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Michael J. Buono, Julia J. Roby, Frank G. Micale, James F. Sallis and W. Elizabeth Shepard

The purpose of this study was to determine the validity and reliability of three of the most commonly used field tests to predict maximum oxygen uptake in children and adolescents. VO2max was directly measured during a maximal treadmill test in 90 children (10-18 yrs). Each subject also performed, in duplicate, a timed distance run (1 mile), a step test, and a submaximal cycle ergometer test. A multiple regression equation was developed with directly measured VO2max as the dependent variable and mile-run time, gender, skinfold thickness, and body weight as independent variables. The equation had a multiple R=0.84 and a standard error of estimate of 9%, or 4.3 ml/kg/min. The results suggest that when the three most commonly used field tests to predict aerobic capacity are compared in the same group of children, the timed distance run is superior in both validity and reliability.

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Michelle Ihmels, Gregory J. Welk, James J. McClain and Jodee Schaben

Background:

Advances in BIA offer practical alternative approaches to assessing body composition in young adolescents and have not been studied for comparability.

Methods:

This study compared reliability and convergent validity of three field tests (2-site skinfold, Omron and Tanita BIA devices) on young adolescents. Reliability was determined using intraclass correlation coefficients, convergent validity was examined by computing correlations among the three estimates, differences in estimated body fat values were evaluated using repeated-measures ANOVA, and classification agreement was computed for achieving FITNESSGRAM ® Healthy Fitness Zone.

Results:

ICC values of all three measures exceeded .97. Correlations ranged from .74 to .81 for males and .79 to .91 for females. Classification agreement values ranged from 82.8% to 92.6%.

Conclusions:

Results suggest general agreement among the selected methods of body composition assessments in both boys and girls with the exception that percent body fat in boys by Tanita BIA is significantly lower than skinfold estimation.

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Swee Kheng Tan, Helen E. Parker and Dawne Larkin

We investigated the concurrent validity and discrimination accuracy of the Bruininks-Oseretsky Test of Motor Proficiency-Short Form (BOTMP-SF) and the McCarron Assessment of Neuromuscular Development (MAND) for identifying children with and without motor impairment (MI). From a total of 69 Australian children aged from 5 to 11 years, 26 children were classified with MI according to three criteria, including the Movement Assessment Battery for Children (MABC), and were age- and gender-matched with 26 non-MI controls. Performance rankings for the MI/non-MI children on BOTMP-SF and MAND tests were highly correlated (rs = .86); however, only 35% of MI cases were classified alike and 71% of cases were agreed on, overall. Comparing each test with MABC, discrimination statistics revealed MAND was the more accurate discriminator of MI, with higher sensitivity and negative predictive values than the BOTMP-SF. The MAND is a more valid test for the identification of MI in Australian children.

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Barry S. Mason, James M. Rhodes and Victoria L. Goosey-Tolfrey

The purpose of the current study was to determine the validity and reliability of an inertial sensor for assessing speed specific to athletes competing in the wheelchair court sports (basketball, rugby, and tennis). A wireless inertial sensor was attached to the axle of a sports wheelchair. Over two separate sessions, the sensor was tested across a range of treadmill speeds reflective of the court sports (1.0 to 6.0 m/s). At each test speed, ten 10-second trials were recorded and were compared with the treadmill (criterion). A further session explored the dynamic validity and reliability of the sensor during a sprinting task on a wheelchair ergometer compared with high-speed video (criterion). During session one, the sensor marginally overestimated speed, whereas during session two these speeds were underestimated slightly. However, systematic bias and absolute random errors never exceeded 0.058 m/s and 0.086 m/s, respectively, across both sessions. The sensor was also shown to be a reliable device with coefficients of variation (% CV) never exceeding 0.9 at any speed. During maximal sprinting, the sensor also provided a valid representation of the peak speeds reached (1.6% CV). Slight random errors in timing led to larger random errors in the detection of deceleration values. The results of this investigation have demonstrated that an inertial sensor developed for sports wheelchair applications provided a valid and reliable assessment of the speeds typically experienced by wheelchair athletes. As such, this device will be a valuable monitoring tool for assessing aspects of linear wheelchair performance.

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Robert H. Wellmon, Dawn T. Gulick, Mark L. Paterson and Colleen N. Gulick

Context:

Smartphones are being used in a variety of practice settings to measure joint range of motion (ROM). A number of factors can affect the validity of the measurements generated. However, there are no studies examining smartphone-based goniometer applications focusing on measurement variability and error arising from the electromechanical properties of the device being used.

Objective:

To examine the concurrent validity and interrater reliability of 2 goniometric mobile applications (Goniometer Records, Goniometer Pro), an inclinometer, and a universal goniometer (UG).

Design:

Nonexperimental, descriptive validation study.

Setting:

University laboratory.

Participants:

3 physical therapists having an average of 25 y of experience.

Main Outcome Measures:

Three standardized angles (acute, right, obtuse) were constructed to replicate the movement of a hinge joint in the human body. Angular changes were measured and compared across 3 raters who used 3 different devices (UG, inclinometer, and 2 goniometric apps installed on 3 different smartphones: Apple iPhone 5, LG Android, and Samsung SIII Android). Intraclass correlation coefficients (ICCs) and Bland-Altman plots were used to examine interrater reliability and concurrent validity.

Results:

Interrater reliability for each of the smartphone apps, inclinometer and UG were excellent (ICC = .995–1.000). Concurrent validity was also good (ICC = .998–.999). Based on the Bland-Altman plots, the means of the differences between the devices were low (range = –0.4° to 1.2°).

Conclusions:

This study identifies the error inherent in measurement that is independent of patient factors and due to the smartphone, the installed apps, and examiner skill. Less than 2° of measurement variability was attributable to those factors alone. The data suggest that 3 smartphones with the 2 installed apps are a viable substitute for using a UG or an inclinometer when measuring angular changes that typically occur when examining ROM and demonstrate the capacity of multiple examiners to accurately use smartphone-based goniometers.

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Joanna E. Gelinas and Greg Reid

The purpose was to determine whether traditional learn-to-swim progressions, leading to a 10-m front and 10-m back swim, were developmentally valid for children with physical disabilities. Forty children (22 boys, 18 girls) ages 5 to 12 years participated. They were classified according to disability type, functional sport classification, mode of ambulation, and flotation device use. Developmental validity was assessed by testing the children on rhythmic breathing, front float, front glide, front swim, back float, back glide, and back swim. Each skill was deemed successful if the child accomplished all performance criteria of that skill. Atypical progression was evident if a child performed a skill without the ability to perform skills previously listed in that progression. Atypical progression occurred in 32 (80%) children in the front skills and 22 (55%) in the back skills, which indicates that the traditional learn-to-swim progressions for both the 10-m front swim and the 10-m back swim were not developmentally valid for most children with physical disabilities in the conducted research.

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Martin G. Jorgensen, Uffe Laessoe, Carsten Hendriksen, Ole B.F. Nielsen and Per Aagaard

The aims of the current study were to examine the intrarater intersession reproducibility of the Nintendo Wii agility and stillness tests and explore the concurrent validity in relation to gold-standard force-plate analysis. Within-day intersession reproducibility was examined in 30 older adults (age 71.8 ± 5.1 yr). No systematic test–retest differences were found for the Wii stillness test; however, the Wii agility test scores differed systematically between test sessions (p < .05). The Wii stillness test yielded a test–retest ICC of .86 (95% CI 0.74–0.93), CV of 6.4%, LOA of 11.0, and LOA% of 17.9%. Likewise for the Wii agility test ICC was .73 (95% CI 0.50-0.86), CV 5.3%, LOA 1.8, and LOA% of 14.6%. Wii stillness scores correlated to force plate measures (r = .65–.82, p < .01), reflecting moderate to excellent validity. In conclusion, it appears that the Wii stillness test represents a low-cost, objective, reproducible, and valid test of undisturbed postural balance in community-dwelling older adults.

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Minna Aittasalo, Matti Pasanen, Mikael Fogelholm and Katriina Ojala

Purpose:

To examine the validity and repeatability of a short leisure time physical activity (LTPA) questionnaire during pregnancy.

Methods:

Seventy-nine women with uncomplicated pregnancies and weeks’ gestation ≤ 33 participated. After the first questionnaire (LTPAQ1) they entered 7-day LTPA and pedometer counts in a logbook and completed the second LTPA questionnaire (LTPAQ2). Validity was assessed with Spearman’s rank correlation coefficients by comparing LTPAQ2 with pedometer counts and logbook. For describing repeatability, change in the mean, geometric mean ratio, typical error, coefficient of variation (CV, %) and Bland-Altman plots were used.

Results:

Forty-five (57%) and 47 (59%) women were available for pedometer and logbook comparisons and 49 (62%) for repeatability assessment. LTPAQ2 showed no correlation with pedometer but moderate correlation with the logbook for the frequency of moderate to vigorous-intensity LTPA (rs = 0.68, 95% CI 0.48 to 0.81). In repeatability, the typical error for frequency estimates varied from 1.2 to 3.7 sessions and CV for duration from 119 to 369%. The corresponding values for systematic error were -1.0 to 0.3 sessions and 4 to 36%. The 95% limits of agreement for single variables were large.

Conclusions:

The questionnaire was valid for assessing moderate to vigorous-intensity LTPA but its individual repeatability proved weak.

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Stewart G. Trost, Dianne S. Ward, Ben McGraw and Russell R. Pate

This study evaluated the validity of the Previous Day Physical Activity Recall (PDPAR) self-report instrument in quantifying after-school physical activity behavior in fifth-grade children. Thirty-eight fifth-grade students (mean age, 10.8 ± 0.1; 52.6% female; 26.3% African American) from two urban elementary schools completed the PDPAR after wearing a CSA WAM 7164 accelerometer for a day. The mean within-subject correlation between self-reported MET level and total counts for each 30-min block was 0.57 (95% C.I., 0.51–0.62). Self-reported mean MET level during the after-school period and the number of 30-min blocks with activity rated at ≥ 6 METs were significantly correlated with the CSA outcome variables. Validity coefficients for these variables ranged from 0.35 to 0.43 (p < .05). Correlations between the number of 30-min blocks with activity rated at ≥ 3 METs and the CSA variables were positive but failed to reach statistical significance (r = 0.19–0.23). The PDPAR provides moderately valid estimates of relative participation in vigorous activity and mean MET level in fifth-grade children. Caution should be exercised when using the PDPAR to quantify moderate physical activity in preadolescent children.

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Beth M. Myers and Nancy M. Wells

Background:

Gardens are a promising intervention to promote physical activity (PA) and foster health. However, because of the unique characteristics of gardening, no extant tool can capture PA, postures, and motions that take place in a garden.

Methods:

The Physical Activity Research and Assessment tool for Garden Observation (PARAGON) was developed to assess children’s PA levels, tasks, postures, and motions, associations, and interactions while gardening. PARAGON uses momentary time sampling in which a trained observer watches a focal child for 15 seconds and then records behavior for 15 seconds. Sixty-five children (38 girls, 27 boys) at 4 elementary schools in New York State were observed over 8 days. During the observation, children simultaneously wore Actigraph GT3X+ accelerometers.

Results:

The overall interrater reliability was 88% agreement, and Ebel was .97. Percent agreement values for activity level (93%), garden tasks (93%), motions (80%), associations (95%), and interactions (91%) also met acceptable criteria. Validity was established by previously validated PA codes and by expected convergent validity with accelerometry.

Conclusions:

PARAGON is a valid and reliable observation tool for assessing children’s PA in the context of gardening.