Intrarater and interrater reliability of the modified Thomas Test |
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| Institution: | 1. University of Hertfordshire, College Lane Campus, Hatfield, Hertfordshire, AL10 9AB, UK;2. University of Gloucestershire, Oxstalls Lane, Longlevens, Gloucestershire, GL2 9HW, UK;1. Human Development and Technologies Program, Institute of Biosciences, São Paulo State University (UNESP), Rio Claro, São Paulo, Brazil;2. Department of Tocogynecology, Botucatu Medical School (FMB), São Paulo State University (UNESP), São Paulo, Brazil;3. Department of Physiotherapy and Occupational Therapy, Faculty of Philosophy and Sciences, São Paulo State University (UNESP), Marília, São Paulo, Brazil;1. Course of Physical Education, Faculdade Santa Rita, Brazil;2. School of Physical Education, Physiotherapy and Occupational Therapy – Universidade Federal de Minas Gerais, Brazil;3. Department of Physical Education, Group of Study and Research in Physical Activity and Aging – Universidade Federal de Viçosa, Brazil;4. Department of Nutrition and Health – Universidade Federal de Viçosa, Brazil;1. Post-graduate Student in Dental Sciences, Federal University of Santa Maria, Santa Maria, Brazil;2. Undergraduate Dentistry Student, Federal University of Santa Maria, Santa Maria, Brazil;3. Federal University of Santa Maria, Santa Maria, Brazil;4. Private Practice, Santa Maria, Brazil;5. Department of Stomatology, Federal University of Santa Maria, Santa Maria, Brazil;6. Department of Restorative Dentistry, Federal University of Santa Maria, Santa Maria, Brazil;1. Clinic of Physical Medicine and Rehabilitation, Çam and Sakura City Hospital, ?stanbul, Turkey;2. Department of Physical Medicine and Rehabilitation, Bezmialem University Faculty of Medicine, ?stanbul, Turkey;3. Department of Physical Medicine and Rehabilitation, Medipol University Faculty of Medicine, ?stanbul, Turkey;4. Department of Physical Medicine and Rehabilitation, High School of Physiotherapy, ?stanbul, Turkey;1. Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran;2. Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran |
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| Abstract: | IntroductionThe modified Thomas Test (MTT) is a method of assessing flexibility of the iliopsoas, rectus femoris and tensor fascia Latae. The aim of this study is to identify the intra and inter-rater reliability of the pass/fail scoring for the Modified Thomas Test (MTT) using digital photographs.MethodsSix raters varying between 1 and 13years of clinical experience were used to review digital photographs of 20 semi-professional rugby players performing the /MTT. Raters were asked to score each muscle of the MTT either with 0 (fail) or 1 (pass). Digital photographs were allocated in a randomized order. Each rater reviewed each photograph three times at two week intervals.ResultsCronbach's alpha (Cα) revealed a mean result of high reliability for both iliopsoas (Cα = 0.95) and rectus femoris (Cα = 1.00) flexibility. TFL flexibility values ranged from 0.64 to 0.95, demonstrating some inconsistencies within some of the 6 raters. Fleiss kappa (Fк) revealed a high mean reliability result across the 3 testing sessions for both iliopsoas (Fк = 0.78) and rectus femoris (Fк = 0.80) flexibility, along with a moderate reliability mean result for TFL (Fк = 0.56).ConclusionHigh intra and inter rater reliability was found for iliopsoas and rectus femoris flexibility with those for TFL found to be moderately reliable. |
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