Harper Brent, Aron Adrian
Physical Therapy Chapman University.
Physical Therapy Radford University.
Int J Sports Phys Ther. 2023 Aug 1;18(4):940-948. doi: 10.26603/001c.82173. eCollection 2023.
The Selective Functional Movement Assessment (SFMA) is a whole-body movement classification system that identifies non-optimal movement performance requiring further assessment. There needs to be more evidence specifying the training time required to obtain SFMA reliability for entry-level health care practitioners.
The primary intent of this study was to determine SFMA inter-rater reliability between two third-year physical therapy students following an in-person three-hour training and one-hour follow-up training with a certified SFMA physical therapist. The secondary purpose was to compare rater scores of the composite criterion 50-point checklist and rater categorization using the top-tier movements in real-time assessments of healthy participants.
Inter-rater reliability study.
Two novice raters received training on assessing movement using the SFMA. Participants included non-pregnant healthy adults screened for general exercise, participants were excluded for history of orthopedic surgery within the prior six months. Three independent raters, including two novice and one SFMA-certified rater, individually assessed the top-tier movements in separate rooms in real-time. Participants were randomly assigned a start location, and raters were blinded to each other's criterion 50-point checklist and categorical scoring. Statistical analysis included a paired -test, a repeated measures ANOVA, and a two-way, mixed absolute agreement ICC.
Twenty-five participants (23.4 years ± 1.9; 72% female) completed the SFMA top-tier movements. Significant differences were identified with novice raters identifying fewer non-optimal movement patterns than the certified clinician. The intraclass correlation coefficient (ICC) was moderate (0.60, <0.001) for all three raters on the 50-point criterion checklist scoring.
Third year physical therapy students were able to demonstrate moderate inter-rater reliability assessing healthy individuals using the 50-point criterion checklist. Variation between novice raters may reflect the amount of previous exposure assessing movement and suggests that some may require more time learning and practicing in order to identify non-optimal movement patterns that may require further assessment.
3b©The Author(s).
选择性功能动作评估（SFMA）是一种全身动作分类系统，可识别需要进一步评估的非最佳动作表现。对于初级医疗保健从业者而言，需要更多证据来明确获得SFMA可靠性所需的培训时间。
本研究的主要目的是确定两名三年级物理治疗专业学生在接受由一名获得SFMA认证的物理治疗师进行的三小时面对面培训和一小时后续培训后，SFMA评分者间的可靠性。次要目的是比较在对健康参与者进行实时评估时，评分者对综合标准50分清单的评分以及使用顶级动作进行的评分者分类。
评分者间可靠性研究。
两名新手评分者接受了使用SFMA评估动作的培训。参与者包括经过一般运动筛查的非怀孕健康成年人，排除在过去六个月内有骨科手术史的参与者。三名独立评分者，包括两名新手和一名获得SFMA认证的评分者，在不同房间分别对顶级动作进行实时评估。参与者被随机分配起始位置，评分者对彼此的50分标准清单和分类评分不知情。统计分析包括配对t检验、重复测量方差分析和双向混合绝对一致性组内相关系数（ICC）。
25名参与者（23.4岁±1.9；72%为女性）完成了SFMA顶级动作。发现新手评分者识别出的非最佳动作模式比认证临床医生少，存在显著差异。在50分标准清单评分方面，所有三名评分者的组内相关系数（ICC）为中等（0.60，<0.001）。
三年级物理治疗专业学生能够使用50分标准清单在评估健康个体时表现出中等程度的评分者间可靠性。新手评分者之间的差异可能反映了之前评估动作的接触量，这表明一些人可能需要更多时间学习和练习，以便识别可能需要进一步评估的非最佳动作模式。
3b©作者。
