Intersession Reliability Research Articles

Reliability, accuracy, and minimal detectable difference of a mixed concept marker set for finger kinematic evaluation

The study of finger biomechanics requires special tools for accurately recording finger joint data. A marker set to evaluate finger postures during activities of daily living is needed to understand finger biomechanics in order to improve prosthesis design and clinical interventions. The purpose of this study was to evaluate the reliability of a proposed hand marker set (the Warwick marker set) to capture finger kinematics using motion capture. The marker set consisted of the application of two and three marker clusters to the fingers of twelve participants who participated in the tests across two sessions. Calibration markers were applied using a custom palpation technique. Each participant performed a series of range of motion movements and held a set of objects. Intra and inter-session reliability was calculated as well as Standard Error of Measurement (SEM) and Minimal Detectable Difference (MDD).The findings showed varying levels of intra- and inter-session reliability, ranging from poor to excellent. The SEM and MDD values were lower for the intra-session range of motion and grasp evaluation. The reduced reliability can potentially be attributed to skin artifacts, differences in marker placement, and the inherent kinematic variability of finger motion. The proposed marker set shows potential to assess finger postures and analyse activities of daily living, primarily within the context of single session tests.

Examining the Intra-rater Reliability of Transcranial Magnetic Stimulation (TMS)-Induced Motor Evoked Potentials (MEPs) Within and Between Sessions: A Step Towards Ensuring Accuracy of Observed MEP Changes in Repeated Measures Studies conducted by Newly Trained TMS Operators

Background: An essential factor in the validity of motor evoked potential (MEP)s recorded by transcranial magnetic stimulation (TMS) over multiple times is their test-retest reliability which to a large extent depends on the accuracy and competence of the assessor (intra-rater reliability). However, intra-rater reliability is infrequently reported in TMS studies suggesting that this is rarely done. Objectives: This study was conducted to determine the intra-rater within and between-session reliability of a newly trained TMS assessor prior to a main TMS study and report on the methodology used to encourage similar practice. Methods: Fourteen (10 males, 4 females; mean age: 32 ± 5.8 years) participants took part in the study. Motor evoked potentials were elicited from a relaxed, right first dorsal interosseous (FDI) muscle three times (T1, T2 and T3) across two testing sessions at least 48 hours apart. During the first session, MEPs were recorded twice (T1 and T2) within an interval of 20 minutes to determine the within (intra) session reliability of the assessor. During the second session, a single measurement was carried out (T3) which was compared to T1 to determine the inter-session reliability. Results: Repeated measure analysis of variance (ANOVA) did not reveal significant difference in the amplitude of the MEPs obtained across the three time periods (P = 0.196) demonstrating agreement in the MEPs and hence the reliability of the assessor. Additionally, the intraclass correlation coefficient (ICC) between T1 and T2; and T1 and T3 were 0.952 (P < 0.001) and 0.833 (P = 0.001) respectively further indicating the within and between sessions reliability of the assessor. Conclusions: The agreement between the three measured MEPs amplitude and the significant ICC demonstrates the reliability of the assessor in this study to use TMS for research. We suggest that the intra-rater reliability of new TMS operators should be established using the methodology in this report prior to main TMS studies.

The Reliability of Linear Speed with and without Ball Possession of Pubertal Soccer Players.

Reliable fitness tests with low day-to-day and trial-to-trial variation are a prerequisite for tracking a player's performance or for identifying meaningful changes in training interventions. The present study examined the inter- and intra-session reliability of 30 m linear speed with and without ball possession as well as the reliability of a specific performance index of pubertal soccer players. A total of 40 pubertal (14.87 ± 1.23 years old) male soccer players performed two testing sessions (test-retest) separated by 72 h. Both testing sessions included a protocol consisting of two maximal trials of 30 m linear speed with and without ball possession. A performance index, indicating the difference between the two speed tests, was also calculated using two different equations (delta value and percentage value). The relative and absolute inter-session reliabilities were good/high for all testing variables (ICC = 0.957-0.995; SEM% = 0.62-8.83). There were also good/high relative and absolute intra-session reliabilities observed for all testing variables (ICC = 0.974-0.987; SEM% = 1.26-6.70%). According to the Bland-Altman plots, the differences between test-retest and trials for all observations were within the defined 95% limits of agreement. The reliable testing protocols and performance index for the evaluation of linear speed with and without ball possession, observed in this study, may be used in speed monitoring and training planning of pubertal soccer players.

Rating of Perceived Exertion in the First Repetition is Related to the Total Repetitions Performed in Elastic Bands Training.

Several devices (e.g.,linear transducers) have been used for predicting resistance training intensity. However, subjective scales, such as rating of perceived exertion (RPE), are proposed as reliable and easier-to-use tools for monitoring intensity during resistance training. Accordingly, different perceptive scales have been presented in previous research for monitoring intensity during resistance training with elastic bands. The aim was to assess the accuracy and reliability of RPE for quantifying the potential maximal repetitions that could be performed at a given RPE (from 2 to 8 of 10) obtained in the first repetition. For this purpose, 13 recreationally active participants (age: 26.33 [6.52]years, body mass index: 24.97 [5.08]kg/m2) were involved in two familiarization and two experimental sessions. In each session, participants randomly performed one set at each intensity of the first repetition from 2/10 to 8/10 until volitional failure in three different exercises (fly, military press, and push-press). An individual grip width of the elastic band was chosen in each set. The number of repetitions and heart rate were assessed. Significance level was set at p < .05. Repetitions decreased when intensity increased (p < .01) and heart rate was higher in the global exercise (i.e.,push-press; p < .05), but nonsignificant differences between intensities were reported. The level of experience influenced the number of repetitions performed (p < .05). Intersession reliability was set from good to excellent (range: 0.64-0.91). Therefore, the RPE of the first repetition is a relevant and reliable parameter related to the total number of repetitions performed for each RPE value in trained participants enrolled in elastic bands resistance training.

Validity and reliability of Polar M400 GPS watches for measuring distances covered by team sports players

PurposeMonitoring locomotor demands in team sports becomes popular in professional and recreational daily activities. Precise measurements are main of importance in training routine. The aim of this study is three-fold: (i) analyze the validity of Polar M400 Global Positioning System (GPS) watches for measuring distances covered in team sports simulation cycle; (ii) testing inter-unit reliability of two devices attached during testing; and (iii) testing inter-session reliability for the same simulation cycle. Methods: Twenty-one team athletes (age: 24.5 ± 5.2 years; body mass: 71.8 ± 5.7 kg; height: 176.5 ± 4.3 cm) were tested in the team sport simulation cycle (TSSC). Two Polar M400 sport watches were used by each player on their wrists at the same time. The data obtained from Polar M400 were compared to the reference fixed distance of the TSSC to determine the watch validity. Inter-session reliability was also tested using the two watches in two different sessions. Results: No significant differences between the reference value and the watches (F = 1.086; p = 0.368; ηp2 ≤0.042) were found. The %CV (0.03–0.05%) and SEM (0.05–0.09) values found for all considered groups confirmed good levels of reliability of the Polar M400 to measure total distance. Conclusions: The Polar M400 is a valid and reliable watch for measuring the distances covered by team sport athletes. Both coaches and athletes can monitor the distances covered with accuracy and precision, through the use of the Polar M400 sport watch.

Ultrasonographic reliability and repeatability of simultaneous bilateral assessment of diaphragm muscle thickness during normal breathing.

The diaphragm is considered the main muscle involved in breathing and also linked to trunk stabilization functions. Up to date, rehabilitative ultrasound imaging (RUSI) has been the most used technique to evaluate unilaterally the transcostal diaphragm thickness. Nevertheless, the inspiratory activity of both hemi-diaphragms is bilaterally performed at the same time, and its simultaneous evaluation with a thoracic orthosis could improve its assessment as well as its re-education with visual biofeedback of both hemi-diaphragms at the same time. The purpose was to evaluate the reliability and repeatability of simultaneous thickness measurements of both hemi-diaphragms bilaterally during normal breathing using a thoracic orthosis that allowed bilateral fixation of both right and left ultrasound probes. The study was conducted in 46 healthy subjects, whose diaphragm thickness was measured bilaterally and simultaneously in the anterior axillary line during relaxed breathing with a designed thoracic orthosis and 2 ultrasound tools. Intra-examiner (same examiner), inter-examiner (2 examiners), intra-session (1 hour) and inter-session (1 week) reliability and repeatability between each pair of measurements of diaphragm muscle thickness were analyzed during normal breathing. Reliability and repeatability for intra-session evaluations using the thoracic orthosis were excellent to evaluate simultaneous thickness of both hemi-diaphragms by bilateral probes fixation (intraclass correlation coefficient =0.919-0.997; standard error of measurement =0.002-0.007 cm; minimum detectable change =0.006-0.020 cm), without systematic errors (P>0.05) between each pair of measurements. Nevertheless, inter-session evaluations varied from good to excellent using the bilateral probes fixation (intraclass correlation coefficient =0.614-0.984; standard error of measurement =0.006-0.028 cm; minimum detectable change =0.017-0.079 cm), although some systematic errors were presented (P<0.05). Good to excellent reliability and repeatability was shown for simultaneous thickness measurements of both hemi-diaphragms bilaterally during normal breathing. Despite systematic errors were presented for some inter-examiner assessments, the use of the thoracic orthosis that allowed bilateral fixation of ultrasound probes could be recommended for simultaneous hemi-diaphragms breathing re-education by visual biofeedback.

Inter-session, intra-rater and inter-rater reliability of single-leg drop jump landing tasks using the SLESS and compared to the double-leg drop jump landing tasks using theLESS

Inter-session, intra-rater and inter-rater reliability of single-leg drop jump landing tasks using the SLESS and compared to the double-leg drop jump landing tasks using theLESS

Intra- and inter-session reliability of electrical detection and pain thresholds of cutaneous and muscle primary afferents in the lower back of healthy individuals.

To advance evidence-based practice and targeted treatments of low back pain (LBP), a better pathophysiological understanding and reliable outcome measures are required. The processing of nociceptive information from deeper somatic structures (e.g., muscle, fascia) might play an essential role in the pathophysiology of LBP. In this study, we measured the intra- and inter-session reliability of electrical detection and pain thresholds of cutaneous and muscle primary afferents of the lower back. Twenty healthy participants attended two study visits separated by 27.7 ± 1.7days. To determine the location-specific electrical detection threshold (EDT) and pain threshold (EPT), needle electrodes were inserted in the epidermal layer over, and in the lumbar erector spinae muscle. Additionally, established quantitative sensory testing (QST) parameters were assessed. Reliability was determined by differences between measurements, intraclass correlation coefficients (ICC2,1), Bland-Altman plots, and standard error of measurement (SEM). Correspondence between QST parameters and electrical thresholds was assessed using Pearson's correlation. Except for cutaneous EPT, no significant (p ≤ 0.05) intra- and inter-session differences were observed. Excellent intra-session reliability was shown for cutaneous and intramuscular electrical stimulations and all QST parameters (ICC: 0.76-0.93). Inter-session reliabilities were good (ICC: 0.74-0.75) except for electrical stimulations (ICC: 0.08-0.36). Limits of agreement and SEM were higher for inter-session than intra-session. A medium to strong relationship was found between electrical and mechanical/pressure pain thresholds. In conclusion, cutaneous and intramuscular electrical stimulation will potentially close an important diagnostic gap regarding the selective examination of deep tissue afferents and provide location-specific information for the excitability of non-nociceptive and nociceptive afferents.

RELIABILITY AND VALIDITY OF VARIOUS FORCE-TIME INDICATORS FOR THE ASSESSMENT OF FINGER AND SHOULDER GIRDLE STRENGTH IN CLIMBING

The rate of upper limb force development (RFD) is one of the important performance factors in sport climbing. The aim of this study was to investigate the reliability and validity of various force-time indicators for the assessment of finger and shoulder girdle strength in climbing. Ten male lead climbers (climbing ability: advanced; IRCRA: 22 ± 2) performed two RFD and two maximal strength tests for the finger flexor and shoulder girdle muscles (one-arm finger hangs and lock-off s, respectively). The maximal strength tests were used to assess maximal force (Fmax). The RFD tests were used to assess: peak force (Fpeak); time for reaching force representing 25%, 50%, and 75% of the body weight (T25%BW, T50%BW, T75%BW); and absolute and relative RFD indicators (e.g., RFD at 200 ms and 95% Fpeak, respectively). The reliability of the finger flexor RFD indicators was high (intrasession intraclass correlation coefficients - ICC between .760 and .973; intersession ICC between .883 and .955). Intersession reliability of the finger flexor T50%BW and T75%BW reached excellent values (ICC = .949 and ICC = .978, respectively). Reliability of the finger flexor and lock-off Fpeak and Fmax was also high (ICC between .850 and .966). Consistency between Fpeak and Fmax was not satisfactory, though. These variables differed significantly (p = .035) in the finger flexor tests, and ICC was moderate (.605) in the lock-off tests. Most of the lock-off force-time indicators had moderate or poor reliability. Finger flexor and lock-off Fmax/kg and T50%BW correlated significantly (p &lt; .05) with the climbing ability (R = .805, R = .653, and R = -.703, respectively), while lock-off force-time indicators did not. T50%BW was the most reliable and valid force-time indicator in advanced climbers. RFD indicators were reliable, but muscle strength appeared more important than RFD in advanced climbers.

Calibration and Multiple Reliability Assessments of a Scrum Machine Instrumented to Measure Force

Coaches need reliable methods of quantifying rugby union scrum force performance in order to make data-driven decisions. The purpose of this study is to present the reliability of a replicable instrumented scrum machine. We performed 3 phases of deadweight calibration on 8 S-type load cells; during deadweight calibration, each load cell was loaded with ~20–200 kg. Phase 1 compared power sources (wall outlet vs. portable power station). Phase 2 tested the inter-session reliability of the load cells after 15, 30, 45, 60, and 420 min of run time. Phase 3 tested between-session reliability, comparing days 0, 1, 7, and 180. We also performed a phase of inter-trial reliability when humans pushed on the fully instrumented scrum machine. Fourteen collegiate rugby players performed four warm-up trials and then five 100%-effort trials; peak and average voltage during the push were compared between the 100%-effort trials. For all phases, statistical analyses show near-perfect reliability. Therefore, we conclude that our novel instrumented scrum machine is ready for in vivo data collection; other coaches or researchers could duplicate our methods to create their own reliable instrumented scrum machine.

Assessing The Key Physical Capabilities in Striking Combat Sports: Reliability And Reproducibility of A New Test

The rules and the technical aspect of combat sports make it difficult to determine key performance indicators. Therefore, the assessment of striking sports discipline-specific key components may be relevant. This study aims to present a test assessing specifically the fighters striking force-velocity (F-V) capabilities. 10 MMA fighters performed FV (two-point (TP) and multiple-point (MP) methods) and fatigue tests using the landmine punch exercise (LPE) which is considered a specific exercise for striking combat sports. A high within-subject intra-session and inter-session reliability and reproducibility were found for the FV profiles parameters and the fatigue test (most CVs&lt;10%, ICCs&gt;0.67, ES &lt; 0.2 for F0, V0, Pmax, Sfv, Ppeak, Pmean, Pmin and FI% and r &gt; 0.9). Moreover, the TP and MP methods showed high validity and agreement (r &gt;0.88 and ES &lt;0.37). The novel LPE test presented in this pilot study is a highly reproducible tool for evaluating both mechanical and anaerobic components specific to the discipline. Athletes and coaches may use this test to better understand striking performance in combat sports.

Reliability of Upper Extremity Functional Performance Tests for Overhead Sports Activities.

There is lack of consensus on which tests, particularly upper extremity functional performance tests (FPT) that should be used for clinical decision making to progress a patient through a rehabilitation program or criteria for return to sport (RTS). Consequently, there is a need for tests with good psychometric properties that can be administered with minimal equipment and time. (1) To establish the intersession reliability of several open kinetic chain FPT in healthy young adults with a history of overhead sport participation. (2) To examine the intersession reliability of the limb symmetry indices (LSI) from each test. Test-retest reliability, single cohort study. Forty adults (20 males, 20 females) completed four upper extremity FPT during two data collection sessions three to seven days apart: 1) prone medicine ball drop test 90°shoulder abduction (PMBDT 90°), 2) prone medicine ball drop test 90°shoulder abduction/90° elbow flexion (PMBDT 90°-90°), 3) half-kneeling medicine ball rebound test (HKMBRT), 4) seated single arm shot put test (SSASPT). Measures of systematic bias, absolute reliability and relative reliability were computed between the sessions for both the original test scores and LSI. Except for the SSASPT, all tests demonstrated significant (p ≤ 0.030) improvements in performance during the second session. Generally, for the medicine ball drop/rebound tests, the absolute reliability was the highest (less random error) for the HKMBRT, next the PMBDT 90°followed by PMBDT 90°-90°. Excellent relative reliability existed for the PMBDT 90°, HKMBRT, and SSASPT, whereas fair to excellent relative reliability for the PMBDT 90°-90°. The SSASPT LSI revealed the highest relative and absolute reliability. Two tests, HKMBRT and SSASPT demonstrated sufficient reliability; therefore, the authors' recommend those tests can be used for serial assessments to advance a patient through a rehabilitation program as well as criteria for progression to RTS. 3.

Reliability of ADR Jumping Photocell: Comparison of Beam Cut at Forefoot and Midfoot.

The ability to detect small changes in a vertical jump is crucial when data are used by sports science specialists to monitor their athletes. This study aimed to analyze the intrasession reliability of the ADR jumping photocell and the reliability relative to the position of the transmitter when it is located facing the phalanges of the foot (forefoot) or the metatarsal area (midfoot). A total of 12 female volleyball players performed 240 countermovement jumps (CMJ), alternating both methods. The intersession reliability was higher for the forefoot method (ICC = 0.96; CCC = 0.95; SEM = 1.15 cm; CV = 4.11%) than for the midfoot method (ICC = 0.85; CCC = 0.81; SEM = 3.68 cm; CV = 8.75%). Similarly, the sensitivity values were better for the forefoot method (SWC = 0.32) than for the midfoot method (SWC = 1.04). Significant differences were found between the methods (13.5 cm, p < 0.05, ES = 2.1) with low agreement (rs = 0.57; ICC = 0.49; CCC = 0.15; SEM = 4.7 cm) and heteroscedasticity was observed (r2 > 0.1). In conclusion, the ADR jumping photocell is shown to be a reliable tool for measuring CMJs. However, the reliability of the instrument can be influenced depending on the placement of the device. Comparing the two methods, the midfoot placement was less reliable as indicated by higher values of SEM and systematic error, and thus its use is not recommended.

Cervical Range of Motion Analysis Performed with an Accelerometer: A Study of Intersession Reliability for Dental Practice.

During the clinical examination of subjects with temporomandibular disorders (TMDs), the dentist sometimes must evaluate the cervical spine, due to the anatomical and functional connections between the cervical portion of the spine and the stomatognathic apparatus. The accelerometer is a device that evaluates the Range of Motion (ROM) of the main movements of the head on the neck. To date, only a few studies have investigated the repeatability of the use of the accelerometer in the assessment of cervical ROM. Therefore, the present longitudinal observational study analyzed the repeatability of acquired cervical movements on a sample of volunteer subjects who underwent accelerometer testing. A sample of 32 subjects was tested twice within 14 days to assess cervical ROM using a standardized protocol based on a review of existing literature. The results show that the examination is reliable for all the positions of the jaw, except for the parameters regarding the asymmetries of rotation and bending. In conclusion, the accelerometer can be considered a reliable tool for evaluating the active cervical ROM. However, further studies will be necessary to make better evaluations.

Concentric Phase Assistance Enhances Eccentric Peak Power During Flywheel Squats: Intersession Reliability and the Linear Relationship Between Concentric and Eccentric Phases.

It remains unknown if flywheel-assisted squats can be reliably utilized to increase power outputs and if such outputs are related. To compare assisted and unassisted flywheel squat peak power outputs, determine their reliability, and analyze the relationship of the delta difference between peak power outputs during the squats. Twenty male athletes attended the laboratory 6 times-performing 3 sets of 8 repetitions of assisted and unassisted squats during 2 familiarization sessions and then 3 sets of 8 repetitions during experimental sessions 3 to 6 (2 sessions for unassisted and assisted squat in randomized order, respectively). Concentric and eccentric peak power were significantly greater during assisted squats (both P < .001, d = 1.59, d = 1.57, respectively). Rating of perceived exertion (P = .23) and eccentric:concentric ratio (P = .094) did not differ between squat conditions. Peak power measures obtained excellent reliability, while rating of perceived exertion and eccentric:concentric ratio estimates were rated as acceptable to good, with greater uncertainty. A large to very large correlation (r = .77) was found between concentric and eccentric peak power delta difference of assisted and unassisted squats. Greater concentric outputs during assisted squats induce greater eccentric outputs and obtain greater mechanical load. Peak power is a reliable metric for monitoring flywheel training, whereas the eccentric:concentric ratio should be used with caution. Eccentric and concentric peak power are strongly related during flywheel squats, evidencing the need to maximize the concentric output to enhance the eccentric output.

Intersession reliability of quadriceps corticospinal excitability: A functional transcranial magnetic stimulation study

Recording transcranial magnetic stimulation-derived measures during a closed kinetic chain task can serve as a functional technique to assess corticomotor function, which may have implications for activities of daily living or lower extremity injury in physically active individuals. Given the novelty of TMS use in this way, our purpose was to first determine the intersession reliability of quadriceps corticospinal excitability during a single-leg squat. We used a descriptive laboratory study to assess 20 physically active females (22.1 ± 2.5 years, 1.7 ± 0.7 m, 66.3 ± 13.6 kg, Tegner Activity Scale: 5.90 ± 1.12) over a 14-day period. Two-way mixed effects Intraclass Correlation Coefficients (3,1) (ICC) for absolute agreement were used to assess intersession reliability. The active motor threshold (AMT) and normalized motor evoked potential (MEP) amplitudes were assessed in the vastus medialis of each limb. The dominant limb AMTs demonstrated moderate-to-good reliability (ICC = 0.771, 95% CI = 0.51–0.90; p < 0.001). The non-dominant limb AMTs (ICC = 0.364, 95% CI = 0.00–0.68, p = 0.047), dominant limb MEPs (ICC = 0.192, 95% CI = 0.00–0.71; p = 0.340), and non-dominant limb MEPs (ICC = 0.272, 95% CI = 0.00–0.71; p = 0.235) demonstrated poor-to-moderate reliability. These findings may provide insight into corticomotor function during activities requiring weight-bearing, single-leg movement. However, variability in agreement suggests further work is warranted to improve the standardization of this technique prior to incorporating in clinical outcomes research.

Differences in the effects of a startle stimulus on rate of force development between resistance-trained rock climbers and untrained individuals: Evidence for reticulospinal adaptations?

The aim of the present cross-sectional study was to determine if chronic rock climbing and climbing-specific resistance training (RT) would modify the reticulospinal tract (RST) efficacy. Sixteen healthy, elite level climbers (CL; n=16, 5 F; 29.8 ± 6.7 years) with 12 ± 7 years of climbing and climbing-specific RT experience and 15 healthy recreationally active participants (CON; n=15, 4 F; 24.6 ± 5.9 years), volunteered for the study. We quantified RST efficacy by comparing the effects of a startle stimulus over reaction time (Rtime ) and measured rate of force development (RFD) and surface electromyography (sEMG) in representative muscles during powerful hand grip contractions. Both groups performed two Rtime tasks while performing rapid, powerful gripping with the right hand (Task 1) or during 3-s-long maximal voluntary right hand grip contractions in response to an imperative visual signal alone (V), or combined with a auditory-non startle stimulus (A) or/and startling auditory stimulus (S). We also tested the reproducibility of these responses on two separate days in CON. Intersession reliability ranged from 0.34 to 0.96 for all variables. The CL versus CON was 37% stronger (p=0.003). The S stimulus decreased Rtime and increased RFD and sEMG in both groups during both tasks (all p < 0.001). Rtime was similar between groups in all conditions. However, CL had a greater RFD from 50 to 100 ms compared with CON only after the S stimulus in both tasks (p < 0.05, d=0.85-0.96). The data tentatively suggest that chronic rock climbing and climbing-specific RT might improve RST efficacy, by increasing RST input to the α-motoneurons.

Intra- and inter-session reliability and repeatability of an infrared thermography device designed for materials to measure skin temperature of the triceps surae muscle tissue of athletes.

Infrared thermography devices have been commonly applied to measure superficial temperature in structural composites and walls. These tools were cheaper than other thermographic devices used to measure superficial human muscle tissue temperature. In addition, infrared thermography has been previously used to assess skin temperature related to muscle tissue conditions in the triceps surae of athletes. Nevertheless, the reliability and repeatability of an infrared thermography device designed for materials, such as the Manual Infrared Camera PCE-TC 30, have yet to be determined to measure skin temperature of the triceps surae muscle tissue of athletes. The purpose was to determine the procedure's intra- and inter-session reliability and repeatability to determine skin temperature within the Manual Infrared Camera PCE-TC 30 thermography device in the triceps surae muscle tissue of athletes, which was initially designed to measure the superficial temperature of materials. A total of 34 triceps surae muscles were bilaterally assessed from 17 healthy athletes using the Manual Infrared Camera PCE-TC 30 thermography device to determine intra- (at the same day separated by 1 h) and inter-session (at alternate days separated by 48 h) reliability and repeatability of the skin temperature of the soleus, medial and lateral gastrocnemius muscles. The triceps surae complex weas measured by a region of interest of 1 cm2 through five infrared thermography images for each muscle. Statistical analyses comprised intraclass correlation coefficient (ICC), standard error of measurement (SEM), minimum detectable change (MCD), systematic error of measurement, correlation (r), and Bland-Altman plots completed with linear regression models (R 2). Intra- and inter-session measurements of the proposed infrared thermography procedure showed excellent reliability (ICC(1,2) = 0.968-0.977), measurement errors (SEM = 0.186-0.232 °C; MDC = 0.515-0.643 °C), correlations (r = 0.885-0.953), and did not present significant systematic error of measurements (P > 0.05). Adequate agreement between each pair of measurement moments was presented by the Bland-Altman plots according to the limits of agreement and non-significant linear regression models (R 2 = 0.000-0.019; P > 0.05). The proposed procedure to determine skin temperature within the Manual Infrared Camera PCE-TC 30 thermography device presented excellent intra- and inter-session reliability and repeatability in athletes' triceps surae muscle tissue. Future studies should consider the SEM and MDC of this procedure to measure the skin temperature of soleus, medial, and lateral gastrocnemius muscles to promote triceps surae muscle prevention and recovery in athletes.

Factors Associated with Low Inter-Session Reliability of Conditioned Pain Modulation in Older People with or Without Chronic Musculoskeletal Pain.

Conditioned pain modulation (CPM) is a measurement of the descending pain pathways that inhibit or facilitate afferent noxious stimuli. The reliability of CPM in older individuals with or without chronic musculoskeletal pain has not been sufficiently reported. This study aimed to examine the inter-session reliability of CPM in these cohorts and the factors in CPM reliability. Individuals aged 65 or older were recruited in Narita, Japan. The measurements were performed on separate days 2 weeks apart (sessions 1 and 2). Each participant's hand was immersed in cold water, and we measured pressure pain threshold (PPT) before and after the immersion. The ratio before and after PPT measurements was presented as CPM index. The autonomic activities (heart rate variability, heart rate, and blood pressure) were simultaneously measured. An absolute reliability of CPM index was analyzed by the adjusted two-way analysis of variance (ANOVA) and the Bland Altman plot, and relative reliability was analyzed by intraclass correlation coefficient (ICC). Spearman's rho correlation and the adjusted multivariate regression analysis were utilized for examining the CPM reliability factors. Thirty-two participants were divided into two groups: chronic pain (n=19) and non-chronic pain (n=13) groups. The mean difference between session 1 and 2 in CPM index showed a systematic error in the chronic pain group at 17.3 (confidence interval, CI: 15.0 to 19.7), but none in the non-chronic pain group at 3.7 (CI: -0.02 to 7.4). The adjusted two-way ANOVA for CPM index did not identify any differences. ICC was not significant at p=-0.247 in the non-chronic and 0.167 in chronic pain. Multivariate regression analysis revealed total power and low/high frequencies as significant factors for CPM index. This study identified low inter-session reliability in older adults with chronic musculoskeletal pain and autonomic nervous system activities as factors in CPM reliability.

Reliability and Usefulness of the SKILLCOURT as a Computerized Agility and Motor-Cognitive Testing Tool.

Agility and cognitive skills are essential in sports. However, standardized agility assessment tools often lack a reactive component, and cognitive assessments are performed using computer-based or paper-pencil tests. The SKILLCOURT is a newly developed testing and training device allowing agility and cognitive assessments in a more ecologically valid setting. This study evaluated the reliability and sensitivity to changes in performance (usefulness) of the SKILLCOURT technology. In a test-retest (7 d, 3 months) design, 27 healthy adults (♀ = 12; age, 24.9 ± 3.3 yr) performed three trials of agility (Star Run, Random Star Run) and motor-cognitive tests (1-back, 2-back, executive function). Absolute and relative intersession and intrasession reliability was determined using the intraclass coefficient (ICC) and coefficient of variation (CV). A repeated-measures ANOVA was applied to identify potential learning effects between trials and test sessions. The smallest worthwhile change and typical error (TE) were calculated to investigate the intrasession and intersession usefulness of the tests. Agility tests revealed good relative and absolute intersession (ICC, 83-0.89; CV, 2.7%-4.1%) and intrasession (ICC, 7-0.84; CV, 2.4%-5.5%) reliability accompanied by adequate usefulness from test day 3 onward. Motor-cognitive tests showed good relative intersession reliability (ICC, 0.7-0.77) with marginal CV values (4.8%-8.6%). Adequate intrasession reliability and usefulness can be assumed from test day 2 (1-back test, executive function test) and day 3 (2-back test) onward. For all tests, learning effects were observed within and compared with test day 1. The SKILLCOURT is a reliable diagnostic tool for assessing reactive agility and motor-cognitive performance. Because of learning effects, sufficient familiarization with the tests is required when used for diagnostic purposes.