Interrater Reliability of a Novel Goniometric Technique to Measure Scapular Protraction and Retraction

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500032p1-7512500032p1
Author(s):  
Nathan Short ◽  
Michelle Mays ◽  
Abigail Baist ◽  
Anthony Clifton ◽  
Adam Horty ◽  
...  

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This study describes the interrater reliability of a novel goniometric technique to measure scapular protraction and retraction. Measurements obtained by two experienced OTs demonstrated a standard error of measure of less than 4 degrees using this technique on a healthy sample of adults (N = 80). This technique may offer a more reliable method to assess scapular mobility as an essential motor component of occupational performance. Primary Author and Speaker: Nathan Short Additional Authors and Speakers: Michelle Mays, Abigail Baist, Anthony Clifton, Adam Horty, Micaela Kosty, Courtney Olson, and Riddhi Patel Contributing Authors: Thomas Almonreoder

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500012p1-7512500012p1
Author(s):  
Amy Armstrong-Heimsoth ◽  
Rachel Reed ◽  
Samantha Grant ◽  
Jodi Thomas ◽  
Roy St. Laurent

Abstract Date Presented 04/13/21 This study assesses reliability and accuracy of the Head Control Scale (HCS) when used by inexperienced raters. Physical therapy and OT students used the HCS to rate five videotaped pediatric subjects. The kappa coefficient for interrater reliability among students was "almost perfect" (>.80). In one subscale, when comparing student raters with clinicians, there was strong agreement in grading between each group. The HCS may be consistently used by both new and experienced raters. Primary Author and Speaker: Amy Armstrong-Heimsoth Additional Authors and Speakers: Emily Mei Chun, Elizabeth Diane Hesse, Kelsey E. Ranneklev, and Camila E. Sanchez


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515366p1-7512515366p1
Author(s):  
Janis Leinfuss ◽  
Erin Ohara

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Individuals with autism spectrum disorder (ASD) often have sensory processing difficulties that impact their occupations. Data were analyzed comparing SCOPE scores at pre- and posttest for children receiving standard-care OT or Ready to Learn and Play (RtLP) framework plus standard care. The intervention group showed statistically significant improvement in SCOPE scores over the control group. The RtLP framework shows promise as an evidence-based tool to positively impact the occupational performance of students with ASD. Primary Author and Speaker: Janis Leinfuss Additional Authors and Speakers: Erin Ohara


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505214p1-7512505214p1
Author(s):  
Brandi Fulwider

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The research study was conducted to identify how disruptions in sleep affect daily occupational performance after brain injury and to acknowledge of the role of OT in addressing sleep deficits through semistructured interviews and a multicomponent sleep program. The study was one of few studies to document the effectiveness of OT-directed sleep interventions, offering support for future OT practitioners and researchers to address sleep. Primary Author and Speaker: Brandi Fulwider


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500019p1-7512500019p1
Author(s):  
Mary Jeghers ◽  
James Wersal ◽  
Sandra Winter ◽  
Sherrilene Classen

Abstract Date Presented 04/13/21 As part of a larger study to determine the effectiveness of an OT driving intervention to improve returning combat veterans' driver fitness, researchers measured interrater reliability among three driver rehabilitation specialists. We present the training process, results, and strategy to achieve strong rater reliability for the assessment of driving errors on a DriveSafety 250 high-fidelity simulator. Primary Author and Speaker: Mary Jeghers Contributing Authors: Amber L. Stober, Elisabeth Popoviciu, Gabriella Nieves, and Magaret Norton


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505221p1-7512505221p1
Author(s):  
Adrienne Marilla

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. The purpose of this research was to examine the efficacy of a 4-week OT-based cancer survivorship program named Life Unpaused (LU). The participants had the option to attend the program onsite or virtually on a Telehealth platform. LU addressed participation in roles and daily activities through education and training and by providing resources to participants.The outcome results showed increases in occupational performance, satisfaction, and quality-of-life scores. Primary Author and Speaker: Adrienne Marilla


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512505163p1-7512505163p1
Author(s):  
Grace Fisher ◽  
Keri Bremigen ◽  
Stephanie Giardina ◽  
Jessica Lane ◽  
Syrena Riley

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. This mixed-methods study identified college student self-perceptions of readiness for independent adult living in key occupational performance areas. Results from quantitative online surveys and qualitative open-ended interviews showed that college students may benefit from training in home management, financial education, and broader exposure to government issues. College-age clients receiving OT services may also benefit from this as part of the OT intervention program. Primary Author and Speaker: Grace Fisher Additional Authors and Speakers: Keri Bremigen, Stephanie Giardina, Jessica Lane, and Syrena Riley


2021 ◽  
pp. 000992282110052
Author(s):  
Ketan Prakash Nadkarni ◽  
Zachary Mayo ◽  
Jeffrey P. Laux ◽  
Abigail McRea ◽  
Deonna Angelillo ◽  
...  

Rectal thermometry (RT) is considered the gold standard for measuring temperature in newborns, despite increasing use of temporal artery thermometry (TT) and axillary thermometry (AT) methods. Few prospective studies compare RT, TT, and AT in a newborn nursery setting. To determine the accuracy and reliability of these methods, we enrolled 205 healthy, full-term newborns. TT displayed higher mean temperatures than RT by 0.25 °F (standard error [SE] = 0.04, P < .001). AT and RT measurements did not significantly differ, with their means differing only by 0.02 °F (SE = 0.04, P = .87). For reliability, RT measurements differed by 0.45 °F (SE = 0.03) in either direction of the models’ predicted mean for each subject. AT and TT measurements varied much less from their predicted means 0.32 °F (SE = 0.02) and 0.34 °F (SE = 0.02), respectively (both P < .001). Assuming mean RT is correct, TT is less accurate than AT. RT showed poor reliability between measurements. AT is an accurate and reliable method of temperature screening in healthy neonates.


2012 ◽  
Vol 102 (4) ◽  
pp. 290-298 ◽  
Author(s):  
Angela M. Jones ◽  
Sarah A. Curran

Background: Visual estimation (VE) and goniometric measurement (GM) are commonly used to assess first metatarsophalangeal joint dorsiflexion. The purposes of this study were to determine the intrarater and interrater reliability of VE and GM and to establish whether reliability was influenced by the experience of the examiner. Methods: Ten experienced and ten inexperienced examiners evaluated three real-size photographs of a first metatarsophalangeal joint positioned in various degrees of dorsiflexion on two separate occasions. Results: Experienced examiners demonstrated excellent intrarater and interrater reliability for GM (intraclass correlation coefficient [ICC], &gt;0.953; standard error of measurement [SEM], 1.8°–2.5°) compared with inexperienced examiners, who showed fair-to-good intrarater and interrater reliability (ICC, 0.322–0.597; SEM, 2.0°–3.0°). For VE, inexperienced examiners demonstrated fair-to-good interrater and excellent intra-rater reliability (ICC, 0.666–0.808), which was higher compared with experienced examiners (ICC, 0.167–0.672). The SEM (2.8°–4.4°) was less varied than that of experienced examiners (SEM, 3.8°–6.4°) for VE, but neither group’s SEMs were clinically acceptable. Conclusions: Although minimal differences between intrarater and interrater reliability of GM and VE are noted, this study suggests that GM is more reliable than VE is when used by experienced examiners. These findings support the continued use of GM for first metatarsophalangeal joint dorsiflexion assessment. (J Am Podiatr Med Assoc 102(4): 290–298, 2012)


2022 ◽  
Vol 76 (1) ◽  
Author(s):  
Nathan Short ◽  
Thomas Almonreoder ◽  
Michelle Mays ◽  
Abigail Baist ◽  
Tony Clifton ◽  
...  

Importance: Scapular protraction and retraction are often essential for occupational performance; however, clinical assessment of these movements is uniquely challenging. Objective: To analyze the interrater reliability of a novel goniometric method to measure scapular protraction and retraction. Design: An observational, descriptive design was implemented to evaluate interrater reliability between two experienced occupational therapists who were also certified hand therapists. Setting: Academic institution. Participants: Convenience sample of graduate students (N = 80). Outcomes and Measures: The hypothesis, developed before study implementation, was that the technique would demonstrate clinically acceptable interrater reliability, defined as a standard error of measurement (SEM) &lt;8°. Goniometric measurements of the scapula at rest, in maximal protraction, and in maximal retraction were independently obtained from each participant by each evaluator. The goniometer was aligned on the scapula using the superior angle as the axis of motion to measure the movement of the acromion relative to the frontal plane. The SEM was calculated in each position using the intraclass correlation coefficient values and the average of the standard deviations from the two raters. Results: The SEM values between the two evaluators for the resting, protracted, and retracted positions were 3.46°, 2.93°, and 2.74°, respectively. Conclusions and Relevance: The SEM between the two evaluators for each scapular position was &lt;4°, suggesting that the technique may be clinically reliable. However, additional research regarding the reliability and validity of the technique is recommended. What This Article Adds: The findings of this study support the use of goniometry to measure scapular protraction and retraction in relation to occupational performance. The technique provides a way to quantify baseline scapular mobility and track progress.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512510277p1-7512510277p1
Author(s):  
Renuka Roche ◽  
Kaitlin Graf ◽  
Joseph A. Roche

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations Individuals with adult-onset muscular dystrophies do not die from the disease but have progressive loss of occupational performance (OP) and quality of life. There is no consistent pathway for referral and access to rehab services. OTs are under-used, even though the greatest need is improvement in OP. The lack of guidelines makes outcomes inconsistent. To work, gene therapies require muscle bulk. OTs may train clients in muscle protection to maintain muscle, giving them a chance at a cure. Primary Author and Speaker: Renuka Roche Additional Authors and Speakers: Kaitlin Graf Contributing Authors: Joseph A. Roche


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