Intra- and inter-reliability of supine-to-stand performance in older adults
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Abstract
Introduction: Supine-To-Stand task is a basic activity of daily life capable of quickly and simply tracking motor functional competence. Its performance can be assessed quantitatively and qualitatively, respectively, by time and categories identified by checklists. High-reliability levels were founded in studies with time investigation. However, reliability levels are lower in studies with qualitative measures due to the possible evaluator subjectivity. Objective: To determine the level of reliability of the Supine-To-Stand task in the elderly. Methods: The convenience sample consisted of 49 elderly people (≥60 years), free from dementia or any disease that prevented them from carrying out the Supine-To-Stand task without assistance. The study was based on Reliability Study Reporting Guidelines. The participants were filmed performing the Supine-To-Stand task using a cell phone video camera and the images were decoded by two trained evaluators. The process of collecting and analyzing the videos was carried out from July to November 2019. The intra- and inter-rater reliability was analyzed by the Kappa coefficient (p≤0.05). Results: The coefficients found for intra-rater reliability were K=0.761 and 0.542; 0.744 and 0.525; 0.692 and 0.684 and, inter-evaluators K=0.527, 0.342 and 0.766, respectively, for upper limbs, axial region and lower limbs. Conclusion: In general, for the three-body regions described by the checklist used, coefficients from reasonable to substantial reliability were found, both for intra- and inter-rater analyses.
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