健康参与者手动横膈膜评估量表的评分者之间和评分者内部的可靠性

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Osteopathic Medicine Pub Date : 2024-01-04 DOI:10.1016/j.ijosm.2024.100709
Inês Viegas , Catarina Francisco , Edgar Farinha , Alexandre Nunes
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引用次数: 0

摘要

方法 对 45 名健康参与者(包括 30 名女性和 15 名男性)进行可靠性研究。参与者由两名评分员进行评估。MED 评估横膈膜上的 7 个不同点,并按 1-5 级评定其受限程度。用卷尺以厘米为单位测量上下 CE,这是一种有效而可靠的方法。采用双向随机效应模型计算 CE 和 MED 的评分者之间和评分者内部可靠性的类内系数 (ICC),以获得平均测量一致性。大部分评分者内部信度的 ICC 值大于评分者之间的信度,而两者的大部分 ICC 值在左侧评估点都较高。CE 评分者间和评分者内部信度 ICC 从中等到良好不等。结论 人工评估膈肌量表的内部和内部可信度从较差到中等不等。胸廓扩张度的内部和相互之间的可靠性从中等到良好不等,这与之前的研究结果一致。在临床环境中,用胶带测量胸廓扩张度是一种可靠的膈肌评估方法。
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The inter- and intra-rater reliability of the manual diaphragm assessment scale in healthy participants

Objective

The main aim of this study was to test the inter and intra-rater reliability of the Manual Diaphragm Assessment (MED) scale and compared with chest expansion (CE) in healthy participants.

Methods

A reliability study, with a sample of 45 healthy participants, composed of 30 women and 15 men. Participants were evaluated by two raters. The MED assesses seven different points on the diaphragm and rates its degree of restriction on a scale of 1–5. Upper and lower CE were measured in centimeters with a measuring tape, which is a valid and reliable method. The intraclass coefficients (ICC) for inter and intra-rater reliability for CE and MED were calculated for mean measurement consistency using a two-way random effects model.

Results

The intra- and inter-rater reliability of MEDs ranged from low to moderate. The majority of the ICC values in intra-rater reliability were greater than in inter-rater reliability, and the majority of the ICC values in both were higher at the left assessment point. CE inter- and intra-reliability ICC varied from moderate to good. For the upper and lower CE, the inter-rater reliability ICC values were greater than 0.74, and the intra-rater reliability was greater than 0.71.

Conclusion

The manual evaluation diaphragm scale had poor to moderate intra and inter-reliability. The chest expansion's intra and inter-reliability ranged from moderate to good, which was consistent with previous studies. Measuring chest expansion with a tape is a reliable method of evaluating the diaphragm in a clinical setting.

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来源期刊
CiteScore
2.20
自引率
36.80%
发文量
42
审稿时长
3 months
期刊介绍: The International Journal of Osteopathic Medicine is a peer-reviewed journal that provides for the publication of high quality research articles and review papers that are as broad as the many disciplines that influence and underpin the principles and practice of osteopathic medicine. Particular emphasis is given to basic science research, clinical epidemiology and health social science in relation to osteopathy and neuromusculoskeletal medicine. The Editorial Board encourages submission of articles based on both quantitative and qualitative research designs. The Editorial Board also aims to provide a forum for discourse and debate on any aspect of osteopathy and neuromusculoskeletal medicine with the aim of critically evaluating existing practices in regard to the diagnosis, treatment and management of patients with neuromusculoskeletal disorders and somatic dysfunction. All manuscripts submitted to the IJOM are subject to a blinded review process. The categories currently available for publication include reports of original research, review papers, commentaries and articles related to clinical practice, including case reports. Further details can be found in the IJOM Instructions for Authors. Manuscripts are accepted for publication with the understanding that no substantial part has been, or will be published elsewhere.
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