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, F.
- Ayala, F.
- Cejudo, A.
- Sainz de Baranda, P.
- Santonja, F.
ISSN: 1578-8423, 1989-5879
Año de publicación: 2015
Volumen: 15
Número: 3
Páginas: 123-134
Tipo: Artículo
Otras publicaciones en: Cuadernos de psicología del deporte
Resumen
El objetivo de este estudio fue analizar el efecto que el diferente grado de experiencia del examinador tiene sobre la validez de criterio y fiabilidad inter-sesión de las medidas de rango de movimiento de la flexión dorsal del tobillo (ROMFDT) obtenidas en las pruebas: flexión dorsal del tobillo pasiva en decúbito prono y rodilla flexionada (FDPAS), zancada coninclinómetro (FDZAN-INC) y cinta métrica (FDZAN-MET), zancada modificada con taburete (FDZAN-TAB) y zancada modificada con cajón (FDZAN-CAJ). Un total de 17 deportistas recreativos completaron este estudio. Cada participante fue evaluado por dos examinadores con distinto nivel de experiencia (experto y novel) del ROMFDT empleando 5 pruebas exploratorias diferentes en dos sesiones distintas. Los resultados muestran bajos valores de validez para el examinador novel en todas las pruebas de valoración del ROMFDTexcepto en la prueba FDZAN-INC (error típico de la estimación estandarizado = 0,5 [pequeño]; Pearson = 0,85 [moderado]; kappa = 0,74 [buena]). El examinador experto presentó niveles altos de fiabilidad inter-sesión en las pruebas FDZAN-INC, FDZAN-MET y FDZAN-CAJ y valores aceptables en las pruebas FDPAS y FDZAN-TAB. El examinador novel obtuvo valores aceptables de fiabilidad en toda las pruebas de valoración excepto en la prueba FDPAS, que fueron considerados como no aceptables. Por lo tanto, se recomienda que tanto los examinadores expertos como noveles utilicen la prueba FDZAN-INC para: (a) identificar a personas con restringida o normal movilidad de la flexión dorsal del tobillo; y (b) monitorizar la eficacia de los programas de intervención aplicados en caso de ser necesarios.
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