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

  1. Gómez-Jiménez, F.
  2. Ayala, F.
  3. Cejudo, A.
  4. Sainz de Baranda, P.
  5. Santonja, F.
Journal:
Cuadernos de psicología del deporte

ISSN: 1578-8423,  1989-5879

Year of publication: 2015

Volume: 15

Issue: 3

Pages: 123-134

Type: Article

DOI: 10.4321/S1578-84232015000300012 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Cuadernos de psicología del deporte

Abstract

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 (ROMADF) obtained from the following tests: passive non weight-bearing test (ADFPAS), weight-bearing lunge test using an inclinometer (ADFLUNINC) and a tape measure (ADFLUN-TAP), modified-weight bearing test with a moveable datum (ADFLUN-DAT) and modified weight bearing test with a box (ADFLUN-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 ROMADF 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 ADFLUN-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 ADFLUN-INC, ADFLUN-TAP and ADFLUN-BOX tests and acceptable scores for the ADFPAS and ADFLUN-DAT. The novel tester presented acceptable reliability scores for all the assessment tests except for the ADFPAS, which were considered as nonacceptable. Therefore, we recommend that both the expert and novel testers use the ADFLUN-INC test to: (a) identify subjects with restrained or normal ROMADF and (b) monitor the efficacy of the intervention treatments applied in case of being necessary.

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