Efecto del nivel de experiencia clínica del examinador sobre la validez de criterio y fiabilidad inter-sesión de cinco medidas del rango de movimiento de la flexión dorsal del tobillo

Gómez-Jiménez, Fernando; Ayala, Francisco; Cejudo, Antonio; Sainz de Baranda, Pilar; Santonja, Fernando

doi:10.4321/S1578-84232015000300012

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Cuadernos de Psicología del Deporte

On-line version ISSN 1989-5879Print version ISSN 1578-8423

Abstract

GOMEZ-JIMENEZ, Fernando et al. Effect of the tester level of experience on the criterion-related validity and inter-session reliability of five different ankle dorsal flexion range of motion measures. CPD [online]. 2015, vol.15, n.3, pp.123-134. ISSN 1989-5879. https://dx.doi.org/10.4321/S1578-84232015000300012.

The purpose of this study was to analyse the effect of the different degree of tester´s experience on the criterion-related validity and the inter-session reliability of the ankle dorsiflexion range of motion measures (ROM_ADF) obtained from the following tests: passive non weight-bearing test (ADF_PAS), weight-bearing lunge test using an inclinometer (ADF_LUN-INC) and a tape measure (ADF_LUN-TAP), modified-weight bearing test with a moveable datum (ADF_LUN-DAT) and modified weight bearing test with a box (ADF_LUN-BOX). A total of 17 recreational athletes completed this study. Each participant was assessed by 2 testers with different level of experience in the clinical setting (expert and novel) of the ROM_ADF using 5 assessment tests in two different sessions, with a rest-interval of 72-96 hours. The results showed low validity scores for the novel tester in all the assessment tests except for the ADF_LUN-INC test (standardized typical error of the estimate = 0.5 [small] and Pearson coefficient = 0.85 [moderate]; Kappa = 0.74 [good]). The expert tester showed high reliability scores for the ADF_LUN-INC, ADF_LUN-TAP and ADF_LUN-BOX tests and acceptable scores for the ADF_PAS and ADF_LUN-DAT. The novel tester presented acceptable reliability scores for all the assessment tests except for the ADF_PAS, which were considered as non-acceptable. Therefore, we recommend that both the expert and novel testers use the ADF_LUN-INC test to: (a) identify subjects with restrained or normal ROM_ADF and (b) monitor the efficacy of the intervention treatments applied in case of being necessary.

Keywords : Reproducibility; ankle springs; injury prevention; accuracy of the measure.

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