Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel
Strategies are needed to mitigate the high rates and related risks of musculoskeletal complaints and injuries (MSCI) in the military aviator community. Previous work on Swedish Armed Forces (SwAF) soldiers have shown that proper screening methods have been successful in reducing early discharge from...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155551/ https://www.ncbi.nlm.nih.gov/pubmed/30252903 http://dx.doi.org/10.1371/journal.pone.0204552 |
_version_ | 1783357921665482752 |
---|---|
author | Tegern, Matthias Aasa, Ulrika Äng, Björn O. Harms-Ringdahl, Karin Larsson, Helena |
author_facet | Tegern, Matthias Aasa, Ulrika Äng, Björn O. Harms-Ringdahl, Karin Larsson, Helena |
author_sort | Tegern, Matthias |
collection | PubMed |
description | Strategies are needed to mitigate the high rates and related risks of musculoskeletal complaints and injuries (MSCI) in the military aviator community. Previous work on Swedish Armed Forces (SwAF) soldiers have shown that proper screening methods have been successful in reducing early discharge from military training. Research has pointed at the importance of optimal spinal movement control in military aviators. The aim of this work was to investigate the inter-rater and test-retest reliability of a battery of clinical tests for evaluating movement control in the neck, shoulders, thoracic, lumbar, and hip regions in a population of SwAF military personnel. Inter-rater and test-retest reliability of 15 movement control tests were assessed by crude and prevalence-adjusted kappa coefficient. The study included 37 (inter-rater) and 45 (test-retest) SwAF personnel and was performed with two physiotherapists simultaneously observing and rating the movements on the first occasion and repeated with one physiotherapist on the second occasion. For inter-rater reliability, the kappa coefficient ranged from .19 to .95. Seven tests showed substantial to almost perfect agreement (kappa > .60). With the adjusted kappa, three more tests reached the level of substantial agreement. The corresponding values for test-retest reliability ranged from .26 to .65. Substantial agreement was attained for two tests, three with adjusted kappa. The following tests can reliably be used when screening for biomechanically less advantageous movement patters in military aviators: Shoulder flexion, and rotation, Neck flexion in sitting and supine, Neck extension and rotation in sitting, Pelvic tilt, Forward lean and Single and Double knee extension tests. Grading criteria for tests in supine and quadruped positions need to be further elaborated. |
format | Online Article Text |
id | pubmed-6155551 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-61555512018-10-19 Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel Tegern, Matthias Aasa, Ulrika Äng, Björn O. Harms-Ringdahl, Karin Larsson, Helena PLoS One Research Article Strategies are needed to mitigate the high rates and related risks of musculoskeletal complaints and injuries (MSCI) in the military aviator community. Previous work on Swedish Armed Forces (SwAF) soldiers have shown that proper screening methods have been successful in reducing early discharge from military training. Research has pointed at the importance of optimal spinal movement control in military aviators. The aim of this work was to investigate the inter-rater and test-retest reliability of a battery of clinical tests for evaluating movement control in the neck, shoulders, thoracic, lumbar, and hip regions in a population of SwAF military personnel. Inter-rater and test-retest reliability of 15 movement control tests were assessed by crude and prevalence-adjusted kappa coefficient. The study included 37 (inter-rater) and 45 (test-retest) SwAF personnel and was performed with two physiotherapists simultaneously observing and rating the movements on the first occasion and repeated with one physiotherapist on the second occasion. For inter-rater reliability, the kappa coefficient ranged from .19 to .95. Seven tests showed substantial to almost perfect agreement (kappa > .60). With the adjusted kappa, three more tests reached the level of substantial agreement. The corresponding values for test-retest reliability ranged from .26 to .65. Substantial agreement was attained for two tests, three with adjusted kappa. The following tests can reliably be used when screening for biomechanically less advantageous movement patters in military aviators: Shoulder flexion, and rotation, Neck flexion in sitting and supine, Neck extension and rotation in sitting, Pelvic tilt, Forward lean and Single and Double knee extension tests. Grading criteria for tests in supine and quadruped positions need to be further elaborated. Public Library of Science 2018-09-25 /pmc/articles/PMC6155551/ /pubmed/30252903 http://dx.doi.org/10.1371/journal.pone.0204552 Text en © 2018 Tegern et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Tegern, Matthias Aasa, Ulrika Äng, Björn O. Harms-Ringdahl, Karin Larsson, Helena Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
title | Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
title_full | Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
title_fullStr | Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
title_full_unstemmed | Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
title_short | Inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
title_sort | inter-rater and test-retest reliability of movement control tests for the neck, shoulder, thoracic, lumbar, and hip regions in military personnel |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155551/ https://www.ncbi.nlm.nih.gov/pubmed/30252903 http://dx.doi.org/10.1371/journal.pone.0204552 |
work_keys_str_mv | AT tegernmatthias interraterandtestretestreliabilityofmovementcontroltestsfortheneckshoulderthoraciclumbarandhipregionsinmilitarypersonnel AT aasaulrika interraterandtestretestreliabilityofmovementcontroltestsfortheneckshoulderthoraciclumbarandhipregionsinmilitarypersonnel AT angbjorno interraterandtestretestreliabilityofmovementcontroltestsfortheneckshoulderthoraciclumbarandhipregionsinmilitarypersonnel AT harmsringdahlkarin interraterandtestretestreliabilityofmovementcontroltestsfortheneckshoulderthoraciclumbarandhipregionsinmilitarypersonnel AT larssonhelena interraterandtestretestreliabilityofmovementcontroltestsfortheneckshoulderthoraciclumbarandhipregionsinmilitarypersonnel |