Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session
# Background The Selective Functional Movement Assessment (SFMA) is a whole-body movement classification system that identifies non-optimal movement performance requiring further assessment. There needs to be more evidence specifying the training time required to obtain SFMA reliability for entry-l...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2023-08-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.82173 |
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| _version_ | 1825196974302822400 |
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| author | Brent Harper Adrian Aron |
| author_facet | Brent Harper Adrian Aron |
| author_sort | Brent Harper |
| collection | DOAJ |
| description | # Background
The Selective Functional Movement Assessment (SFMA) is a whole-body movement classification system that identifies non-optimal movement performance requiring further assessment. There needs to be more evidence specifying the training time required to obtain SFMA reliability for entry-level health care practitioners.
# Purpose
The primary intent of this study was to determine SFMA inter-rater reliability between two third-year physical therapy students following an in-person three-hour training and one-hour follow-up training with a certified SFMA physical therapist. The secondary purpose was to compare rater scores of the composite criterion 50-point checklist and rater categorization using the top-tier movements in real-time assessments of healthy participants.
# Study Design
Inter-rater reliability study.
# Methods
Two novice raters received training on assessing movement using the SFMA. Participants included non-pregnant healthy adults screened for general exercise, participants were excluded for history of orthopedic surgery within the prior six months. Three independent raters, including two novice and one SFMA-certified rater, individually assessed the top-tier movements in separate rooms in real-time. Participants were randomly assigned a start location, and raters were blinded to each other's criterion 50-point checklist and categorical scoring. Statistical analysis included a paired *t*-test, a repeated measures ANOVA, and a two-way, mixed absolute agreement ICC.
# Results
Twenty-five participants (23.4 years ± 1.9; 72% female) completed the SFMA top-tier movements. Significant differences were identified with novice raters identifying fewer non-optimal movement patterns than the certified clinician. The intraclass correlation coefficient (ICC~2,1~) was moderate (0.60, *p*\<0.001) for all three raters on the 50-point criterion checklist scoring.
# Conclusion
Third year physical therapy students were able to demonstrate moderate inter-rater reliability assessing healthy individuals using the 50-point criterion checklist. Variation between novice raters may reflect the amount of previous exposure assessing movement and suggests that some may require more time learning and practicing in order to identify non-optimal movement patterns that may require further assessment.
# Level of Evidence
3b |
| format | Article |
| id | doaj-art-e74df0cc3cad4e36a87a4b7c91d2059c |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-e74df0cc3cad4e36a87a4b7c91d2059c2025-02-11T20:30:13ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-08-01184Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training SessionBrent HarperAdrian Aron# Background The Selective Functional Movement Assessment (SFMA) is a whole-body movement classification system that identifies non-optimal movement performance requiring further assessment. There needs to be more evidence specifying the training time required to obtain SFMA reliability for entry-level health care practitioners. # Purpose The primary intent of this study was to determine SFMA inter-rater reliability between two third-year physical therapy students following an in-person three-hour training and one-hour follow-up training with a certified SFMA physical therapist. The secondary purpose was to compare rater scores of the composite criterion 50-point checklist and rater categorization using the top-tier movements in real-time assessments of healthy participants. # Study Design Inter-rater reliability study. # Methods Two novice raters received training on assessing movement using the SFMA. Participants included non-pregnant healthy adults screened for general exercise, participants were excluded for history of orthopedic surgery within the prior six months. Three independent raters, including two novice and one SFMA-certified rater, individually assessed the top-tier movements in separate rooms in real-time. Participants were randomly assigned a start location, and raters were blinded to each other's criterion 50-point checklist and categorical scoring. Statistical analysis included a paired *t*-test, a repeated measures ANOVA, and a two-way, mixed absolute agreement ICC. # Results Twenty-five participants (23.4 years ± 1.9; 72% female) completed the SFMA top-tier movements. Significant differences were identified with novice raters identifying fewer non-optimal movement patterns than the certified clinician. The intraclass correlation coefficient (ICC~2,1~) was moderate (0.60, *p*\<0.001) for all three raters on the 50-point criterion checklist scoring. # Conclusion Third year physical therapy students were able to demonstrate moderate inter-rater reliability assessing healthy individuals using the 50-point criterion checklist. Variation between novice raters may reflect the amount of previous exposure assessing movement and suggests that some may require more time learning and practicing in order to identify non-optimal movement patterns that may require further assessment. # Level of Evidence 3bhttps://doi.org/10.26603/001c.82173 |
| spellingShingle | Brent Harper Adrian Aron Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session International Journal of Sports Physical Therapy |
| title | Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session |
| title_full | Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session |
| title_fullStr | Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session |
| title_full_unstemmed | Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session |
| title_short | Novice Inter-Rater Reliability on the Selective Functional Movement Assessment (SFMA) After a 4-Hour Training Session |
| title_sort | novice inter rater reliability on the selective functional movement assessment sfma after a 4 hour training session |
| url | https://doi.org/10.26603/001c.82173 |
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