Test-Retest Reproducibility and Inter-Rater Reliability of a Motor Skill Test Battery for Adults

The purpose of this study was to evaluate the test-retest and inter-rater reliability of nine selected tests for the following basic motor skills: balance, orientation, sense of rhythm, kinaesthetic precision and flexibility. Twenty-five healthy, non-sporting volunteers (14 men, 11 women, aged 36 - 72 years) were tested in three sessions at one-week intervals by two raters. For the tests of balance on a bar, tandem walking backwards and forwards and ball bouncing, the within-participant and between-session repeatability, as assessed by the intraclass correlation coefficient (ICC), was high (ICC 0.83 - 0.96), and for the rhythm test it was fair (ICC 0.70). The inter-rater reliability was also high for all the tests (ICC 0.88 - 0.96) except that for rhythm (ICC 0.76). In a test-retest design, these tests were sensitive enough to produce sufficient variation between participants in terms of differentiating between individuals. The learning effect was the most remarkable between the pretest and test sessions, and the reliability was better for the test-retest session although a statistically significant difference existed only for tandem walking forwards (p < 0.02) and balance on a bar (p < 0.004). The tests with quantitative scores had a smaller margin of error than those with qualitative scores. These tests provide reliable alternatives for assessing basic motor skills of non-sporting adults in the context of physical activity promotion.

Motor abilities, performance, testing, physical activity, non-sporting adults.

References

• 1 Altman D G. Practical Statistics for Medical Research. London; Chapman and Hall 1991: 396-403
• 2 Atkinson G, Nevill A M. Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine.  Sports Med. 1998;  26 217-238
• 3 Blume DD. Kennzeichnung koordinativer Fähigkeiten und Möglichkeiten ihrer Herausbildung im Trainingsprozess. Leipzig; Wissenschaftliche Zeitschrift der Deutschen Hochschule für Körperkultur 1981 22: 17
• 4 Brisson T A, Alain C. Optimal movement pattern characteristics are not required as a reference for knowledge of performance.  Res Q Exerc Sport. 1996;  67 458-464
• 5 Bouchard C, Shephard R, Stephens T. Physical Activity, Fitness and Health: International Proceedings and Consensus Statement. Champaign, IL; Human Kinetics 1994
• 6 Committee of experts on sports research .Eurofit: Handbook for the EUROFIT Tests of Physical Fitness. Strassbourg; Council of Europe 1993 2nd ed.
• 7 Downs S B, Wood T M. Validating a special Olympics volleyball skills assessment test.  Adapt Phys Act Q. 1996;  13 166-179
• 8 Engström LM, Ekblom B, Forsberg A, v. Koch M, Seger J. Livsstil-Prestation-Hälsa. LIV 90. Rapport i motionsvanor, fysisk prestationsförmåga och hälsotillstånd bland svenska kvinnor och män i åldrarna 20 - 65 år. Stockholm; Folksam, högskolan för lärarutbildning, Idrottshögskolan, Karolinska Institutet, Korpen, Riksidrottsförbundet 1993
• 9 Evans W. Exercise training guidelines for the elderly.  Med Sci Sports Exerc. 1999;  31 12-17
• 10 Fetz F, Kornexl E. Sportmotorische Tests: praktische Anleitung zu sportmotorischen Tests in Schule und Verein. Berlin; Bartels & Wernitz 1978
• 11 Fenstermaker K L, Plowman S A, Looney M A. Validation of the Rocksport Fitness Walking Test in females 65 years and older.  Res Q Exerc Sport. 1992;  63 322-327
• 12 Gauvin M G, Riddle D L, Rothstein J M. Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method.  Phys Ther. 1990;  70 442-447
• 13 Harada N, Chiu V, Damron-Rodriguez J A, Fowler E, Siu A, Reuben D B. Screening for balance and mobility in elderly individuals living in residential care facilities.  Phys Ther. 1995;  75 462-469
• 14 Haley S M, Osberg J S. Kappa Coefficient calculation using multiple ratings per subject: a special communication.  Phys Ther. 1989;  69 970-974
• 15 Holopainen S. The Skilled and the Clumsy in School Physical Education (in Finnish). Jyvaskyla, Finland; Liikunnan ja kansanterveyden edistamissaatio (LIKES): Foundation for Promotion of Physical Culture 1991
• 16 Lamb K. Test-retest reliability in quantitative physical education research: a commentary.  Eur Phys Educ Rev. 1998;  4 145-152
• 17 Laukkanen R. Development and evaluation of a 2 km walking test for assessing maximal aerobic power of adults in field conditions. Tampere and Kuopio; Kuopio University Publications D. Medical Sciences 23. UKK Institute and University of Kuopio 1993
• 18 Lusa S. Job demands and assessment of the physical work capacity of firefighters. Dissertation thesis. Jyvaskyla; University of Jyvaskyla 1994
• 19 Nelson M E, Fiatarone M A, Morganti C M, Trice I, Greenberg R A, Evans W J. Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures: a randomized controlled trial.  JAMA. 1994;  272 1909-1914
• 20 Oja P, Tuxworth B. Eurofit for Adults: Assessment of Health-Related Fitness. Strassbourg; Council of Europe, UKK Institute 1995
• 21 Pate R R, Pratt M, Blair S, Haskell W L, Macera C A, Bouchard C, Bucher D, Ettinger W, Heath G, King A, Kriska A, Leon A, Marcus B H, Morris J, Paffenberger R S, Patrick K, Pollock M L, Rippe J M, Sallis J, Wilmore J H. Physical activity and public health: a recommendation from centers for disease control and prevention and the American College of Sports Medicine.  JAMA. 1995;  273 402-407
• 22 Rankin G, Stokes M. Reliability of assessment tools in rehabilitation: an illustration of appropriate statistical analyses.  Clin Rehabil. 1998;  12 187-199
• 23 Rhodes E C, Farenholtz D W. Police officer's physical abilities test compared to measures of physical fitness.  Can J Sport Sci/Rev Can Sci Sport. 1992;  17 228-233
• 24 Singer R N. Motor Learning and Human Performance: An Application to Motor Skills and Movement Behaviors. New York; MacMillan 1980 3rd ed.
• 25 Simons J, Beunen G P, Renson R, Claessens A LM, Vanreusel B, Lefevre J AV. Growth and Fitness of Flemish Girls: The Leuven Growth Study. Champaign, IL; Human Kinetics Publishers 1990
• 26 Suni J H, Miilunpalo S I, Asikainen TM, Laukkanen R T, Oja P, Pasanen M E, Bös K, Vuori I M. Safety and feasibility of a health-related fitness test battery for adults.  Phys Ther. 1998;  78 134-147
• 27 Suni J H, Oja P, Laukkanen R T, Miilunpalo S I, Passanen M E, Vuori I M, Vartiainen TM, Bös K. Health-related fitness test battery for adults: aspects of reliability.  Arch Phys Med Rehabil. 1996;  77 399-405
• 28 Suni J H, Oja P, Miilunpalo S I, Pasanen M E, Vuori I M, Bös K. Health-related fitness test battery for middle-aged adults: Associations with physical activity patterns.  Int J Sports Med. 1999;  20 183-191
• 29 Surgeon General .Physical activity and health: a report of the Surgeon General. In: Blair SN, Franks AL, Shelton DM, Livengood JR, Hull FL, Breedlove B (eds) The President's Council on Physical Fitness and Sports. Atlanta; U.S. Department of Health and Human Services; Centers for Disease Control and Prevention; National Center for Chronic Disease Prevention and Health Promotion 1996
• 30 Tegner Y, Lysholm J, Lysholm M, Gillquist J. A performance test to monitor rehabilitation and evaluate anterior cruciate ligament injuries.  Am J Sports Med. 1986;  14 156-159
• 31 Verstappen F TJ, van Santen-Hoeuft H MS, Bolwijn P H, van der Linden S, Kuipers H. Effects of a group activity program for fibromyalgia patients on physical fitness and well-being.  J Musculoskel Pain. 1997;  5 17-28
• 32 Youdas J W, Carey J R, Garret T R. Reliability of measurements of cervical spine range of motion - comparison of three methods.  Phys Ther. 1991;  71 98-106