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无肌肉骨骼疾病的成年人中,Ergo-Kit功能能力评估方法的评分者内及评分者间信度

Intra- and interrater reliability of the Ergo-Kit functional capacity evaluation method in adults without musculoskeletal complaints.

作者信息

Gouttebarge Vincent, Wind Haije, Kuijer P Paul, Sluiter Judith K, Frings-Dresen Monique H

机构信息

Coronel Institute for Occupational and Environmental Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Arch Phys Med Rehabil. 2005 Dec;86(12):2354-60. doi: 10.1016/j.apmr.2005.06.004.

DOI:10.1016/j.apmr.2005.06.004
PMID:16344035
Abstract

OBJECTIVE

To evaluate the intra- and interrater reliability of tests from the Ergo-Kit (EK) functional capacity evaluation method in adults without musculoskeletal complaints.

DESIGN

Within-subjects design.

SETTING

Academic medical center in The Netherlands.

PARTICIPANTS

Twenty-seven subjects without musculoskeletal complaints (15 men, 12 women).

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Seven EK tests (2 isometric, 3 dynamic lifting, 2 manipulation tests) were each assessed 3 times (over 4 days), twice by 1 rater (R1) and once by another rater (R2). Intrarater reliability was calculated using the EK test scores assessed by R1. Interrater reliability was calculated using the EK test scores assessed by both raters. Counterbalancing the rater order made possible the calculation of 2 interrater reliability levels (at time intervals of 4 and 8d). All reliability levels were expressed as intraclass correlation coefficients (ICCs).

RESULTS

Intrarater and interrater reliability (8-d time interval) was high (ICC, >.80) for the isometric lifting tests, moderate (ICC range, .50-.80) for the dynamic lifting tests, and low (ICC, <.50) for the manipulation tests. The interrater reliability of the isometric and dynamic lifting tests (4-d time interval) was high (ICC, >.80), and it was moderate (ICC range, .50-.80) for both manipulation tests.

CONCLUSIONS

The isometric and dynamic lifting tests of the EK have a moderate to high level of reliability; the manipulation tests have a low level of reliability.

摘要

目的

评估Ergo-Kit(EK)功能能力评估方法在无肌肉骨骼疾病主诉的成年人中的评分者内及评分者间信度。

设计

受试者内设计。

地点

荷兰的学术医学中心。

参与者

27名无肌肉骨骼疾病主诉的受试者(15名男性,12名女性)。

干预措施

不适用。

主要观察指标

7项EK测试(2项等长测试、3项动态举重测试、2项操作测试)各评估3次(在4天内),由1名评分者(R1)评估2次,另1名评分者(R2)评估1次。使用R1评估的EK测试分数计算评分者内信度。使用两名评分者评估的EK测试分数计算评分者间信度。对评分者顺序进行平衡使得能够计算2个评分者间信度水平(时间间隔为4天和8天)。所有信度水平均以组内相关系数(ICC)表示。

结果

等长举重测试的评分者内和评分者间信度(8天时间间隔)较高(ICC,>.80),动态举重测试的信度中等(ICC范围,.50-.80),操作测试的信度较低(ICC,<.50)。等长和动态举重测试的评分者间信度(4天时间间隔)较高(ICC,>.80),两项操作测试的信度中等(ICC范围,.50-.80)。

结论

EK的等长和动态举重测试具有中等至高信度水平;操作测试的信度较低。

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