Intersession Reliability Research Articles

Reliability of the TMS-conditioned monosynaptic reflex in the flexor carpi radialis muscle

A subthreshold pulse of transcranial magnetic stimulation (TMS) on the motor cortex can modulate the amplitude of the monosynaptic reflex (H-reflex) elicited in the flexor carpi radialis (FCR) muscle, a method known as TMS-conditioning of the H-reflex. The purpose of this study was to establish the intersession reliability of this method over the course of three sessions. Eleven healthy participants received either peripheral nerve stimulation (PNS), TMS or a combination of the two. The intensity of the PNS stimuli was set to evoke a monosynaptic response (H-reflex) corresponding to 10 % of the maximum motor response (Mmax), HM10 %. The conditioning effect of TMS on the monosynaptic reflex was assessed by delivering subthreshold cortical pulses at different conditioning-test intervals (from -7 ms to 7 ms) from peripheral nerve stimulation. The first interval at which facilitation could be observed was deemed early facilitation (EF). Using intraclass correlation coefficients (ICCs), we found excellent reliability for Mmax amplitudes (ICC = 0.98), HM10 % amplitudes (ICC = 0.85) and TMS-conditioned H-reflexes recorded at the interval following EF (EF + 2 ms) (ICC = 0.87). Good reliability (ICCs ranging from 0.67 to 0.77) was found for the other conditioning-test intervals. We conclude that TMS-conditioned H-reflexes are reliable parameters to assess the excitability of corticospinal circuits.

Intra- and Inter-Session Reliability of Methods for Measuring Reaction Time in Participants with and without Patellofemoral Pain Syndrome.

To evaluate the relative and absolute reliability of reaction time measuring methods during different conditions in participants with and without patellofemoral pain syndrome (PFPS). 30 patients with PFPS and 30 healthy controls were recruited in the present study. The upper extremity reaction time, upper extremity error rate, involved and non-involved lower extremity braking reaction times, and involved and non-involved knee extension reaction times were measured. Each condition was repeated three times, 2 sessions with a 5-7 days interval. The intra-session reliability was evaluated in three-trial (A), second- and third-trial (B) modes. In addition, the inter-session reliability was evaluated in mode A, mode B, and best score (C) mode. The result of inter-session reliability of mode A showed that all measurements except upper extremity reaction time in PFPS group showed high to very high relative reliability (ICC: 0.74-0.94). In mode B, all measurements except non-involved knee extension reaction time in PFPS group showed high to very high relative reliability (ICC: 0.71-0.93). In mode C, all measurements showed high to very high relative reliability (ICC: 0.70-0.94) except upper extremity error rate and non-involved knee extension reaction time in PFPS group. The result of intra-session reliability showed that all measurements had high to very high relative reliability (ICC: 0.78-0.94) in mode A. In mode B, all measurements showed high to very high relative reliability (0.78-0.94). The braking time seems more reliable than other reaction time tasks. In addition, the results showed that mode A is more reliable than other modes. The newly designed package is a reliable tool to measure the knee extension reaction time in patients with knee musculoskeletal disorders.

Reliability and validity of a novel Isokinetic Knee Dynamometer System

Purpose: The aim of this work was to determine the intersession reliability and validity of a recently developed prototype Isokinetic Knee Dynamometer to assess isokinetic knee extension and flexion peak moments compared to a Biodex System 4 dynamometer. Methods: Thirty- -five healthy participants performed two sessions (48-h separation) of bilateral concentric isokinetic knee extension and flexion on both isokinetic devices at 60 °/s (6 repetitions), 180 °/s (10 repetitions) and 240 °/s (15 repetitions). Dynamometer and limb order were randomized among participants while peak moment of each set was used for data analysis. Results: The Isokinetic Knee Dynamometer had excellent relative reliability, comparable to the System 4, and both systems displayed acceptable absolute reliability. Proportional biases were observed favoring the System 4 during knee extension of both limbs at 60 °/s and the dominant limb at 180 °/s, and fixed biases favoring the Isokinetic Knee Dynamometer in seven conditions. Relative agreement between systems was good across all test conditions with the majority demonstrating excellent agreement. Conclusions: These data support the Isokinetic Knee Dynamometer as a reliable and valid knee isokinetic testing system. Due to its reduced system complexity, space requirements, and production cost, the Isokinetic Knee Dynamometer may increase the clinical utilization of isokinetic knee assessments. Finally, these data fill an existing isokinetics literature void with the results supporting similar and acceptable measurement properties jointly for dominant and non-dominant limbs and at the higher testing velocities considered.

Development of a Twenty20 Field-Based Simulation for Cricket Fast Bowlers (FBS-T20).

Milne, EC, Vickery, WM, Dascombe, BJ, and Borges, NR. Development of a twenty20 field-based simulation for cricket fast bowlers (FBS-T20). J Strength Cond Res 36(10): 2905-2911, 2022-This project assessed the validity and reliability of a novel Twenty20 cricket pace bowling simulation (FBS-T20) that could be used to facilitate match-specific testing and training outside of match play. Six recreational pace bowlers completed 3 identical sessions of the FBS-T20. The FBS-T20 consisted of 4 bowling and 16 fielding overs. During the bowling overs, a bowling accuracy test and bowling approach speed were measured, whereas during the fielding overs, 10-m sprint performance was assessed. Distance covered, heart rate (HR), and rating of perceived exertion (RPE) were also collected throughout the FBS-T20. Validity was determined through comparison with previously reported Twenty20 pace bowling match demands, and intersession reliabilities were assessed. Distances covered in speed zones were valid ( p > 0.05) with the exception of significantly lower jog values in the FBS-T20 (957-1,279 vs. 2,195 m; p = 0.04-<0.001). The maximal HR was found to be valid, but the mean HR was significantly higher than previously published data (147-151 bpm vs. 133 bpm; p = 0.014-0.003). Distances covered demonstrated high levels of reliability, with increasing reliability found after additional sessions (coefficient of variation [CV]% = 3.8-14.4). The HR (CV% = 4.8-6.3) and session RPE (CV% = 10.8) demonstrated moderate reliability, whereas approach speed, 10-m sprint, and bowling skills test results possessed low levels of reliability. The FBS-T20 is a practically viable testing and training tool that is valid and reliable for distances covered at high speeds. One full familiarization session is recommended for optimal reliability.

Reliability and agreement of a dynamic quadriceps incremental test for the assessment of neuromuscular function

The quadriceps-intermittent-fatigue (QIF) test assesses knee extensors strength, endurance and performance fatigability in isometric condition. We aimed to assess reliability and agreement for this test in dynamic conditions and with the use of transcranial magnetic stimulation. On two separate sessions, 20 young adults (25 ± 4 yr, 10 women) performed stages of 100 knee extensors concentric contractions at 120°/s (60° range-of-motion) with 10% increments of the initial maximal concentric torque until exhaustion. Performance fatigability across the test was quantified as maximal isometric and concentric torque loss, and its mechanisms were investigated through the responses to transcranial magnetic and electrical stimulations. Reliability and agreement were assessed using ANOVAs, coefficients of variation (CVs) and intra-class correlation coefficients (ICCs) with 95% CI. Good inter-session reliability and high agreement were found for number of contractions [489 ± 75 vs. 503 ± 95; P = 0.20; ICC = 0.85 (0.66; 0.94); CV = 5% (3; 7)] and total work [11,285 ± 4,932 vs. 11,792 ± 5838 Nm.s; P = 0.20; ICC = 0.95 (0.87; 0.98); CV = 8% (5; 11)]. Poor reliability but high agreement were observed for isometric [–33 ± 6 vs. −31 ± 7%; P = 0.13; ICC = 0.47 (0.05; 0.75); CV = 6% (4;8)] and concentric [−20 ± 11% vs. −19 ± 9%; P = 0.82; ICC = 0.26 (−0.22; 0.63); CV = 9% (6; 12)] torque loss. The dynamic QIF test represents a promising tool for neuromuscular evaluation in isokinetic mode.

Optimizing Intersession Reliability of Heart Rate Variability-The Effects of Artifact Correction and Breathing Type.

Gisselman, AS, D'Amico, M, and Smoliga, JM. Optimizing intersession reliability of heart rate variability-the effects of artifact correction and breathing type. J Strength Cond Res 34(11): 3199-3207, 2020-This study aimed to comprehensively investigate the reliability of multiple heart rate variability (HRV) parameters and to explore the influence of artifact removal and breathing condition on HRV reliability. Resting HRV was collected using Polar Team monitors on 41 participants (age: 19.9 ± 1.2 years; 28 females and 13 males) during 2 separate days. Within each session, participants performed 10 minutes each of spontaneous and controlled breathing (randomized order). Kubios HRV analysis software was used to analyze 180-second data epochs using "low" or "strong" artifact removal. Relative reliability was assessed using intraclass correlation coefficient (ICC2,1), and absolute reliability was quantified using mean-normalized SEM%. Time-domain and nonlinear parameters produced poor to good intersession agreement (ICC = 0.34-0.68; SEM% = 11.0-39.0) with "low" artifact removal, regardless of breathing condition. Frequency-domain parameters demonstrated fair intersession agreement during controlled breathing (ICC = 0.40-0.45; SEM% = 26.0-70.0) but poor agreement during spontaneous breathing (ICC = 0.07-0.13; SEM% = 32.0-81.0). Minimal differences in ICCs were observed between "low" and "strong" artifact removal. Thus, this study provides 3 practical applications: (a) HRV monitoring is most reliable when using time-domain and nonlinear parameters, regardless of breathing or filtering condition, but no single parameter is especially reliable. The large variation and poor intersession reliability of frequency indices during spontaneous breathing are improved by controlling breathing rate; (b) "Low" artifact removal seems superior to more aggressive artifact removal; and (c) intersession differences in HRV measurements <30% may be indicative of normal daily variation rather than true physiologic changes.

Gait Characteristics Harvested During a Smartphone-Based Self-Administered 2-Minute Walk Test in People with Multiple Sclerosis: Test-Retest Reliability and Minimum Detectable Change.

The measurement of gait characteristics during a self-administered 2-minute walk test (2MWT), in persons with multiple sclerosis (PwMS), using a single body-worn device, has the potential to provide high-density longitudinal information on disease progression, beyond what is currently measured in the clinician-administered 2MWT. The purpose of this study is to determine the test-retest reliability, standard error of measurement (SEM) and minimum detectable change (MDC) of features calculated on gait characteristics, harvested during a self-administered 2MWT in a home environment, in 51 PwMS and 11 healthy control (HC) subjects over 24 weeks, using a single waist-worn inertial sensor-based smartphone. Excellent, or good to excellent test-retest reliability were observed in 58 of the 92 temporal, spatial and spatiotemporal gait features in PwMS. However, these were less reliable for HCs. Low SEM% and MDC% values were observed for most of the distribution measures for all gait characteristics for PwMS and HCs. This study demonstrates the inter-session test-retest reliability and provides an indication of clinically important change estimates, for interpreting the outcomes of gait characteristics measured using a body-worn smartphone, during a self-administered 2MWT. This system thus provides a reliable measure of gait characteristics in PwMS, supporting its application for the longitudinal assessment of gait deficits in this population.

Inter-Session Reliability of Functional Near-Infrared Spectroscopy at the Prefrontal Cortex While Walking in Multiple Sclerosis.

Many established technologies are limited in analyzing the executive functions in motion, especially while walking. Functional near-infrared spectroscopy (fNIRS) fills this gap. The aim of the study is to investigate the inter-session reliability (ISR) of fNIRS-derived parameters at the prefrontal cortex while walking in people with multiple sclerosis (MS) and healthy control (HC) individuals. Twenty people with MS/HC individuals walked a 12 m track back and forth over 6 min. The primary outcomes were the absolute and relative reliability of the mean, slope coefficient (SC), and area under the curve (A) of the oxy-/deoxyhemoglobin concentrations (HbO/HbR) in the Brodmann areas (BA) 9/46/10. The SC and the A of HbO exhibited a fair ISR in BA10 in people with MS. For the mean and A of the HbR, almost all areas observed revealed a fair ISR. Overall, the ISR was better for HbR than HbO. A fair to excellent ISR was found for most BA of the prefrontal cortex in HC individuals. In total, the ISR of the analyzed fNIRS-derived parameters was limited. To improve the ISR, confounders such as fatigue and mind wandering should be minimized. When reporting the ISR, the focus should be on the mean/A rather than SC.

Reliability of postural control during double-leg standing in subjects with nonspecific chronic low back pain: Dual-task paradigm and manipulated visual and somatosensory inputs

BackgroundThe aim of this study is to evaluate the test-retest reliability of the Center of Pressure (COP) parameters in quiet double-leg standing in subjects with Non-Specific Chronic Low Back Pain (NSCLBP) during dual taking associated with manipulated visual and somatosensory inputs. Materials and methodsIn this observational cross-sectional study, the static balance of thirty NSCLBP patients were assessed during a double-leg stance by using the force platform. Subjects were accosted by manipulated somatosensory and visual inputs during dual taking in eight different conditions (with and without vibration, eyes-open and eyes-closed, and with and without auditory Stroop test). The COP parameters were recorded as follows: range sideways and range fore-aft as well as mean velocity and area variables. The cognitive task parameters included the reaction time and error ratio. The intra-class correlation coefficient (ICC) was computed to assess the intersession reliability of COP parameters. Resultsin intersession, range sideways, range fore-aft, and mean velocity measures possessed moderate to high ICC, but area owned high ICC only in one condition (double-leg stance, eyes-close, with vibration, and with auditory Stroop test). Notably, other conditions had low ICC, and moderate to high and low to very high ICC were reported for reaction time and error ratio. ConclusionAmong the parameters studied in the present study, the mean velocity measure seems to be the most reliable variable of postural control in the subjects with NSLBP especially in more challenging conditions, i.e., quiet double-leg standing with eyes closed and adding vibratory inputs during dual-tasking.

Validity and reliability of smartphone use in assessing balance in patients with chronic ankle instability and healthy volunteers: A cross-sectional study

BackgroundChronic ankle instability (CAI) is associated with defective posture control and balance; thus, a proper assessment of these impairments is necessary for effective clinical decision-making. There is a need for portable, valid, and reliable methods to facilitate the easy collection of real-world data, such as mobile phones.Research question: Is the smartphone “MyAnkle” application valid and reliable in assessing balance in patients with CAI and healthy volunteers? MethodsThis was a cross-sectional study. Sixty-five participants completed two assessment sessions, including 31 patients (n = 41 ankles with CAI and 21 asymptomatic ankles) and 34 healthy volunteers (n = 68 ankles). In each session, dynamic single-leg stance balance was measured simultaneously using the "MyAnkle" application and the Biodex balance system (BBS) version 3. Testing was conducted at three levels of BBS difficulty—4 (D4, hard, loose platform), 6 (D6, moderate), and 8 (D8, easy, stiffer platform)—and repeated with opened and closed eyes. Both limbs were tested in a random order by two independent blinded assessors. ResultsThe two devices showed significant poor-to-moderate correlations when eyes were closed (p < 0.05). For discriminant validity, the application did not distinguish the two study groups in all tested conditions (p > 0.05), whereas the BBS weakly to moderately distinguished the dominant limbs in the two groups at all difficulty levels with eyes-open and at D8 with eyes-closed regardless to limb dominance. For reliability, a significantly poor to moderate inter-session reliability was noted for the two devices. Significance"MyAnkle" application is valid in assessing balance in patients with CAI when the eyes are closed. However, similarly to BBS, its one-week test-retest reliability may be insufficient for accurate follow-up of balance changes and need to be interpreted with caution. Future studies need to establish its inter-tester reliability and its usefulness in telerehabilitation.

Effects of Different Inertial Load Settings on Power Output using a Flywheel Leg Curl Exercise and its Inter-Session Reliability.

This study aimed to analyze the influence of the inertial load on both concentric and eccentric power output production during the flywheel leg curl exercise, and to assess the reliability of power output variables. Sixteen participants (8 males, 8 females) attended 4 testing sessions. During testing, participants performed one set of eight repetitions using a specific inertial load (0.083, 0.132, 0.182, 0.266 and 0.350 kg·m2) with a flywheel leg curl exercise. Concentric (CON) power, eccentric (ECC) power and the ECC/CON ratio were analyzed. The reliability analysis between sessions was performed. A significant interaction of inertia load x gender was found in CON power (p < 0.001) and in ECC power (p = 0.004), but not in the ECC/CON ratio (p = 0.731). A significant with-in (inertia loads) effect was found in CON power (p < 0.001) and in ECC power (p < 0.001), but not in the ECC/CON ratio (p = 0.096). CON power showed very high reliability scores, ECC power showed high to very high reliability scores, while the ECC/CON ratio ranged from poor to moderate. A significant between gender effect was found in CON power (p < 0.001) and in ECC power (p < 0.001), but not in the ECC/CON ratio (p = 0.752). This study is the first to report that power output in the flywheel leg curl exercise is altered by the inertia load used, as well as power output is different according to gender. CON and ECC power output presents high to very high reliability scores, and the ECC/CON ratio should not be used instead. These results can have important practical implications for testing and training prescription in sports.

Posterior shoulder tightness; an intersession reliability study of 3 clinical tests

BackgroundAlthough posterior shoulder tightness (PST) has been associated with shoulder pathology and altered glenohumeral joint kinematics, uncertainty remains regarding its cause and definition. To understand the efficacy of treatments for PST, it must be possible to identify people with PST for the purposes of research and clinical decision-making. Clinical tests for PST must demonstrate acceptable levels of measurement reliability in order to identify the condition and to evaluate the response to intervention. There is currently a lack of research describing intersession reliability for measures of PST. The aim of this study was to quantify the inter-session reliability for three clinical tests used to identify PST over a 6–10 week interval.MethodsA convenience sample of 26 asymptomatic adult participants (52 shoulders) were recruited from a university setting over a five-month duration. Participants attended the human movement laboratory for measurement of glenohumeral joint internal rotation, horizontal adduction and low flexion on two occasions separated by an interval of 6–10 weeks.Intra-class correlation coefficients were calculated from the mean square values derived from the within-subject, single factor (repeated measures) ANOVA. Test-retest measurement stability was evaluated by calculating the standard error of measurement and the minimum detectable change for each measurement.ResultsAll 3 tests demonstrated good intersession intra-rater reliability (0.86–0.88), and the standard error of measurement (95%) were 7.3° for glenohumeral horizontal adduction, 9.4° for internal rotation, and 6.9° for low flexion. The minimum detectable change for glenohumeral horizontal adduction was 10.2°, internal rotation was 13.3°, and low flexion was 9.7°.ConclusionIn this population of people without symptoms, the 3 measures of PST all demonstrated acceptable inter-session reliability. The standard error of measurement and minimum detectable change results can be used to determine if a change in measures of PST are due to measurement error or an actual change over time.

Reliability And Validity Of A Mobile Setup For Metabolic Syndrome Diagnosis Using Point-of-care Analyzers

The metabolic syndrome (MetS) is a worldwide public health concern and is characterized by having three or more of these risk factors: high blood glucose (Glc), increased waist circumference (WC), high blood pressure (BP), reduced serum high-density lipoprotein (HDL) and increased serum triglycerides (TG). As certain rural regions lack the required infrastructure for optimal medical care, mobile diagnostics using point-of-care analyzers could help by identifying people at risk for MetS. PURPOSE: Test the reliability and validity of MetS risk factor analysis using point-of-care analyzers in a mobile examination unit. METHODS: Fifty participants (18 test-retest; 52±7 y; 170±10 cm; 80±19 kg) were enrolled in the study. Agreement of Glc, HDL and TG of three point-of-care analyzers (A, B, C) against a reference lab (REF) were analyzed by Bland-Altman (bias, Limits of Agreement (LoA)) and McNemar’s test (MN). Further, MetS diagnosis by the mobile setup was tested for inter-session reliability by Spearman’s rho and test-retest variability (TRV%). RESULTS: The range of systematic bias was for Glc -21 to -8 mg/dl, for TG -90 to 3 mg/dl and for HDL -8 to 9 mg/dl. Device C was excluded from further analyses due to missing values. Device A was chosen for additional analysis based on smallest bias and LoA (Glc: -8 [LoA -27 to 11] mg/dl; TG: 3 [LoA -40 to 46] mg/dl; HDL: -3 [LoA -16 to 11] mg/dl) and best agreement of MetS diagnosis with REF (MN: A vs. REF: p>.05; B vs. REF: p<.05). Test-retest analysis for risk factor classification and MetS diagnosis was performed in a mobile examination unit using device A. No inter-session differences for risk factor and MetS diagnosis were shown (MN day 1 vs. 2: p>.05). Spearman’s rho and TRV for risk factors were: TG: r =.734 (p<.05); 3.3%; HDL: r =.893 (p<.05); 6.8%; Glc, r =.076; 1.9%; systolic BP: r =.372; 1.7%; diastolic BP: r =.457; 3.3% and WC: r =.950 (p<.05); 1.1%. CONCLUSIONS: The mobile setup showed no inter-session difference in MetS diagnosis. TRV was low for all risk factors and test-retest reliability was acceptable for TG, good for HDL and excellent for WC. Inter-session variations in Glc and BP did not influence the overall risk factor classification and MetS diagnosis. A mobile setup using a point-of-care analyzer for blood analysis is a valid and reliable method for a near-to-home MetS screening.

Dermal thickness and echogenicity using DermaScan C high frequency ultrasound: Methodology and reliability testing in people with and without primary lymphoedema.

DermaScan C high frequency ultrasound was investigated for image capture and analysis of dermal measures in people with and without primary lymphoedema. Three repeated images were taken at six sites in people without lymphoedema (NLO). Intra-rater reliability was assessed by taking three sets of measures on images from 10 people and inter-session reliability by capturing three images, lifting the probe from the skin in between. Methods were adjusted, and repeated images from four sites were taken in people with primary lymphoedema (PLO) and reliability re-assessed. Intra-rater reliability in NLO and PLO for echogenicity measures were excellent (NLO ICC(3,1) : .989; PLO .997) across all sites and specific to each site (calf: ICC(3,1) : .989; and foot: ICC(3,1) : .999, respectively). Inter-session reliability was moderate for NLO (ICC(3,1) : .727), improving after method modifications for PLO (ICC(3,1) : .916). When investigated by site, inter-session reliability was good in the foot (ICC(3,1) : .811) and moderate in the calf (ICC(3,1) : .616). Mean thickness analysed by site resulted in good inter-session reliability only in the foot (ICC(3,1) .838). Intra-rater reliability was excellent using the DermaScan C for dermal measures in people with primary lymphoedema. Inter-session reliability required particular attention to method and gain settings.

Dynamic Balance Evaluation: Reliability and Validity of a Computerized Wobble Board.

Fusco, A, Giancotti, GF, Fuchs, PX, Wagner, H, Varalda, C, Capranica, L, and Cortis, C. Dynamic balance evaluation: reliability and validity of a computerized wobble board. J Strength Cond Res 34(6): 1709-1715, 2020-Computerized wobble boards (WBs) are inexpensive, transportable, and user-friendly devices to objectively quantify the dynamic balance performances out of laboratory settings, although it has not been established if they are reliable and valid tools. Therefore, the purpose of this study was to determine the reliability and validity of a computerized WB. Thirty-nine (18 females and 21 males) young adults (age: 23.3 ± 2.1 years; body mass: 65.9 ± 1.8 kg; height: 168.2 ± 8.8 cm; leg length: 78.8 ± 5.7 cm; and body mass index: 23.2 ± 2.1 kg·m) participated in the study. Subjects were assessed during 3 separate sessions on different days with a 48-hour rest in between. A total number of 2 WB single limb tests and 1 Y Balance Test (YBT) were performed. The WB performance was registered using the proprietary software and represented by the time spent in the target zone, which represented the 0° tilt angle measured by the triaxial accelerometer in the WB. YBT normalized reach distances were recorded for the anterior, posteromedial, and posterolateral directions. Intraclass correlation coefficient, 95% confidence interval, SEM, minimal detectable change, and Bland-Altman plots were used to evaluate intrasession and intersession reliability, whereas Pearson product moment correlation was used to determine concurrent validity. Reliability ranged from fair to excellent, showing acceptable levels of error and low minimal detectable change. However, all correlation coefficients between WB and YBT outcomes were poor. Despite the 2 methods addressing different aspects of balance performance, WB seems to validly serve its purpose and showed good reliability. Therefore, computerized WBs have the potential to become essential devices for dynamic balance assessment.

Patellar tendinopathy outcome predictors in jumping athletes: feasibility of measures for a cohort study

ObjectivesThe main aim was to assess feasibility by testing data collection procedures for a cohort study. Measurements validity and reliability were secondary objectives. DesignFeasibility study. SettingCombination of remote contact, assessment in clinic and biomechanical evaluation. Participants36 jumping athletes (female:17, male:19) equally spread between those with patellar tendinopathy, other knee problems and controls. Main outcome measuresMeasurements validity, reliability and feasibility. ResultsThere was no systematic difference between administration methods for patient reported outcome measures and miscellaneous questions (range of d = −0.32 to 0.26) without any order effect (all p > 0.05) except KOOS-PF (p = 0.02). Questionnaires’ inter-session reliability was moderate to excellent (ICCs = 0.68–0.93). Pain maps were 94% matched between methods. Training load recall percentage decreased until week-3 with only 20% maintaining a training diary completing the full 6 weeks. The graded loaded challenge was clinically applicable, biomechanically valid with increasing load through progression and reliable (ICCs = 0.63–0.98). ConclusionThe tested questionnaires were valid and reliable for online use, therefore being suitable for clinical and research purposes. A shorter survey to reduce burden and collecting training load using shorter recall duration should improve feasibility. Biomechanical measures were valid and reliable, and a graded loaded challenge, suitable for further testing, has been defined.

Intra-Day and Inter-Day Reliability of Measurements of the electromyographic signal on masseter and temporal muscles in patients with Down syndrome

The aim of the present study was to evaluate intra-day (test) and inter-day (re-test) reliability of surface electromyography (sEMG) signals of the masseter and temporal muscles in patients with Down syndrome (DS). We determined the reliability of sEMG variables in 33 patients with DS. EMG signals were recorded at rest as well as during maximum voluntary clenching and maximum habitual intercuspation (MHI). The signals were analyzed considering the amplitude in the root mean square (RMS), mean frequency (MNF), median frequency (MDF) and approximate entropy (ApEn). The intraclass correlation (ICC2,1) for the three trials recorded during MHI in the two sessions (test and retest) revealed excellent intra-session and inter-session reliability (ICC2,1 = 0.76 to 0.97) for all sEMG variables and muscles. In the rest position, excellent reliability was found for RMS and ApEn (ICC2,1 = 0.75 to 1.00) and good to excellent reliability was found for MDF and MNF (ICC2,1 = 0.64 to 0.93). The intra-session (test) and inter-session (re-test) analyses demonstrated the reliability of nonlinear sEMG variables of the masticatory muscles in adults with Down Syndrome.

A Meta-Analysis of the Reliability of Four Field-Based Trunk Extension Endurance Tests.

This meta-analysis aimed to estimate the inter- and intra-tester reliability of endurance measures obtained through trunk extension field-based tests and to explore the influence of the moderators on the reliability estimates. The reliability induction rate of trunk extension endurance measures was also calculated. A systematic search was conducted using various databases, and subsequently 28 studies were selected that reported intraclass correlation coefficients for trunk extension endurance measures. Separate meta-analyses were conducted using a random-effects model. When possible, analyses of potential moderator variables were carried out. The inter-tester average reliability of the endurance measure obtained from the Biering-Sorensen test was intraclass correlation coefficient (ICC) = 0.94. The intra-session reliability estimates of the endurance measures recorded using the Biering-Sorensen test, the prone isometric chest raise test, and the prone double straight-leg test were ICC = 0.88, 0.90, and 0.86, respectively. The inter-session average reliability of the endurance measures from the Biering-Sorensen test, the prone isometric chest raise test, and the dynamic extensor endurance test were ICC = 0.88, 0.95, and 0.99, respectively. However, due to the limited evidence available, the reliability estimates of the measures obtained through the prone isometric chest raise, prone double straight-leg, and dynamic extensor endurance tests should be considered with a degree of caution. Position control instruments, tools, and familiarization session demonstrated a statistical association with the inter-session reliability of the Biering-Sorensen test. The reliability induction rate was 72.8%. Only the trunk extension endurance measure obtained through the Biering-Sorensen test presented sufficient scientific evidence in terms of reliability to justify its use for research and practical purposes.

Reliability of Change of Direction and Agility Assessments in Youth Soccer Players.

Considering the vast physical and neural developments experienced throughout adolescence, the reliability of physical performance may vary in youth populations. This study aimed to examine the reliability of change of direction (COD) and agility tests in youth soccer players. Altogether, 86 youth soccer players, aged 13.6 ± 2.0 years, volunteered to participate. Data were collected from a modified 505 COD test (m505COD) and the Y-sprint drill in both pre-planned (Y-SprintPRE) and reactive (Y-SprintREACT) conditions during 2 sessions, 7 days apart. Anthropometric data including body mass, standing stature, and sitting height were also collected. COD and agility tests demonstrated good reliability (ICC = 0.81–0.91; CV = 1.2–2.0; d = 0.00–0.31; p < 0.01) for our entire sample. However, we observed a small negative relationship between age and intersession differences for the Y-SprintPRE (r = −0.28; p = 0.04), and moderate negative relationships between both age (r = −0.41; p < 0.01), and maturity offset (r = −0.39; p < 0.01) for the Y-SprintREACT. Although the COD and agility tests adopted within this study possess good intersession reliability, we observed greater intersession differences for younger and less mature individuals. We suggest that while COD and agility tests may provide meaningful objective data for monitoring the development of youth soccer players, these tests should be used with caution when evaluating younger, more immature athletes.

Reliability of walking speed in basic and complex conditions in healthy, older community-dwelling individuals.

There is a paucity of reliability data for walking speed tests in complex conditions to assess functioning in healthy older individuals. To evaluate the absolute intra- and intertest reliability of walking speed performed in basic and complex conditions in healthy older individuals. Fifty-two men and women of mean age 69.7 ± 3.2years were tested for habitual and maximal walking speed. Maximal speed was also assessed under different conditions, including walking on a path of reduced width; picking up objects; stepping over hurdles; stepping over hurdles wearing sunglasses and finally, carrying a box. Two testing sessions (separated by 4weeks) of two trials each were administered. Reliability was analysed by intra-class correlation coefficient (ICC), minimal detectable change (MDC) and Bland-Altman plots with limits of agreement (LOA). Intrasession ICCs ranged from good to excellent (0.89-0.95) except for picking up objects (0.44). Intersession ICCs were moderate to good (0.60-0.78) and %MDCs were acceptable (14-24%). Bland-Altman plots suggested a good agreement between the two testing sessions at group level (mean differences from - 0.02 to - 0.11m/s), and limited agreement between testing sessions at individual level (upper LOA from 0.13 to 0.37m/s and lower LOA from - 0.29 to - 0.49m/s). Complex walking speed tests are generally reliable measures displaying good and moderate intra- and inter-session reliability. Suchtests seem a more suitable functional assessment tool for heathy older subjects compared with simple walking. Some learning effect may be present and further reliability studies are needed.