INTERRATER RELIABILITY OF THE OBSERVABLE MOVEMENT QUALITY SCALE FOR CHILDREN

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Dekkers L.1,2, Nijhuis-van der Sanden M.W.G.2,3, Hendriks J.3, de Swart B.1,4, Janssen A.2
1HAN University of Applied Sciences, Department of Health Studies, Nijmegen, Netherlands, 2Radboud UMC, Amalia Children's Hospital, Rehabilitation, Pediatric Physical Therapy, Nijmegen, Netherlands, 3Radboud University Medical Center, Scientific Institute for Quality of Health Care, Nijmegen, Netherlands, 4Radboud UMC, Amalia Children's Hospital, Rehabilitation, Nijmegen, Netherlands

Background: Movement quality is an important aspect in clinical reasoning. The observable movement quality scale (OMQ-scale), a 15-item questionnaire, has been developed for use alongside an age-specific motor test.

Purpose: To determine the interrater reliability of the OMQ-scale in children from 6 months to 6 years of age.

Methods: Pediatric physical therapists (n = 28; 2 male, 26 female), observed age-related discriminative motor tests in video-recorded children (n = 9), and filled in the OMQ-scale (range 15–75). We used linear mixed models to study random measurement error and the differences between subgroups (three based on work setting, two based on working experience).

Results: Interrater reliability was moderate (ICC: 0.67, 95% CI [0.47, 0.88]). The random measurement error was 5.7; no statistically significant differences were found between work setting groups and working experience group.

Conclusion(s): Experienced and novice therapists showed moderate interrater reliability after only a 2-hour training. The results are promising and feedback suggested a need for a more comprehensive training for using the OMQ-scale in clinical practice, which may further increase interrater reliability.

Implications: Research for the determination of remaining psychometric properties are planned, needed before the OMQ-scale will be furhter implemented in clinical practice.

Funding acknowledgements: Unfunded work

Topic: Paediatrics

Ethics approval: Medical ethical committee of Radboudumc, Nijmegen, the Netherlands approved the study (registration number 2011/370).


All authors, affiliations and abstracts have been published as submitted.

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