Reliability of a Novel Qualitative Assessment Tool for Evaluating a Run Plant Task.

BACKGROUND: Young female athletes have a substantial risk of suffering an anterior cruciate ligament (ACL) injury, in part due to sex-specific movement patterns. Injury prevention strategies targeting movement errors during a deceleration task may help decrease the associated risk. In order to enhan...

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Publicado en:International Journal of Sports Physical Therapy Vol. 21; no. 3; pp. 281 - 291
Autores principales: Butler, Lauren, Erdman, Ashley, Martinez, Alexa, Tate, Sierra, DeVerna, Amie, Ulman, Sophia
Formato: pictorial research tables/charts Journal Article
Publicado: North American Journal of Sports Physical Therapy 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
      vid: 21
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      pid: 38303
      pub: North American Journal of Sports Physical Therapy
      place: Indianapolis, Indiana
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        10.26603/001c.156437
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        atl: Reliability of a Novel Qualitative Assessment Tool for Evaluating a Run Plant Task.
      aug:
        au:
          Butler, Lauren
          Erdman, Ashley
          Martinez, Alexa
          Tate, Sierra
          DeVerna, Amie
          Ulman, Sophia
        affil: Physical Therapy, Florida International University
      sug:
        subj:
          Torso Anatomy and Histology
          Lower Extremity Anatomy and Histology
          Task Performance and Analysis Evaluation
          Clinical Assessment Tools
          Quality Assessment
          Intrarater Reliability
          Interrater Reliability
          Human
          Child
          Adolescence
          Male
          Female
          Qualitative Studies
          Validation Studies
          Repeated Measures
          Anterior Cruciate Ligament Injuries Risk Factors
          Risk Assessment
          Intraclass Correlation Coefficient
          Descriptive Statistics
          Confidence Intervals
          Convenience Sample
          Athletes, Female
          Movement
          Knee Joint Physiology
          McNemar's Test
          Wilcoxon Signed Rank Test
          Analysis of Variance
          Post Hoc Analysis
          kappa Statistic
          Data Analysis Software
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: BACKGROUND: Young female athletes have a substantial risk of suffering an anterior cruciate ligament (ACL) injury, in part due to sex-specific movement patterns. Injury prevention strategies targeting movement errors during a deceleration task may help decrease the associated risk. In order to enhance preventive interventions, screening tools to identify at-risk individuals are vital. HYPOTHESIS/PURPOSE: To assess intra- and inter-rater reliability of a qualitative assessment of trunk and lower extremity alignment during a run plant task. It was hypothesized that the tool would demonstrate good to excellent intra- and inter-rater reliability. STUDY DESIGN: Repeated measures METHODS: Two Raters assessed videos of 25 healthy female athletes (ages 12-17 years) performing a run plant task. Female athletes were chosen due to their increased ACL injury risk. Raters used a qualitative checklist to assess trunk and lower extremity alignment, awarding one point for each observed movement fault. Item scores were then summed to generate a total score. Each video was scored twice with a two-week washout period in-between. Intraclass correlation coefficients (ICC) for each scoring item and the overall total score were calculated with a 2-way mixed-effect model and 95% confidence intervals (95% CIs) for inter- and intra-rater reliability. RESULTS: Intra-rater reliability was poor to moderate (Rater 1 ICC = 0.43, 95% CI 0.12-0.73; Rater 2 ICC = 0.54, 95% CI 0.20-0.87). Inter-rater reliability was moderate in round one (ICC = 0.66, 95% CI 0.41-0.90) and poor in round two (ICC = 0.32, 95% CI 0.02-0.63). Medial foot position was the only item to achieve good intra- and inter-rater reliability. Sagittal alignment also demonstrated good inter-rater reliability. In both rounds, dynamic valgus and preparatory deceleration steps were consistently marked as present (100% agreement), and lateral foot position was consistently marked as not present (100% agreement), by both Raters for all athletes. CONCLUSION: While some individual items showed good reliability, several items and the total score failed to achieve acceptable reliability. Despite lower ICC values for dynamic valgus, preparatory deceleration steps, and lateral foot position, percent agreement was high. The skew and limited variability in these items likely influenced ICC estimates, suggesting that Rater consistency may be underestimated. Refinement of scoring item definitions for these items is needed prior to clinical application of the tool. LEVEL OF EVIDENCE: Level 2, diagnosis
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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