Clinica Medica 1, Department of Medicine, University of Padova, 35128 Padova, Italy.
Rehabilitation Center "Fisioterapia Raimondi di Giovanni e Daniele", 35030 Selvazzano Dentro-Padova, Italy.
Int J Environ Res Public Health. 2023 Jan 22;20(3):2032. doi: 10.3390/ijerph20032032.
The Selective Functional Movement Assessment (SFMA) is a functional movement assessment method to observe movement restrictions in individuals with known musculoskeletal disorders, although it has also been used to evaluate healthy athletes of different sports.
The present paper aimed to evaluate the applicability of SFMA in a clinical setting and to verify whether a student can correctly perform it.
An introductory and explanatory email was sent to the subjects, containing the instructions needed to produce a video with SFMA evaluation movements. SFMA methodology was then used to analyze the received videos. The results between interobserver and intraobserver agreement were compared to the literature, considered the gold standard methods.
Twenty-eight subjects (17.71 ± 1.96 years aged) were rated. The functional non-painful scenario (FN) has been assigned more frequently by all raters. The student's intra-rater reliability proved to be moderate (Kappa coefficient 0.49). Results for inter-rater reliability showed that the reliability degree between the senior physiotherapist and student before and after their educational path is good (Kappa coefficient 0.60 and 0.62, respectively).
The results of this study showed SFMA intra-rater reliability to be moderate, while inter-rater reliability can be considered good. These characteristics make it a valuable tool for sport's needs, even when used by students.
选择性功能性运动评估（SFMA）是一种功能性运动评估方法，用于观察已知肌肉骨骼疾病患者的运动受限情况，但它也已被用于评估不同运动项目的健康运动员。
本研究旨在评估 SFMA 在临床环境中的适用性，并验证学生是否能够正确进行评估。
向受试者发送了一封介绍性和解释性的电子邮件，其中包含进行 SFMA 评估运动视频所需的说明。然后，使用 SFMA 方法对收到的视频进行分析。将观察者间和观察者内一致性的结果与文献进行比较，文献被认为是金标准方法。
共评估了 28 名受试者（年龄 17.71±1.96 岁）。所有评估者都更频繁地分配了功能性无痛场景（FN）。学生的观察者内可靠性被证明为中等（kappa 系数 0.49）。观察者间可靠性的结果表明，高级物理治疗师和学生在教育路径前后的可靠性程度良好（kappa 系数分别为 0.60 和 0.62）。
本研究结果表明，SFMA 的观察者内可靠性为中等，而观察者间可靠性可被认为良好。这些特征使其成为满足运动需求的有价值的工具，即使由学生使用也是如此。
