Webb Nicholas, Rowsome Keira, Ewings Sean, Comerford Mark, Stokes Maria, Mottram Sarah
School of Health Sciences, University of Southampton, Southampton SO17 1BJ, UK.
Movement Performance Solutions Ltd., Bristol BS1 3AE, UK.
J Funct Morphol Kinesiol. 2018 Nov 7;3(4):54. doi: 10.3390/jfmk3040054.
Assessing function in elderly populations predominantly aims to quantify the risk of falling. Current assessment methods do not consider changes associated with aging in movement coordination patterns and the ability to control movement. The aim of this study was to examine the intra-rater reliability of a 'Movement Screening Test' (MST) in females over 80 years across a range of physical activity levels, who were golfers and non-golfers. Female recreational golfers ( = 21) and non-golfers ( = 10) aged 80 to 87 years performed the MST. The MST consists of three tests: Test 1, sit to stand with arm lift; Test 2, trunk lean with knee bend and opposite arm lift; Test 3, chest rotation with neutral head and pelvis. Videos of the MST were analyzed and scored according to specific criteria. The videos were reviewed on two separate occasions to quantify the intra-rater reliability of scoring of the MST. Intra-rater reliability ( κ ) of the MST demonstrated substantial agreement for 11/23 criteria ( κ = 0.65 and to 0.78) and excellent agreement for 9/23 criteria ( κ = 0.81 to 1). Therefore, the reliability of the MST for women aged 80 years and over was established. The MST test and scoring system may be further refined to improve reliability. Further investigations could explore coordination patterns in older people, how these relate to various aspects of musculoskeletal function, and how they vary between different populations.
评估老年人群的功能主要旨在量化跌倒风险。目前的评估方法未考虑与衰老相关的运动协调模式变化以及控制运动的能力。本研究的目的是检验“运动筛查测试”(MST)在80岁以上不同身体活动水平的女性高尔夫球手和非高尔夫球手中的评分者内信度。80至87岁的女性休闲高尔夫球手(n = 21)和非高尔夫球手(n = 10)进行了MST测试。MST包括三项测试:测试1,坐立举臂;测试2,弯腰屈膝并举起对侧手臂;测试3,头部和骨盆中立位时的胸部旋转。根据特定标准对MST的视频进行分析和评分。对视频进行了两次独立审查,以量化MST评分的评分者内信度。MST的评分者内信度(κ)在23项标准中的11项上显示出高度一致性(κ = 0.65至0.78),在23项标准中的9项上显示出极好的一致性(κ = 0.81至1)。因此,确定了MST在80岁及以上女性中的信度。MST测试和评分系统可进一步完善以提高信度。进一步的研究可以探索老年人的协调模式,这些模式与肌肉骨骼功能的各个方面有何关系,以及它们在不同人群之间如何变化。