Validity and Reliability of the WIMUTM Inertial Device for the Assessment of Joint Angulations

Range of motion measurement is fundamental in the physical examination and functional evaluation of different joints. WIMUTM is an inertial device that allows the analysis of joint motion easily in real time. This study had a two-fold goal: (i) to evaluate the validity of WIMUTM on the measurement of different angle positions, compared with a standard goniometer and 2D video-based motion analysis software; and (ii) to evaluate the use of WIMUTM in the assessment of angulations in a joint, specifically assessing the validity and reliability of WIMUTM on the measurement of ankle dorsiflexion, compared to a standard goniometer and Kinovea. The intraclass correlation coefficient and Pearson´s correlation coefficient (r) were performed to calculate the concurrent validity, and Bland-Altman plots were performed to analyze agreement between measures. For the analysis of reliability, both relative and absolute indices were used. The results showed excellent validity and reliability of WIMUTM in the assessment of angle positions and ankle dorsiflexion. The current findings conclude that WIMUTM is a valid and reliable instrument to measure angle and joint motions. In short, WIMUTM provides a new clinical and sportive method of angle measurement.

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Reliability and Validity of the ONAPS Physical Activity Questionnaire in Assessing Physical Activity and Sedentary Behavior in French Adults

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115643 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5643

Author(s):

Marc Charles ◽

David Thivel ◽

Julien Verney ◽

Laurie Isacco ◽

Pauliina Husu ◽

...

Keyword(s):

Physical Activity ◽

Correlation Coefficient ◽

Concurrent Validity ◽

Intraclass Correlation ◽

Criterion Validity ◽

Sedentary Behaviors ◽

Validity And Reliability ◽

Good Reliability ◽

Physical Activity Questionnaire ◽

Activity Questionnaire

This study was conducted to assess the validity and reliability of a new questionnaire, the ONAPS-PAQ, developed to assess physical activity (PA) and sedentary behaviors (SB) in the general population. A total of 137 healthy adults aged 18 to 69 years were included. Following completion of two physical activity questionnaires (ONAPS-PAQ and GPAQ, the Global physical activity questionnaire) to study concurrent validity, participants wore an accelerometer (UKK-RM42) for 7 days to study criterion validity. A subsample (n = 36) also completed a 7-day-interval test–retest protocol to assess its reliability. Reliability was tested by the intraclass correlation coefficient (ICC) and Kappa coefficient; concurrent and criterion validity by the Spearman correlation coefficient (ρ) and Bland-Altman plot analyses. The ONAPS-PAQ showed good reliability (ICC = 0.71–0.98; Kappa = 0.61–0.99) and concurrent validity (ρ = 0.56–0.86), but only poor criterion validity (ρ = 0.26–0.41), and wide limits of agreement. Self-reported and accelerometer-measured SB were better correlated with ONAPS-PAQ than GPAQ (0.41 vs. 0.26, respectively) and medians were comparable, whereas the GPAQ underestimated SB (SBacc = 481 (432–566), SBONAPS = 480 (360–652), SBGPAQ = 360 (240–540) min·day−1; median (q1-q3)). The ONAPS-PAQ provides good reliability and acceptable validity for the measurement of PA and SB and seems to provide a better assessment of SB than GPAQ.

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Validity and reliability of a new ankle dorsiflexion measurement device

Prosthetics and Orthotics International ◽

10.1177/0309364612465886 ◽

2012 ◽

Vol 37 (4) ◽

pp. 289-297 ◽

Cited By ~ 19

Author(s):

Alfred Gatt ◽

Nachiappan Chockalingam

Keyword(s):

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Ankle Dorsiflexion ◽

Reliability Testing ◽

Validity And Reliability ◽

Measurement Device ◽

Rater Reliability ◽

Measuring Device ◽

New Device

Background: The assessment of the maximum ankle dorsiflexion angle is an important clinical examination procedure. Evidence shows that the traditional goniometer is highly unreliable, and various designs of goniometers to measure the maximum ankle dorsiflexion angle rely on the application of a known force to obtain reliable results. Hence, an innovative ankle dorsiflexion measurement device was designed to make this measurement more reliable by holding the foot in a selected posture without the application of a known moment. Objectives: To report on the comprehensive validity and reliability testing carried out on the new device. Methods: Following validity testing, four different trials to test reliability of the ankle dorsiflexion measurement device were performed. These trials included inter-rater and intra-rater testings with a controlled moment, intra-rater reliability testing with knees flexed and extended without a controlled moment, intra-rater testing with a patient population, and inter-rater reliability testing between four raters of varying experience without controlling moment. All raters were blinded. Study Design: A series of trials to test intra-rater and inter-rater reliabilities. Results: Intra-rater reliability intraclass correlation coefficient was 0.98 and inter-rater reliability intraclass correlation coefficient (2,1) was 0.953 with a controlled moment. With uncontrolled moment, very high reliability for intra-tester was also achieved (intraclass correlation coefficient = 0.94 with knees extended and intraclass correlation coefficient = 0.95 with knees flexed). For the trial investigating test–retest reliability with actual patients, intraclass correlation coefficient of 0.99 was obtained. In the trial investigating four different raters with uncontrolled moment, intraclass correlation coefficient of 0.91 was achieved. Conclusions: The new ankle dorsiflexion measurement device is a valid and reliable device for measuring ankle dorsiflexion in both healthy subjects and patients, with both controlled and uncontrolled moments, even by multiple raters of varying experience when the foot is dorsiflexed to its end of range of motion. Clinical relevance An ankle dorsiflexion measuring device has been designed to increase the reliability of ankle dorsiflexion measurement and replace the traditional goniometer. While the majority of similar devices rely on application of a known moment to perform this measurement, it has been shown that this is not required with the new ankle dorsiflexion measurement device and, rather, foot posture should be taken into consideration as this affects the maximum ankle dorsiflexion angle.

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Development and validation of a questionnaire measuring knowledge, attitudes, and practices (KAP) to healthy eating and activity patterns in school children (HEAPS)

Nutrition and Health ◽

10.1177/0260106020982356 ◽

2021 ◽

pp. 026010602098235 ◽

Cited By ~ 1

Author(s):

Panchali Moitra ◽

Preeti Verma ◽

Jagmeet Madan

Keyword(s):

Correlation Coefficient ◽

Healthy Eating ◽

School Children ◽

Content Validity ◽

Activity Patterns ◽

Intraclass Correlation ◽

Validity And Reliability ◽

Attitudes And Practices ◽

Item Content ◽

Knowledge Attitudes And Practices

Background: Development of culturally appropriate and psychometrically sound instruments that measure knowledge and health behaviors of children will help to inform appropriate interventions. Aim: To develop and test the validity and reliability of a questionnaire measuring knowledge, attitudes, and practices to healthy eating and activity patterns in school children in India. Methods: Review of literature, focus-group discussions, and theoretical constructs of the Health Belief Model guided the development of an item pool. Face and content validity were assessed by children and a panel of experts and the item content validity, item difficulty, and discrimination indices were calculated. Construct validity was determined using the principal axis method of exploratory factor analysis among a cross-sectional sample of children ( n=252). Internal consistency (Cronbach α values >0.7) and test-retest reliability (intraclass correlation coefficient values >0.75) were estimated. Results: Item content validity index for clarity and relevance were satisfactory (>0.80) and internal consistency for knowledge (Kuder-Richardson 20 = 0.832), attitude (Cronbach’s α = 0.912), and practice items (Cronbach’s α = 0.769) were good. Four factors (children’s eating habits, family dietary practices, and consumption of healthy and unhealthy foods) and two factors (moderate to vigorous activities and sedentary activities) explained 67.7% and 48.2% of the total variance in practice items. Intraclass correlation coefficient estimates ranged from good to excellent (0.72–0.99). Conclusions: The results of the validity and reliability of the 84-item knowledge, attitudes, and practices to healthy eating and activity patterns in schoolchildren questionnaire were promising. The detailed description of the methodology employed may prove useful to researchers conducting similar studies in children.

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A study of the validity and reliability of the Brazilian version of the Body Shape Questionnaire (BSQ) among adolescents

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/s1519-38292009000300012 ◽

2009 ◽

Vol 9 (3) ◽

pp. 331-338 ◽

Cited By ~ 82

Author(s):

Maria Aparecida Conti ◽

Táki Athanássios Cordás ◽

Maria do Rosário Dias de Oliveira Latorre

Keyword(s):

Body Image ◽

Nutritional Status ◽

Correlation Coefficient ◽

Internal Consistency ◽

Body Shape ◽

Discriminant Validity ◽

Total Population ◽

Intraclass Correlation ◽

The Body ◽

Validity And Reliability

OBJECTIVES: to produce evidence of the validity and reliability of the Body Shape Questionnaire (BSQ) - a tool for measuring an individual's attitude towards his or her body image. METHODS: the study covered 386 young people of both sexes aged between 10 and 18 from a private school and used self-applied questionnaires and anthropometric evaluation. It evaluated the internal consistency, the discriminant validity for differences from the means, according to nutritional status (underweight, eutrophic, overweight and obese), the concurrent validity by way of Spearman's correlation coefficient between the scale and the Body Mass Index (BMI), the waist-hip circumference ratio (WHR) and the waist circumference (WC). Reliability was tested using Wilcoxon's Test, the intraclass correlation coefficient and the Bland-Altman figures. RESULTS: the BSQ displayed good internal consistency (±=0.96) and was capable of discriminating among the total population, boys and girls, according to nutritional status (p<0.001). It correlated with the BMI (r=0.41; p<0.001), WHR (r=-0.10; p=0.043) and WC (r=0.24; p<0.001) and its reliability was confirmed by intraclass correlation (r=0.91; p<0.001) for the total population. The questionnaire was easy to understand and could be completed quickly. CONCLUSIONS: the BSQ presented good results, thereby providing evidence of its validity and reliability. It is therefore recommended for evaluation of body image attitudes among adolescents.

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Translation and Cross-Cultural Adaptation of the Persian Version of Minnesota Living With Heart Failure Questionnaire (MLHFQ)

ACTA MEDICA IRANICA ◽

10.18502/acta.v57i7.2330 ◽

2020 ◽

Author(s):

Behrouz Attarbashi Moghadam ◽

Hasan Tamartash ◽

Sara Fereydunnia ◽

Mahdieh Ravand

Keyword(s):

Heart Failure ◽

Correlation Coefficient ◽

Short Form ◽

Intraclass Correlation ◽

Validity And Reliability ◽

Cronbach’S Alpha ◽

Cronbach's Alpha ◽

Persian Version ◽

Sf 36 ◽

Heart Failure Questionnaire

The Minnesota Living with Heart Failure Questionnaire (MLHFQ) has been developed to measure health-related quality of life (HRQoL) status of Heart Failure (HF) patients. The aim of this study was to translate MLHFQ into the Persian version and assess the validity and reliability of the translated version. We used a forward-backward procedure for translation. In a cross-sectional study, 105 HF patients and 50 healthy subjects were selected to assess the reliability and construct validity of the instrument. The face and content validity were used to assess the questionnaire validity. Validity was examined on the HF patients group, using the Persian version of the Short form-36 health survey (SF-36) Questionnaire. In order to assess the questionnaire’s reliability, the Intraclass correlation coefficient (ICC) and Cronbach’s alpha were calculated. Test-retest reliability was examined by re-administering the MLHFQ after 2 weeks. Test-retest results demonstrated that the Persian version has excellent reliability (ICC for all 2 domains were higher than 0.91, P≤0.000). Internal consistency for Physical domain (PD), emotional domain (ED) and total scores using Cronbach’s alpha were 0.90, 0.84 and 0.92, respectively. ICC for PD, ED and total scores were 0.95, 0.94, and 0.97, respectively. Good and very good Pearson's Correlation Coefficient was seen between MLHFQ and SF-36 (r= -0.47 to -0.775, P≤0.000 for PD; r= -0.47 to -0.65, P≤0.000 for ED). The Persian version of the MLHFQ had satisfactory reliability and validity for assessing HRQoL status of Iranian HF patients. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(7):435-441.

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Concurrent validity and reliability of an iPhone app for the measurement of ankle dorsiflexion and inter-limb asymmetries

Journal of Sports Sciences ◽

10.1080/02640414.2018.1494908 ◽

2018 ◽

Vol 37 (3) ◽

pp. 249-253 ◽

Cited By ~ 7

Author(s):

Carlos Balsalobre-Fernández ◽

Natalia Romero-Franco ◽

Pedro Jiménez-Reyes

Keyword(s):

Concurrent Validity ◽

Ankle Dorsiflexion ◽

Validity And Reliability

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Validity and Reliability of 2-Dimensional Video-Based Assessment to Analyze Foot Strike Pattern and Step Rate During Running: A Systematic Review

Sports Health A Multidisciplinary Approach ◽

10.1177/1941738119844795 ◽

2019 ◽

Vol 11 (5) ◽

pp. 409-415 ◽

Cited By ~ 2

Author(s):

Fábio Carlos Lucas de Oliveira ◽

Anny Fredette ◽

Sherezada Ochoa Echeverría ◽

Charles Sebiyo Batcho ◽

Jean-Sébastien Roy

Keyword(s):

Systematic Review ◽

Concurrent Validity ◽

Data Extraction ◽

Intraclass Correlation ◽

Reliability And Validity ◽

Validity And Reliability ◽

Level Of Evidence ◽

Step Rate ◽

Cosmin Checklist ◽

Foot Strike

Context: Two-dimensional (2D) video-based analysis is often used by clinicians to examine the foot strike pattern (FSP) and step rate in runners. Reliability and validity of 2D video-based analysis have been questioned. Objective: To synthesize the psychometric properties of 2D video-based analysis for assessing runners’ FSP and step rate while running. Data Sources: Medline/PubMed, Science Direct, Embase, EBSCOHost/CINAHL, and Scielo were searched from their inception to August 2018. Study Selection: Studies were included if (1) they were published in English, French, Portuguese or Spanish; (2) they reported at least 1 psychometric property (validity and/or reliability) of 2D video-based analysis to assess running kinematics; and (3) they assessed FSP or step rate during running. Study Design: Systematic review. Level of Evidence: Level 2. Data Extraction: Studies were screened for methodological (MacDermid checklist) and psychometric quality (COSMIN checklist) by 2 independent raters. Results: Eight studies, with a total of 702 participants, were included. Seven studies evaluated the reliability of 2D video to assess FSP and found very good to excellent reliability (0.41 ≤ κ ≤ 1.00). Two studies reported excellent reliability for the calculation of step rate (0.75 ≤ intraclass correlation coefficient [ICC] ≤ 1.00). One study demonstrated excellent concurrent validity between 2D and 3D (gold standard) motion capture systems to determine FSP (Gwet agreement coefficient [AC] > 0.90; ICC > 0.90), and another study found excellent concurrent validity between 2D video and another device to calculate step rate (0.84 ≤ ICC ≤ 0.95). Conclusion: Strong evidence suggests that 2D video-based analysis is a reliable method for assessing FSP and quantifying step rate, regardless of the experience of the assessor. Limited evidence exists on the validity of 2D video-based analysis in determining FSP and calculating step rate during running.

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Validity and Reliability of Nintendo Wii Fit Balance Scores

Journal of Athletic Training ◽

10.4085/1062-6050-47.3.16 ◽

2012 ◽

Vol 47 (3) ◽

pp. 306-313 ◽

Cited By ~ 37

Author(s):

Erik A. Wikstrom

Keyword(s):

Sports Medicine ◽

Concurrent Validity ◽

Center Of Pressure ◽

Intraclass Correlation ◽

Lower Extremity Injury ◽

Validity And Reliability ◽

Nintendo Wii ◽

Balance Test ◽

Medicine Research ◽

Wii Fit

Context:Interactive gaming systems have the potential to help rehabilitate patients with musculoskeletal conditions. The Nintendo Wii Balance Board, which is part of the Wii Fit game, could be an effective tool to monitor progress during rehabilitation because the board and game can provide objective measures of balance. However, the validity and reliability of Wii Fit balance scores remain unknown.Objective:To determine the concurrent validity of balance scores produced by the Wii Fit game and the intrasession and intersession reliability of Wii Fit balance scores.Design:Descriptive laboratory study.Setting:Sports medicine research laboratory.Patients or Other Participants:Forty-five recreationally active participants (age = 27.0 ± 9.8 years, height = 170.9 ± 9.2 cm, mass = 72.4 ± 11.8 kg) with a heterogeneous history of lower extremity injury.Intervention(s):Participants completed a single-limb–stance task on a force plate and the Star Excursion Balance Test (SEBT) during the first test session. Twelve Wii Fit balance activities were completed during 2 test sessions separated by 1 week.Main Outcome Measure(s):Postural sway in the anteroposterior (AP) and mediolateral (ML) directions and the AP, ML, and resultant center-of-pressure (COP) excursions were calculated from the single-limb stance. The normalized reach distance was recorded for the anterior, posteromedial, and posterolateral directions of the SEBT. Wii Fit balance scores that the game software generated also were recorded.Results:All 96 of the calculated correlation coefficients among Wii Fit activity outcomes and established balance outcomes were interpreted as poor (r < 0.50). Intrasession reliability for Wii Fit balance activity scores ranged from good (intraclass correlation coefficient [ICC] = 0.80) to poor (ICC = 0.39), with 8 activities having poor intrasession reliability. Similarly, 11 of the 12 Wii Fit balance activity scores demonstrated poor intersession reliability, with scores ranging from fair (ICC = 0.74) to poor (ICC = 0.29).Conclusions:Wii Fit balance activity scores had poor concurrent validity relative to COP outcomes and SEBT reach distances. In addition, the included Wii Fit balance activity scores generally had poor intrasession and intersession reliability.

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Gait Asymmetry Post-Stroke: Determining Valid and Reliable Methods Using a Single Accelerometer Located on the Trunk

Sensors ◽

10.3390/s20010037 ◽

2019 ◽

Vol 20 (1) ◽

pp. 37 ◽

Cited By ~ 5

Author(s):

Christopher Buckley ◽

M. Encarna Micó-Amigo ◽

Michael Dunne-Willows ◽

Alan Godfrey ◽

Aodhán Hickey ◽

...

Keyword(s):

Concurrent Validity ◽

Intraclass Correlation ◽

Future Research ◽

Validity And Reliability ◽

Gait Symmetry ◽

Retest Reliability ◽

Post Stroke ◽

Gait Asymmetry ◽

Test Retest Reliability ◽

Cardinal Symptom

Asymmetry is a cardinal symptom of gait post-stroke that is targeted during rehabilitation. Technological developments have allowed accelerometers to be a feasible tool to provide digital gait variables. Many acceleration-derived variables are proposed to measure gait asymmetry. Despite a need for accurate calculation, no consensus exists for what is the most valid and reliable variable. Using an instrumented walkway (GaitRite) as the reference standard, this study compared the validity and reliability of multiple acceleration-derived asymmetry variables. Twenty-five post-stroke participants performed repeated walks over GaitRite whilst wearing a tri-axial accelerometer (Axivity AX3) on their lower back, on two occasions, one week apart. Harmonic ratio, autocorrelation, gait symmetry index, phase plots, acceleration, and jerk root mean square were calculated from the acceleration signals. Test–retest reliability was calculated, and concurrent validity was estimated by comparison with GaitRite. The strongest concurrent validity was obtained from step regularity from the vertical signal, which also recorded excellent test–retest reliability (Spearman’s rank correlation coefficients (rho) = 0.87 and Intraclass correlation coefficient (ICC21) = 0.98, respectively). Future research should test the responsiveness of this and other step asymmetry variables to quantify change during recovery and the effect of rehabilitative interventions for consideration as digital biomarkers to quantify gait asymmetry.

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Concurrent Validity and Reliability of My Jump 2 App for Measuring Vertical Jump Height in Recreationally Active Adults

Applied Sciences ◽

10.3390/app10113805 ◽

2020 ◽

Vol 10 (11) ◽

pp. 3805 ◽

Cited By ~ 1

Author(s):

Špela Bogataj ◽

Maja Pajek ◽

Slobodan Andrašić ◽

Nebojša Trajković

Keyword(s):

Concurrent Validity ◽

Female Athletes ◽

Vertical Jump ◽

Intraclass Correlation ◽

Jump Height ◽

Validity And Reliability ◽

Retest Reliability ◽

Study Results ◽

Test Retest Reliability ◽

Active Adults

This study aimed to examine the reliability, validity, and usefulness of the smartphone-based application, My Jump 2, against Optojump in recreationally active adults. Participants (18 women, 28.9 ± 5.6 years, and 26 men, 30.1 ± 10.6 years) completed squat jumps (SJ), counter-movement jumps (CMJ), and CMJ with arm swing (CMJAS) on Optojump and were simultaneously recorded using My Jump 2. To evaluate concurrent validity, jump height, calculated from flight time attained from each device, was compared for each jump type. Test-retest reliability was determined by replicating data analysis of My Jump 2 recordings on two occasions separated by two weeks. High test-retest reliability (Intraclass correlation coefficient (ICC) > 0.93) was observed for all measures in both male and female athletes. Very large correlations were observed between the My Jump 2 app and Optojump for SJ (r = 0.95, p = 0.001), CMJ (r = 0.98, p = 0.001), and CMJAS (r = 0.98, p = 0.001) in male athletes. Similar results were obtained for female recreational athletes for all jumps (r > 0.94, p = 0.001). The study results suggest that My Jump 2 is a valid, reliable, and useful tool for measuring vertical jump in recreationally active adults. Therefore, due to its simplicity and practicality, it can be used by practitioners, coaches, and recreationally-active adults to measure vertical jump performance with a simple test as SJ, CMJ, and CMJAS.

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