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Musculoskeletal Predictors of Movement Quality for the Forward Step-down Test in Asymptomatic Women.
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- Author(s): KYUNG-MI PARK; HEON-SEOCK CYNN; SUNG-DAE CHOUNG
- Source:
Journal of Orthopaedic & Sports Physical Therapy; Jul2013, Vol. 43 Issue 7, p504-510, 7p- Subject Terms:
LEG physiology; THIGH; QUADRICEPS muscle physiology; HIP joint physiology; TENDON physiology; CALF muscle physiology; FUNCTIONAL assessment; ANTHROPOMETRY; CONFIDENCE intervals; RANGE of motion of joints; LYING down position; MUSCLE strength; MUSCLE strength testing; PATIENT positioning; PHYSICAL therapists; ROTATIONAL motion; STATISTICS; STRETCH (Physiology); SUPINE position; T-test (Statistics); WOMEN'S health; STATISTICAL power analysis; BODY movement; ABDUCTION (Kinesiology); INTER-observer reliability; CROSS-sectional method; STAIR climbing; RESEARCH methodology evaluation; DATA analysis software; DESCRIPTIVE statistics; PHYSIOLOGY - Source:
- Additional Information
- Subject Terms:
- Abstract: STUDY DESIGN: Cross sectional. OBJECTIVE: To investigate the interrater reliability of movement-quality ratings for the forward step-down (FSD) test and to compare hip muscle strength and lower extremity joint range of motion and muscle flexibility among asymptomatic women with different levels of movement quality. BACKGROUND: The interrater reliability of the FSD test has not yet been investigated. Additionally, it is not known whether differences in musculoskeletal measures exist among individuals with different levels of movement quality during the FSD test. METHODS: Two physical therapists assessed movement quality during the FSD test in 26 asymptomatic women (mean ± SD age, 22.7 ± 0.9 years). Hip muscle strength and lower extremity joint range of motion and muscle flexibility were also assessed. The interrater reliability of the FSD test was estimated by using the kappa coefficient and percent agreement. Differences in musculoskeletal measures based on movement quality were assessed by independent t tests. RESULTS: The kappa coefficient and percent agreement for rating the quality of movement on the FSD test were 0.80 (95% confidence interval: 0.57,1.00) and 85%, respectively. The subjects with moderate movement quality had significantly less strength of the hip abductors, less knee flexion range of motion measured in prone (quadriceps flexibility), and less hip adduction range of motion measured in sidelying (iliotibial band/tensor fascia latae flexibility) compared to those with good movement quality. CONCLUSION: There was good agreement for the rating of movement quality during the FSD test, and there were physical attributes that distinguished those with moderate from those with good quality of movement. J Orthop Sports Phys Ther 2013;43(7):504-510. Epub 11 June 2013. dor.10.2519/jospt.2013.4073 [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Orthopaedic & Sports Physical Therapy is the property of JOSPT, Inc. d/b/a Movement Science Media and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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