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Norman S. Hannibal III, Sharon Ann Plowman, Marilyn A. Looney and Jason Brandenburg

Background:

Strength, muscular endurance, and flexibility are important components of healthy back function. This study determined the reliability and evaluated the validity of selected low back field tests (FITNESSGRAM ® Trunk Extension [FG-TE] and Box 90° Dynamic Trunk Extension [B-90° DTE]) when compared to laboratory tests (Parallel Roman Chair Dynamic Trunk Extension [PRC-DTE], Parallel Roman Chair Static Trunk Extension [PRC-STE], and Dynamometer Static Back Lift [DSBL]).

Methods:

Forty males age 15.1 ± 1.2 yr and 32 females age 15.5 ± 1.2 yr participated.

Results:

Intraclass test-retest reliability coefficients (one-way ANOVA model for a single measure) ranged from .940 to .996. Validity coefficients determined by Pearson product moment correlation coefficients for males and females, respectively, were as follows: B-90° DTE vs. PRC-DTE = .82, .62 (p < .05); B-90° DTE vs. PRC-STE = .55, .38 (p < .05); B-90° DTE vs. DSBL = −.29, −.23; FG-TE vs. PRC-DTE = .23, −.11; FG-TE vs. PRC-STE = −.15, .33; and FG-TE vs. DSBL = −.04, −.36.

Conclusions:

B-90° DTE was shown to be a valid field test when compared to PRC-DTE, but only for the males. Further research on the PRC-DTE and PRC-STE items for adolescents is recommended.

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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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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.

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Nicola Relph and Lee Herrington

Context: Clinicians require portable, valid, and cost-effective methods to monitor knee joint-position-sense (JPS) ability. Objective: To examine the criterion-related validity of image-capture JPS measures against an isokinetic-dynamometer (IKD) procedure. Design: Random crossover design providing a comparison of knee JPS measures from image capture and IKD procedures. Participants: 10 healthy participants, 5 female, age 28.0 ± 13.29 y, mass 60.3 ± 9.02 kg, height 1.65 ± 0.07 m, and 5 male, 29.6 ± 10.74 y, mass 73.6 ± 5.86 kg, height 1.75 ± 0.07 m. Main Outcome Measures: The dependent variables were absolute error scores (AES) provided by 2 knee directions (flexion and extension). The independent variables were the method (image capture and IKD). Results: There was no significant difference between clinical and IKD AED into knee-extension data (P = .263, r = 0.55). There was a significant difference between clinical and IKD AES into knee-flexion data (P = .016, r =.70). Conclusions: Analysis of photographic images to assess JPS measurements using knee flexion is valid against IKD techniques. However, photo-analysis measurements provided a lower error score using knee-extension data and thus may provide an optimal environment to produce maximal knee JPS acuity. Therefore, clinicians do not need expensive equipment to collect representative JPS ability.

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Fiona C. Bull, Tahlia S. Maslin and Timothy Armstrong

Purpose:

Instruments to assess physical activity are needed for (inter)national surveillance systems and comparison.

Methods:

Male and female adults were recruited from diverse sociocultural, educational and economic backgrounds in 9 countries (total n = 2657). GPAQ and the International Physical Activity Questionnaire (IPAQ) were administered on at least 2 occasions. Eight countries assessed criterion validity using an objective measure (pedometer or accelerometer) over 7 days.

Results:

Reliability coefficients were of moderate to substantial strength (Kappa 0.67 to 0.73; Spearman's rho 0.67 to 0.81). Results on concurrent validity between IPAQ and GPAQ also showed a moderate to strong positive relationship (range 0.45 to 0.65). Results on criterion validity were in the poor-fair (range 0.06 to 0.35). There were some observed differences between sex, education, BMI and urban/rural and between countries.

Conclusions:

Overall GPAQ provides reproducible data and showed a moderate-strong positive correlation with IPAQ, a previously validated and accepted measure of physical activity. Validation of GPAQ produced poor results although the magnitude was similar to the range reported in other studies. Overall, these results indicate that GPAQ is a suitable and acceptable instrument for monitoring physical activity in population health surveillance systems, although further replication of this work in other countries is warranted.

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Carlo Castagna, Ferdinando Iellamo, Franco Maria Impellizzeri and Vincenzo Manzi

The aim of this study was to examine the reliability and validity of a popular field test for aerobic fitness used in soccer (45-15) in Italy. Alternating progressive 45-s runs with 15 s passive recovery until exhaustion, the test considers peak speed (PS) as a reflection of maximal aerobic speed (MAS). The validity and reliability of the 45-15 was assessed in 18 young male soccer players (age 16.7 ± 1.8 y, body mass 70 ± 7.45 kg, height 177 ± 0.5 cm, 55.62 ± 5.56 mL · kg−1 · min−1) submitted to laboratory testing for aerobic fitness and repeatedly to the 45-15. Results showed that 45-15 PS was significantly related to VO2max (r = .80, P < .001, 95%CI .47–.93) and MAS (r = .78, P = .001, 95%CI .43–.93). No significant bias between MAS 45-15 PS (P = .11) was found during the measurement-consistency study. Receiver-operating-characteristic (ROC) analysis showed that 45-15 PS was sensitive in detecting VO2max changes in subjects as revealed by area under the curve (.97; 95%CI .73–1). Players with peak 45-15 speed equal to or above 16.5 km/h (ie, ROC cutoff) may be considered to have good aerobic fitness. In light of this study’s findings, the 45-15 test may be considered a reliable and valid test to evaluate meaningful information to direct generic aerobic training in soccer.

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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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William Temes, Amy Temes Clifton, Valerie Hilton, Leslie Girard, Neisha Strait and Andrew Karduna

Context: The supraspinatus is the most commonly affected muscle with rotator-cuff pathology and necessary for stability of the humeral head in the glenoid fossa. Rehabilitative ultrasound imaging (RUSI) of skeletal muscles provides a safe and clinically accessible measure of intact human muscle function at rest or during contracted states. The ability to perform accurate assessment of supraspinatus function has not been studied and may be of value in assessment and treatment. Objectives: To determine the validity and reliability of measures obtained using RUSI for assessing supraspinatus muscle at rest and contracted conditions. Design: Reliability and validity Setting: Outpatient physical therapy clinic. Subjects: 15 asymptomatic subjects age 30-49 y. Main Outcome Measures: The supraspinatus muscle was measured at rest and contracted with a 0.9-kg weight with the arm positioned in 45° of abduction in the plane of the scapula. Repeated ultrasound images of the supraspinatus were collected by 3 physical therapists on 2 separate days. Main Outcome Measures: Reliability was assessed with the intraclass correlation coefficient (ICC) and standard error of measurement (SEM). Validity was tested by comparing mean difference between active and passive states for all 3 rates on both days. Results: All ICC values were found to be at .9 or above. In addition, for all days and raters, the active condition was significantly thicker than the passive condition (P < .001). Conclusions: Thickness measures of the supraspinatus using RUSI, during passive and active conditions, demonstrate high interrater and intrarater reliability and can easily distinguish between active and passive states. These findings suggest that RUSI may provide an appropriate quantitative measure for changes in the thickness of supraspinatus that are important for determining improvement or deterioration in muscle function.

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James Onate, Nelson Cortes, Cailee Welch and Bonnie Van Lunen

Context:

A clinical assessment tool that would allow for efficient large-group screening is needed to identify individuals potentially at risk for anterior cruciate ligament (ACL) injury.

Objective:

To assess the criterion validity of a jumplanding assessment tool compared with 3-dimensional (3D) motion analysis and evaluate interrater reliability across an expert vs novice rater using the Landing Error Scoring System (LESS).

Design:

Validity protocol.

Setting:

Controlled, laboratory.

Participants:

Nineteen female (age 19.58 ± .84 y, height 1.67 ± .05 m, mass 63.66 ± 10.11 kg) college soccer athletes volunteered.

Main Outcome Measurement:

Interrater reliability between expert rater (5 y LESS experience) vs novice rater (no LESS experience). LESS scores across 13 items and total score. 3D lower extremity kinematics were reduced to dichotomous values to match LESS items.

Interventions:

Participants performed drop-box landings from a 30-cm height with standard video-camera and 3D kinematic assessment.

Results:

Intrarater item reliability, assessed by kappa correlation, between novice and experienced LESS raters ranged from moderate to excellent (κ = .459–.875). Overall LESS score, assessed by intraclass correlation coefficient, was excellent (ICC2,1 = .835, P < .001). Statistically significant phi correlation (P < .05) was found between rater and 3D scores for knee-valgus range of motion; however, percent agreement between expert rater and 3D scores revealed excellent agreement (range of 84–100%) for ankle flexion at initial contact, knee-flexion range of motion, trunk flexion at maximum knee flexion, and foot position at initial contact for both external and internal rotation of tibia. Moderate agreement was found between rater and 3D scores for trunk flexion at initial contact, stance width less than shoulder width, knee valgus at initial contact, and knee-valgus range of motion.

Conclusions:

Our findings support moderate to excellent validity and excellent expert vs novice interrater reliability of the LESS to accurately assess 3D kinematic motion patterns. Future research should evaluate the efficacy of the LESS to assess individuals at risk for ACL injury.

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Tracy Hoos, Nancy Espinoza, Simon Marshall and Elva M. Arredondo

Background:

Valid and reliable self-report measures of physical activity (PA) are needed to evaluate the impact of interventions aimed at increasing the levels of PA. However, few valid measures for assessing PA in Latino populations exist.

Objective:

The purpose of this study is to determine whether the GPAQ is a valid measure of PA among Latinas and to examine its sensitivity to intervention change. Intervention attendance was also examined.

Methods:

Baseline and postintervention data were collected from 72 Latinas (mean age = 43.01; SD = 9.05) who participated in Caminando con Fe/Walking with Faith, a multilevel intervention promoting PA among church-going Latinas. Participants completed the GPAQ and were asked to wear the accelerometer for 7 consecutive days at baseline and again 6 months later. Accelerometer data were aggregated into 5 levels of activity intensity (sedentary, light, moderate, moderate-vigorous, and vigorous) and correlated to self-reported mean minutes of PA across several domains (leisure time, work, commute and household chores).

Results:

There were significant correlations at postintervention between self-reported minutes per week of vigorous LTPA and accelerometer measured vigorous PA (r = .404, P < .001) as well as significant correlations of sensitivity to intervention change (post intervention minus baseline) between self-reported vigorous LTPA and accelerometer-measured vigorous PA (r = .383, P < .003) and self-reported total vigorous PA and accelerometer measured vigorous PA (r = .363, P < .003).

Conclusions:

The findings from this study suggest that the GPAQ may be useful for evaluating the effectiveness of programs aimed at increasing vigorous levels of PA among Latinas.