Department of Sports Medicine, The Hague Medical Centre, Antoniushove, PO Box 411, Burgemeester Banninglaan 1, 2260 AK Leidschendam, the Netherlands.
Clin J Sport Med. 2010 Jan;20(1):34-8. doi: 10.1097/JSM.0b013e3181cae924.
Core stability is a complex concept within sports medicine and is thought to play a role in sports injuries. There is a lack of reliable and valid clinical tests for core stability. The inter- and intraobserver reliability of 6 tests commonly used to assess core stability was determined.
A video of the tests was shown to 6 observers. A second observation took place 5 weeks later with the same observers.
Sports medicine department of a hospital.
Forty male athletes. ASSESSMENT OF VARIABLES: Core stability was rated as poor, moderate, good, or excellent by each observer for each of the 6 tests.
Inter- and intraobserver reliability.
The mean score of all tests was 13.4% poor, 33.3% moderate, 40.1% good, and 13.2% excellent. The intraclass correlation coefficients (ICCs 2,1) for the interobserver reliability for frontal, sagittal, and transverse plane evaluation were 0.09, 0.32, and 0.51, respectively. The ICCs for the unilateral squat, the lateral step-down, and the bridge were 0.41, 0.39, and 0.36, respectively. The ICCs for the intraobserver reliability for frontal, sagittal, and transverse plane evaluation were 0.31, 0.40, and 0.55, respectively. The ICCs for the unilateral squat, the lateral step-down, and the bridge were 0.55, 0.49, and 0.21, respectively.
The 6 clinical core stability tests are not reliable when a 4-point visual scoring assessment is used. Future research on movement evaluation should be focused on more specific rating methods and training for the observers.
核心稳定性是运动医学中的一个复杂概念，被认为在运动损伤中起作用。目前缺乏可靠和有效的核心稳定性临床测试。本研究旨在评估 6 种常用于评估核心稳定性的测试的观察者间和观察者内可靠性。
将测试视频展示给 6 名观察者。5 周后，相同的观察者进行第二次观察。
医院的运动医学科。
40 名男性运动员。
每位观察者对 6 项测试中的每一项的核心稳定性进行了“差、中、良、优”的评分。
观察者间和观察者内可靠性。
所有测试的平均评分为 13.4%差、33.3%中、40.1%良和 13.2%优。额状面、矢状面和横断面评估的观察者间 ICC（2,1）分别为 0.09、0.32 和 0.51。单侧深蹲、侧向下台阶和桥的 ICC 分别为 0.41、0.39 和 0.36。额状面、矢状面和横断面评估的观察者内 ICC 分别为 0.31、0.40 和 0.55。单侧深蹲、侧向下台阶和桥的 ICC 分别为 0.55、0.49 和 0.21。
当使用 4 分视觉评分评估时，这 6 种临床核心稳定性测试不可靠。未来的运动评估研究应侧重于更具体的评分方法和观察者的培训。
