reliability for maximal cranial length, maximal cranial width, and right and left cranial diagonals, and good intra- and interrater reliability in maximal cranial circumference measurement.

scholarly journals Intrarater and Interrater Reliability of Infrared Image Analysis of Forearm Acupoints before and after Moxibustion

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Jiali Lou ◽  
Yongliang Jiang ◽  
Hantong Hu ◽  
Xiaoyu Li ◽  
Yajun Zhang ◽  
...  
Keyword(s):  
Image Analysis ◽  
Correlation Coefficient ◽  
Temperature Change ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Infrared Image ◽  
Infrared Images ◽  
Intrarater Reliability ◽  
Before And After

The objective of this study was to determine the intrarater and interrater reliabilities of infrared image analysis of forearm acupoints before and after moxibustion. In this work, infrared images of acupoints in the forearm of 20 volunteers (M/F, 10/10) were collected prior to and after moxibustion by infrared thermography (IRT). Two trained raters performed the analysis of infrared images in two different periods at a one-week interval. The intraclass correlation coefficient (ICC) was calculated to determine the intrarater and interrater reliabilities. With regard to the intrarater reliability, ICC values were between 0.758 and 0.994 (substantial to excellent). For the interrater reliability, ICC values ranged from 0.707 to 0.964 (moderate to excellent). Given that the intrarater and interrater reliability levels show excellent concordance, IRT could be a reliable tool to monitor the temperature change of forearm acupoints induced by moxibustion.

scholarly journals A Comparative Study of the Saltzman and the Modified Long-leg Radiograph for Assessing Hindfoot Alignment

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0003
Author(s):  
Kalpesh Shah ◽  
Kumar Kaushik Dash
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Knee Replacement ◽  
Lower Limb ◽  
Intraclass Correlation ◽  
Limb Length Discrepancy ◽  
Altman Plot ◽  
Linear Distribution ◽  
Hindfoot Alignment ◽  
Bland Altman Plot

Category: Radiology Introduction/Purpose: There is growing evidence suggesting that the alignment of the leg (hip-knee-ankle or HKA axis) should be considered when planning an ankle replacement and alignment of the hindfoot (tibio-calcaneal or TC axis) should be considered when planning a knee replacement. The alignment of the HKA axis is assessed from standard long-leg radiographs, while the hindfoot alignment requires special views like Saltzman’s or Coetzee’s or similar. However we have discovered that by making minor adjustments to the way a standard long-leg radiograph is taken, it is possible to measure both the HKA as well as the TC axis from the same radiograph. The aim of our study was to compare the hindfoot alignment between a Saltzman’s view and the modified long-leg view. Methods: Approval was obtained for a prospective observational study on 65 consecutive patients referred to our hospital for a knee replacement. Patients with multiple joint arthritis, previous lower-limb surgery, or limb length discrepancy requiring shoe- raise were excluded. All patients had a preoperative modified long-leg view as part of our routine for radiographic assessment of a knee replacement; as well as a Saltzman’s view which served as a standard for hindfoot alignment. The long-leg alignment was measured using the standard HKA (hip-knee-ankle) axis, and the alignment of the hindfoot (tibio-calcaneal angle) was measured using the method described by Van Dijk et all. A difference of 3 degrees between the two observations was agreed to be considered as significant. Results were recorded by two Surgeons independently and analysed using the Bland-Altman Plot. The Intraclass Correlation Coefficient was used for inter-observer variation. Results: 48 patients were eligible for the study. The hindfoot angle measured in the modified long-leg view (mean 9.29 degrees, SD 4.26 degrees) was similar to that in the Saltzman’s view (mean 8.99 degrees, SD 4.16 degrees). The Scatter Plot showed a linear distribution, with Spearmann Correlation Coefficient of 0.892. Bland Altman Plot showed the differences in the measurements residing within the agreed difference of 3 degrees. Intraclass Correlation Coefficient was 0.94 for the modified long-leg view and 0.87 for the Saltzman’s view, suggesting excellent interobserver agreement. Conclusion: Our study shows that the position of the hindfoot can be reliably measured from the modified long-leg view, and this removes the need for additional radiographs for hindfoot alignment. As the entire femur, tibia and the hindfoot is accessible in the same long-leg view, this creates a platform for further research in to the mechanical axis of the entire lower limb as opposed to the HKA axis, and the effects of malalignment of the lower extremity in patients undergoing knee or ankle replacements.

scholarly journals Reliability of Measurement of Glenohumeral Internal Rotation, External Rotation, and Total Arc of Motion in 3 Test Positions

2014 ◽  
Vol 49 (5) ◽  
pp. 640-646 ◽  
Author(s):  
Mark A. Kevern ◽  
Michael Beecher ◽  
Smita Rao
Keyword(s):  
Internal Rotation ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
External Rotation ◽  
Intraclass Correlation ◽  
Test Procedure ◽  
Intrarater Reliability ◽  
Testing Procedures ◽  
Test Position

Context: Athletes who participate in throwing and racket sports consistently demonstrate adaptive changes in glenohumeral-joint internal and external rotation in the dominant arm. Measurements of these motions have demonstrated excellent intrarater and poor interrater reliability. Objective: To determine intrarater reliability, interrater reliability, and standard error of measurement for shoulder internal rotation, external rotation, and total arc of motion using an inclinometer in 3 testing procedures in National Collegiate Athletic Association Division I baseball and softball athletes. Design: Cross-sectional study. Setting: Athletic department. Patients or Other Participants Thirty-eight players participated in the study. Shoulder internal rotation, external rotation, and total arc of motion were measured by 2 investigators in 3 test positions. The standard supine position was compared with a side-lying test position, as well as a supine test position without examiner overpressure. Results: Excellent intrarater reliability was noted for all 3 test positions and ranges of motion, with intraclass correlation coefficient values ranging from 0.93 to 0.99. Results for interrater reliability were less favorable. Reliability for internal rotation was highest in the side-lying position (0.68) and reliability for external rotation and total arc was highest in the supine-without-overpressure position (0.774 and 0.713, respectively). The supine-with-overpressure position yielded the lowest interrater reliability results in all positions. The side-lying position had the most consistent results, with very little variation among intraclass correlation coefficient values for the various test positions. Conclusions: The results of our study clearly indicate that the side-lying test procedure is of equal or greater value than the traditional supine-with-overpressure method.

Agreement of body weight of older adults measured on digital chair scale and mechanical platform scale

2021 ◽  
Vol 34 ◽  
Author(s):  
Maria Luiza Freitas ANNES ◽  
Fernanda Beck TABAJARA ◽  
Rosane Dias da ROSA ◽  
Rita MATTIELLO ◽  
Ana Luisa Sant’Anna ALVES ◽  
...  
Keyword(s):  
Older Adults ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Intraclass Correlation ◽  
University Hospital ◽  
Scale Model ◽  
Average Weight ◽  
Altman Plot ◽  
Cross Sectional ◽  
Bland Altman Plot

ABSTRACT Objective The aim of the study was to evaluate the agreement between the weight of older adults measured on a chair scale and a platform scale. Methods This is a cross-sectional study. We evaluated 131 older adults (?60 years old), walk-in patients, admitted to a university hospital. Weight was measured on a digital chair scale model MS5811 (Charder® brand) and after on a mechanical platform scale (Filizola® brand). For the agreement analysis, the intraclass correlation coefficient and the Bland-Altman plot were used. Results Most of the sample consisted of males individuals (57.3%; n= 75). The average age was 70.47±7.59 years (60-96 years old). Measured by both methods, weight showed normal distribution. The average weight measured was 67.99±14.03 kg on the chair scale and 68.04±14.02 kg on the platform scale. The intraclass correlation coefficient of weight measured by the two methods was 1.00 (IC95%=1.00-1.00; p<0.001). In the Bland-Altman plot, the mean bias for the weight measured on the chair scale and the platform scale was 0.049 (IC95%=-0.011 to 0.110; p=0.1084). Conclusions The agreement between the weight measured on a chair scale and on a platform scale was almost excellent. Thus, the chair scale can be used as an alternative method of measuring weight, especially in the older adults with postural instability, mobility restrictions or immobility syndrome.

Assessment of Occupational Functioning for Screening of Patients to Occupational Therapy in General Psychiatric Care

1998 ◽  
Vol 18 (4) ◽  
pp. 193-206 ◽  
Author(s):  
Lena Haglund ◽  
Lars-Hakan Thorell ◽  
Jan Walinder
Keyword(s):  
Occupational Therapy ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Psychiatric Care ◽  
Rating Scale ◽  
Intraclass Correlation ◽  
Case Analysis ◽  
Occupational Therapist ◽  
Swedish Version

A Swedish version of the Occupational Case Analysis Interview and Rating Scale (OCAIRS-S) has been tested earlier for interrater reliability. The present study, using the second version of OCAIRS-S and including a sample of 145 patients, showed interrater correlations between .88 and .96 (Intraclass Correlation Coefficient). The results indicate that OCAIRS-S predicts which patients should be included in and excluded from occupational therapy and identifies patients who should be observed more before making such decisions. The study indicates a need for further investigations regarding which components in OCAIRS-S influence the occupational therapist in judging the patient's need for occupational therapy.

scholarly journals The reliability and validity of goniometric elbow measurements in adults: A systematic review of the literature

2018 ◽  
Vol 10 (4) ◽  
pp. 274-284 ◽  
Author(s):  
Suzanne F van Rijn ◽  
Elisa L Zwerus ◽  
Koen LM Koenraadt ◽  
Wilco CH Jacobs ◽  
Michel PJ van den Bekerom ◽  
...  
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Literature Search ◽  
Meta Analysis ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Diagnostic Reliability ◽  
Measuring Tool ◽  
Simple Measuring

Background The universal goniometer is a simple measuring tool. With this review we aimed to investigate the reliability and validity of the universal goniometer in measurements of the adults' elbow. Methods Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines were followed and our study protocol was published online at PROSPERO. A literature search was conducted on relevant studies. Methodological quality was assessed using the Quality Appraisal of Diagnostic Reliability (QAREL) scoring system. Results Out of 697 studies yielded from our literature search, 12 were included. Six studies were rated as high quality. The intrarater reliability intraclass correlation coefficient ranged from 0.45 to 0.99, the interrater reliability ranged from intraclass correlation coefficient 0.53–0.97. One study providing instructions on goniometric alignment did not find a difference in expert versus non-expert examiners. Another study in which examiners were not instructed found a higher interrater reliability in expert examiners. One study investigating the validity of the goniometer in elbow measurements found a maximum standard error of the mean of 11.5° for total range of motion. Discussion Overall, the studies showed high intra- and interrater reliability of the universal goniometer. The reliability of the universal goniometer in non-expert examiners can be increased by clear instructions on goniometric alignment.

Reliability and Fall-Risk Predictability of the Short Form of the Fullerton Advanced Balance Scale in Iranian Older Adults

2021 ◽  
pp. 1-8
Author(s):  
Ehsan Sinaei ◽  
Debra J. Rose ◽  
Samira Javadpour ◽  
Amin Kordi Yoosefinejad
Keyword(s):  
Older Adults ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Short Form ◽  
Intraclass Correlation ◽  
Community Dwelling ◽  
Intrarater Reliability ◽  
Falls In Older Adults ◽  
Community Dwelling Older Adults ◽  
Acceptable Internal Consistency

Recently, a short form of the Fullerton Advanced Balance (SF-FAB) scale was reported as a good predictor of falls in older adults. However, we found no evidence regarding its reliability in non-American older adults. Therefore, we aimed to analyze the reliability and homogeneity of the SF-FAB scale to measure postural balance in Iranian older adults. Eighty-five community-dwelling older adults (70.75 ± 4.97 years) performed the SF-FAB test on two occasions 1 week apart. In both instances, four raters assessed the performance on the test. The SF-FAB scale (mean total score: 12.46 ± 3.53) revealed acceptable internal consistency (Cronbach’s α = .77), excellent intrarater reliability (intraclass correlation coefficient = .94–.99), and excellent interrater reliability (intraclass correlation coefficient = .92–.99). The overall prediction success rate was 83.5% with correctly classifying 95.6% of nonfallers and 35.3% of fallers. The SF-FAB scale can provide a quick screen of balance status in older adults to trigger referral to clinicians for a more comprehensive assessment.

Interrater Reliability of Muscle Ultrasonography Image Acquisition by Physical Therapists in Patients Who Have or Who Survived Critical Illness

2020 ◽  
Vol 100 (9) ◽  
pp. 1701-1711 ◽  
Author(s):  
Kirby P Mayer ◽  
Sanjay Dhar ◽  
Evan Cassity ◽  
Aaron Denham ◽  
Johnny England ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Image Acquisition ◽  
Intraclass Correlation

Abstract Objective Previous studies have demonstrated that muscle ultrasound (US) can be reliably performed at the patient bedside by novice assessors with minimal training. The primary objective of this study was to determine the interrater reliability of muscle US image acquisition by physical therapists and physical therapist students. Secondarily, this study was designed to elucidate the process for training physical therapists to perform peripheral skeletal muscle US. Methods This was a cross-sectional observational study. Four novices and 1 expert participated in the study. Novice sonographers engaged in a structured training program prior to implementation. US images were obtained on the biceps brachii, quadriceps femoris, and tibialis anterior muscles in 3 groups: patients in the intensive care unit, patients on the hospital ward, and participants in the outpatient gym who were healthy. Reliability of image acquisition was analyzed compared with the expert sonographer. Results Intraclass correlation coefficient values ranged from 0.76 to 0.97 with an average for all raters and all muscles of 0.903, indicating excellent reliability of image acquisition. In general, the experienced physical therapist had higher or similar intraclass correlation coefficient values compared with the physical therapist students in relation to the expert sonographer. Conclusions Excellent interrater reliability for US was observed regardless of the level of experience, severity of patient illness, or patient setting. These findings indicate that the use of muscle US by physical therapists can accurately capture reliable images in patients with a range of illness severity and different clinical practice settings across the continuum of care. Impact Physical therapists can utilize US to obtain images to assess muscle morphology. Lay Summary Physical therapists can use noninvasive US as an imaging tool to assess the size and quality of peripheral skeletal muscle. This study demonstrates that physical therapists can receive training to reliably obtain muscle images in patients admitted to the intensive care unit who may be at risk for muscle wasting and may benefit from early rehabilitation.

Measurement of Foot Dorsiflexion

2004 ◽  
Vol 94 (6) ◽  
pp. 573-577 ◽  
Author(s):  
Rolf Scharfbillig ◽  
Sheila D. Scutter
Keyword(s):  
Correlation Coefficient ◽  
Ankle Joint ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Adolescent Population ◽  
Ankle Joint Dorsiflexion

The Lidcombe template was introduced in 1991 for the nonweightbearing assessment of ankle joint dorsiflexion, and it has shown excellent reliability in impaired and unimpaired adult populations. We discuss limitations of the original template and test the reliability of a modified apparatus in an adolescent population. Intrarater and interrater reliability were assessed for 14 children (28 limbs) aged 7 to 14 years, returning intraclass correlation coefficient (1,1) results of greater than 0.99 for both aspects of reliability. (J Am Podiatr Med Assoc 94(6): 573–577, 2004)

scholarly journals Brazilian version of the Functional Gait Assessment: translation, reliability, and validity for use on stroke patients

2021 ◽  
Vol 29 ◽  
pp. 1-22
Author(s):  
Paulo Fonseca ◽  
Kelven Antonio Da Silva ◽  
Vanessa Donato do Vale ◽  
Claudia Santos Oliveira ◽  
Vera Lúcia Dos Santos Alves
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Interrater Reliability ◽  
Walking Speed ◽  
Intraclass Correlation ◽  
Stroke Survivors ◽  
Stroke Patients ◽  
Fast Walking ◽  
Brazilian Version ◽  
Functional Gait

Objective. Translate and adapt the Functional Gait Assessment (FGA) to Brazilian Portuguese as a measure of balance during gait in stroke patients and determine its validity and reliability based on evidence of its measurement properties. Method. A convenience sample of 45 stroke survivors (average of seven months since diagnosis) was included (mean age: 55 years; 51% women). The instrument under consideration was translated and back-translated. The performance of the FGA was assessed by two raters to determine intrarater and interrater reliability. Concurrent and discriminant validity were investigated using the Berg Balance Scale (BBS) as well as normal and fast walking speed. Results. No difficulties with the translation were found during the application of the tests. Therefore, no structural or conceptual changes to the translated version were needed to achieve cultural equivalence. Intrarater (intraclass correlation coefficient=0.93) and interrater reliability (intraclass correlation coefficient=0.90) were almost perfect for the total scores. The reliability of single items was also strong, ranging from 0.74 to 0.95. Concurrent validity with other measures of gait and balance was moderate to substantial. The FGA was correlated (p<0.001) with the BBS (0.71), normal walking speed (0.66), and fast walking speed (0.70). Conclusion. The Brazilian version of the FGA is a reliable, valid instrument for assessing functional gait performance in stroke survivors.

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