The Protocol for Active Movement Extent Discrimination Assessment (AMEDA) is Reliable When Shortened From 50 to 25 Stimuli to Reduce Testing Fatigue.

Active movement extent discrimination assessment (AMEDA) is a psychophysical task that evaluates proprioception and tactile acuity of the lower limbs, and it is a method of determining sensorimotor ability. Sensorimotor ability is the ability to judge small differences in movement tasks through the...

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Publicado en:Perceptual & Motor Skills Vol. 132; no. 3; pp. 395 - 407
Autores principales: Waddington, Gordon, Witchalls, Jeremy
Formato: Artículo
Publicado: Sage Publications Inc. Jun2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2025
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      pub: Sage Publications Inc.
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        atl: The Protocol for Active Movement Extent Discrimination Assessment (AMEDA) is Reliable When Shortened From 50 to 25 Stimuli to Reduce Testing Fatigue.
      aug:
        au:
          Waddington, Gordon
          Witchalls, Jeremy
        affil: Research Institute for Sport and Exercise, 2234 University of Canberra, Bruce, ACT, Australia
      su:
        Task performance
        Attention
        Leg physiology
        Medical protocols
        Pearson correlation (Statistics)
        Ankle
        Proprioception
        Data analysis
        Physiological adaptation
        Fatigue (Physiology)
        Psychophysics
        Touch
        Descriptive statistics
        Muscular sense
        Psychology of movement
        Research methodology
        Statistics
        Intraclass correlation
        Statistical reliability
        Comparative studies
        Confidence intervals
        Evaluation
      sug:
        subj:
          Task performance
          Attention
          Leg physiology
          Medical protocols
          Pearson correlation (Statistics)
          Ankle
          Proprioception
          Data analysis
          Physiological adaptation
          Fatigue (Physiology)
          Psychophysics
          Touch
          Descriptive statistics
          Muscular sense
          Psychology of movement
          Research methodology
          Statistics
          Intraclass correlation
          Statistical reliability
          Comparative studies
          Confidence intervals
          Evaluation
      keyword:
        AMEDA
        ankle
        kinesthesia
        proprioception
        sensorimotor
        AMEDA
        ankle
        kinesthesia
        proprioception
        sensorimotor
      ab: Active movement extent discrimination assessment (AMEDA) is a psychophysical task that evaluates proprioception and tactile acuity of the lower limbs, and it is a method of determining sensorimotor ability. Sensorimotor ability is the ability to judge small differences in movement tasks through the process of receiving sensory messages (sensory input) and producing a response (motor output). Participant attention lapses in prior psychophysical studies have been implicated as a cause for increased measurement variance thresholds in these types of assessments. Since minimizing the time needed for the AMEDA may help to reduce attention lapses, we compared the reliability of the 50-repetition AMEDA protocol (Group 1) with that of a 25-repetition protocol (Group 2). We assessed the split half reliability of these two approaches, using the Spearman-Brown Adjusted Pearson correlation (r). For each method, we calculated Bland-Altman Plots and Intra Class Correlation Coefficients to compare the reliability of the two data sets and determine the 95% confidence intervals. Split-half test re-test Spearman-Brown Adjusted Pearson r (r) was Group 1 r = 0.83 and Group 2 r = 0.85. The Bland-Altman Plots indicated only a small degree of bias from the zero-difference line, with 95% of the difference points lying within the limits of agreement. For Group 1, the intraclass correlation coefficient (ICC) two-way, agreement was 0.83 (95% CI 0.54–0.93) and for Group 2, the ICC, two-way, agreement, was 0.85 (95% CI 0.66–0.93). The MDC90 for Group 1 was 0.082 AUC units and for Group 2, it was 0.086 AUC units. The combined data for Group 1 plus Group 2 Bland-Altman Plot indicated only a small degree of bias from the zero-difference line, with 95% of the difference points lying within the limits of agreement. The MDC90 for the combined groups was 0.08 AUC units. The multiple methods from previous research assessing test re-test reliability that we applied to our two data sets indicate that the 25-response AMEDA was a reliable system for evaluating sensorimotor function in the lower limbs and may be an alternative for the more traditional 50-response protocol in which lapses in participant attention from fatigue or other biases may be a concern. There are also practical advantages in time restricted athletic screenings to a shorter administration of this assessment.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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