Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors
# Background Musculoskeletal health problems are one of the greatest healthcare expenses in the United States but patient-driven screening procedures to detect risk factors do not exist. # Hypothesis/Purpose The purpose was to establish the inter-rater reliability of the Symmio Self-Screen applic...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
North American Sports Medicine Institute
2023-04-01
|
| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.73319 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825197059619160064 |
|---|---|
| author | Kyle Matsel Jonathan Kirsch Tessa Netelbeek Rolando Rodriguez Ervin Velic Kate Schwartzkopf-Phifer |
| author_facet | Kyle Matsel Jonathan Kirsch Tessa Netelbeek Rolando Rodriguez Ervin Velic Kate Schwartzkopf-Phifer |
| author_sort | Kyle Matsel |
| collection | DOAJ |
| description | # Background
Musculoskeletal health problems are one of the greatest healthcare expenses in the United States but patient-driven screening procedures to detect risk factors do not exist.
# Hypothesis/Purpose
The purpose was to establish the inter-rater reliability of the Symmio Self-Screen application in untrained individuals and to investigate its accuracy to detect MSK risk factors such as pain with movement, movement dysfunction, and decreased dynamic balance.
# Study Design
Cross-Sectional
# Methods
Eighty (42 male, 38 female) healthy individuals mean age 26.5 ± 9.4 participated in the study. The inter-rater reliability of Symmio application was established by comparing self-screen scores from untrained subjects with the results simultaneously determined by a trained healthcare provider. Each subject was evaluated for pain with movement, movement dysfunction, and deficits in dynamic balance by two trained evaluators who were blinded to the Symmio results. The validity of Symmio was determined by comparing self-screen performance dichotomized as pass or fail with the reference standard of pain with movement, failure on the Functional Movement Screen™, and asymmetry on the Y Balance Test-Lower Quarter™ using three separate 2x2 contingency tables.
# Results
The mean Cohen's kappa coefficient was 0.68 (95% CI, 0.47-0.87) and the absolute agreement was 89% between self-assessment of subjects and the observation of a trained healthcare provider. There were significant associations for the presence of pain with movement (*p*=0.003), movement dysfunction (*p*=0.001), and dynamic balance deficits (*p*=0.003) relative to poor Symmio performance. The accuracy of Symmio to identify pain with movement, movement dysfunction, and dynamic balance deficits were 0.74 (95% CI, 0.63-0.83), 0.73 (95% CI, 0.62-0.82), and 0.69 (95% CI, 0.57-0.79), respectively.
# Conclusions
The Symmio Self-Screen application is a reliable and feasible screening tool that can be used to identify MSK risk factors.
# Level of Evidence
Level 2 |
| format | Article |
| id | doaj-art-f98c2dd6d3334d499dc80dd3a82516b1 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-f98c2dd6d3334d499dc80dd3a82516b12025-02-11T20:27:43ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-04-01182Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk FactorsKyle MatselJonathan KirschTessa NetelbeekRolando RodriguezErvin VelicKate Schwartzkopf-Phifer# Background Musculoskeletal health problems are one of the greatest healthcare expenses in the United States but patient-driven screening procedures to detect risk factors do not exist. # Hypothesis/Purpose The purpose was to establish the inter-rater reliability of the Symmio Self-Screen application in untrained individuals and to investigate its accuracy to detect MSK risk factors such as pain with movement, movement dysfunction, and decreased dynamic balance. # Study Design Cross-Sectional # Methods Eighty (42 male, 38 female) healthy individuals mean age 26.5 ± 9.4 participated in the study. The inter-rater reliability of Symmio application was established by comparing self-screen scores from untrained subjects with the results simultaneously determined by a trained healthcare provider. Each subject was evaluated for pain with movement, movement dysfunction, and deficits in dynamic balance by two trained evaluators who were blinded to the Symmio results. The validity of Symmio was determined by comparing self-screen performance dichotomized as pass or fail with the reference standard of pain with movement, failure on the Functional Movement Screen™, and asymmetry on the Y Balance Test-Lower Quarter™ using three separate 2x2 contingency tables. # Results The mean Cohen's kappa coefficient was 0.68 (95% CI, 0.47-0.87) and the absolute agreement was 89% between self-assessment of subjects and the observation of a trained healthcare provider. There were significant associations for the presence of pain with movement (*p*=0.003), movement dysfunction (*p*=0.001), and dynamic balance deficits (*p*=0.003) relative to poor Symmio performance. The accuracy of Symmio to identify pain with movement, movement dysfunction, and dynamic balance deficits were 0.74 (95% CI, 0.63-0.83), 0.73 (95% CI, 0.62-0.82), and 0.69 (95% CI, 0.57-0.79), respectively. # Conclusions The Symmio Self-Screen application is a reliable and feasible screening tool that can be used to identify MSK risk factors. # Level of Evidence Level 2https://doi.org/10.26603/001c.73319 |
| spellingShingle | Kyle Matsel Jonathan Kirsch Tessa Netelbeek Rolando Rodriguez Ervin Velic Kate Schwartzkopf-Phifer Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors International Journal of Sports Physical Therapy |
| title | Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors |
| title_full | Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors |
| title_fullStr | Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors |
| title_full_unstemmed | Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors |
| title_short | Self-Movement Screening using the Symmio Application is Reliable and Valid for Identifying Musculoskeletal Risk Factors |
| title_sort | self movement screening using the symmio application is reliable and valid for identifying musculoskeletal risk factors |
| url | https://doi.org/10.26603/001c.73319 |
| work_keys_str_mv | AT kylematsel selfmovementscreeningusingthesymmioapplicationisreliableandvalidforidentifyingmusculoskeletalriskfactors AT jonathankirsch selfmovementscreeningusingthesymmioapplicationisreliableandvalidforidentifyingmusculoskeletalriskfactors AT tessanetelbeek selfmovementscreeningusingthesymmioapplicationisreliableandvalidforidentifyingmusculoskeletalriskfactors AT rolandorodriguez selfmovementscreeningusingthesymmioapplicationisreliableandvalidforidentifyingmusculoskeletalriskfactors AT ervinvelic selfmovementscreeningusingthesymmioapplicationisreliableandvalidforidentifyingmusculoskeletalriskfactors AT kateschwartzkopfphifer selfmovementscreeningusingthesymmioapplicationisreliableandvalidforidentifyingmusculoskeletalriskfactors |