Matsel Kyle A, Brown Stephanie N, Hoch Matt C, Butler Robert J, Westgate Philip M, Malone Terry R, Uhl Tim L
University of Kentucky; University of Evansville.
University of Kentucky.
Int J Sports Phys Ther. 2021 Dec 1;16(6):1532-1540. doi: 10.26603/001c.29680. eCollection 2021.
Preseason movement screening can identify modifiable risk factors, deterioration of function, and potential for injury in baseball players. Limited resources and time intensive testing procedures prevent high school coaches from accurately performing frequent movement screens on their players.
To establish the intra-rater and inter-rater reliability of a novel arm care screening tool based on the concepts of the Functional Movement Screen (FMS™) and Selective Functional Movement Assessment (SFMA™) in high school coaches.
Methodological intra- and inter-rater reliability study.
Thirty-one male high school baseball players (15.9 years ± 1.06) were independently scored on the Arm Care Screen (ACS) by three examiners (two coaches, one physical therapist) in real-time and again seven days later by reviewing video recordings of each players' initial screening performance. Results from each examiner were compared within and between raters using Cohen's kappa and percent absolute agreement.
Substantial to excellent intra-rater and inter-rater reliability were established among all raters for each component of the ACS. The mean Cohen's kappa coefficient for intra-rater reliability was 0.76 (95% confidence interval, 0.54-0.95) and percent absolute agreement ranged from 0.82-0.94 among all raters. Inter-rater reliability demonstrated a mean Cohen's kappa value of 0.89 (95% confidence interval, 0.77-0.99) while percent absolute agreement between raters ranged from 0.81-1.00. Intra- and inter-rater reliability did not differ between raters with various movement screening experience (p>0.05).
High school baseball coaches with limited experience screening movement can reliably score all three components of the ACS in less than three minutes with minimal training.
Level 3, Reliability study.
季前运动筛查可识别棒球运动员中可改变的风险因素、功能退化和受伤可能性。资源有限以及测试程序耗时，使得高中教练无法对其球员准确地频繁进行运动筛查。
基于功能性运动筛查（FMS™）和选择性功能运动评估（SFMA™）的概念，在高中教练中建立一种新型手臂护理筛查工具的评分者内信度和评分者间信度。
评分者内和评分者间的方法学信度研究。
31名高中男性棒球运动员（15.9岁±1.06）由三名检查者（两名教练、一名物理治疗师）对其进行手臂护理筛查（ACS）独立实时评分，七天后通过查看每个球员初次筛查表现的录像再次评分。使用科恩kappa系数和绝对一致百分比，在评分者内部和评分者之间比较每位检查者的结果。
对于ACS的每个组成部分，所有评分者之间均建立了较高的评分者内信度和评分者间信度。评分者内信度的平均科恩kappa系数为0.76（95%置信区间，0.54 - 0.95），所有评分者的绝对一致百分比范围为0.82 - 0.94。评分者间信度显示平均科恩kappa值为0.89（95%置信区间，0.77 - 0.99），评分者之间的绝对一致百分比范围为0.81 - 1.00。不同运动筛查经验的评分者之间，评分者内和评分者间信度无差异（p>0.05）。
经验有限的高中棒球教练在经过最少的培训后，能够在不到三分钟的时间内可靠地对ACS的所有三个组成部分进行评分。
3级，信度研究。
