University of Hertfordshire, College Lane Campus, Hatfield, Hertfordshire, AL10 9AB, UK; University of Gloucestershire, Oxstalls Lane, Longlevens, Gloucestershire, GL2 9HW, UK.
University of Gloucestershire, Oxstalls Lane, Longlevens, Gloucestershire, GL2 9HW, UK.
J Bodyw Mov Ther. 2022 Jan;29:86-91. doi: 10.1016/j.jbmt.2021.09.014. Epub 2021 Oct 12.
The modified Thomas Test (MTT) is a method of assessing flexibility of the iliopsoas, rectus femoris and tensor fascia Latae. The aim of this study is to identify the intra and inter-rater reliability of the pass/fail scoring for the Modified Thomas Test (MTT) using digital photographs.
Six raters varying between 1 and 13years of clinical experience were used to review digital photographs of 20 semi-professional rugby players performing the /MTT. Raters were asked to score each muscle of the MTT either with 0 (fail) or 1 (pass). Digital photographs were allocated in a randomized order. Each rater reviewed each photograph three times at two week intervals.
Cronbach's alpha (Cα) revealed a mean result of high reliability for both iliopsoas (Cα = 0.95) and rectus femoris (Cα = 1.00) flexibility. TFL flexibility values ranged from 0.64 to 0.95, demonstrating some inconsistencies within some of the 6 raters. Fleiss kappa (Fк) revealed a high mean reliability result across the 3 testing sessions for both iliopsoas (Fк = 0.78) and rectus femoris (Fк = 0.80) flexibility, along with a moderate reliability mean result for TFL (Fк = 0.56).
High intra and inter rater reliability was found for iliopsoas and rectus femoris flexibility with those for TFL found to be moderately reliable.
改良托马斯测试（MTT）是一种评估髂腰肌、股直肌和阔筋膜张肌灵活性的方法。本研究的目的是使用数字照片确定改良托马斯测试（MTT）通过/失败评分的内部和内部评分者可靠性。
使用 6 名评分者，临床经验在 1 到 13 年之间，对 20 名半职业橄榄球运动员进行改良托马斯测试（MTT）的数字照片进行评估。要求评分者对 MTT 的每块肌肉进行 0（失败）或 1（通过）评分。数字照片以随机顺序分配。每个评分者在两周的间隔内三次查看每张照片。
Cronbach's alpha（Cα）显示髂腰肌（Cα=0.95）和股直肌（Cα=1.00）灵活性的可靠性平均值很高。TFL 灵活性值范围为 0.64 至 0.95，表明在 6 名评分者中的一些评分者存在一些不一致。Fleiss kappa（Fк）显示在 3 次测试中，髂腰肌（Fк=0.78）和股直肌（Fк=0.80）的灵活性具有较高的平均可靠性结果，而 TFL 的可靠性平均结果为中等（Fк=0.56）。
发现髂腰肌和股直肌的灵活性具有较高的内部和内部评分者可靠性，而 TFL 的可靠性则为中等。
