Movement Competency Screens Can Be Reliable In Clinical Practice By A Single Rater Using The Composite Score

Mann, Kerry J. and O'Dwyer, Nicholas and Bruton, Michaela R. and Bird, Stephen P. ORCID: https://orcid.org/0000-0002-5607-3829 and Edwards, Suzi (2022) Movement Competency Screens Can Be Reliable In Clinical Practice By A Single Rater Using The Composite Score. International Journal of Sports Physical Therapy, 17 (4). pp. 593-604.

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Abstract

Background: Movement competency screens (MCSs) are commonly used by coaches and clinicians to assess injury risk. However, there is conflicting evidence regarding MCS reliability. Purpose: This study aimed to: (i) determine the inter- and intra-rater reliability of a sport specific field-based MCS in novice and expert raters using different viewing methods (single and multiple views); and (ii) ascertain whether there were familiarization effects from repeated exposure for either raters or participants. Study Design: Descriptive laboratory study Methods: Pre-elite youth athletes (n=51) were recruited and videotaped while performing a MCS comprising nine dynamic movements in three separate trials. Performances were rated three times with a minimal four-week wash out between testing sessions, each in randomized order by 12 raters (3 expert, 9 novice), using a three-point scale. Kappa score, percentage agreement and intra-class correlation were calculated for each movement individually and for the composite score. Results: Fifty-one pre-elite youth athletes (15.0±1.6 years; n=33 athletics, n=10 BMX and n=8 surfing) were included in the study. Based on kappa score and percentage agreement, both inter- and intra-rater reliability were highly variable for individual movements but consistently high (>0.70) for the MCS composite score. The composite score did not increase with task familiarization by the athletes. Experts detected more movement errors than novices and both rating groups improved their detection of errors with repeated viewings of the same movement. Conclusions: Irrespective of experience, raters demonstrated high variability in rating single movements, yet preliminary evidence suggests the MCS composite score could reliably assess movement competency. While athletes did not display a familiarization effect after performing the novel tasks within the MCS for the first time, raters showed improved error detection on repeated viewing of the same movement.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current – Faculty of Health, Engineering and Sciences - School of Health and Medical Sciences (1 Jan 2022 -)
Faculty/School / Institute/Centre: Current – Faculty of Health, Engineering and Sciences - School of Health and Medical Sciences (1 Jan 2022 -)
Date Deposited: 02 Jun 2022 05:16
Last Modified: 24 Oct 2022 01:23
Uncontrolled Keywords: Movement competency screen
Fields of Research (2020): 42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420109 Rehabilitation
Socio-Economic Objectives (2020): 20 HEALTH > 2099 Other health > 209999 Other health not elsewhere classified
URI: http://eprints.usq.edu.au/id/eprint/48700

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