Evidence map›Paper›PMID 41112774›Full record

ArticlePeerJ2025

Comparing the reliability of the single leg squat test using two, three, and four category ordinal rating scales.

Yongni Zhang, Yifan Liu, Zhicheng Pan, Hui Gao, RobRoy L Martin, Xinwei Huang

Abstract readComparative Study
In one paragraph

Article in PeerJ, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yongni ZhangDuquesne-China Health Institute, Duquesne University, Pittsburgh, PA, United States of America.
Yifan LiuDuquesne-China Health Institute, Duquesne University, Pittsburgh, PA, United States of America.
Zhicheng PanDepartment of Physical Therapy, Yangzhi Affiliated Rehabilitation Hospital of Tongji University, Shanghai, China.
Hui GaoDepartment of Physical Therapy Rehabilitation Science, and Athletic Training, University of Kansas Medical Center, Kansas, United States of America.
RobRoy L MartinUPMC Center for Sports Medicine, Pittsburgh, PA, United States of America.
Xinwei HuangDepartment of Rehabilitation Therapy, Yangzhi Affiliated Rehabilitation Hospital of Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The single-leg squat test (SLST) is supported by evidence for reliability and validity across various visual rating methods, but the optimal number of ordinal categories for assessing movement quality remains unclear. The study aims to determine the most informative and reliable number of ordinal scoring categories for visually rating the SLST. Methods: A total of 58 subjects with lower extremity injuries participated. A single therapist rated the SLST with a 1-week interval to establish intra-rater reliability. Two therapists independently rated the SLST at the same time point to establish inter-rater reliability. Two-, three-, and four-category ordinal scales were simultaneously used to evaluate SLST performance in rating the components of trunk deviation, hip adduction, and lower extremity internal rotation. Reliability was assessed using unweighted kappa (κ) values. Results: The overall intra-rater reliability was κ = 0.60, 0.35, and 0.20, with inter-rater reliability being κ = 0.60, 0.61, and 0.33 for the two-, three-, and four-category scales, respectively. When specifically looking at the components of trunk deviation, hip adduction, and lower extremity internal rotation, intra-rater reliability was moderate to good for two-category scales (κ = 0.47-0.65), fair to good for three-category scales (κ = 0.3-0.7), and fair to good for four-category scales (κ = 0.36-0.65). Inter-rater reliability for the three components was good to excellent (κ = 0.65-0.86) for the two-category, good to excellent (κ = 0.69-0.86) for the three-category, and fair to excellent (κ = 0.55-0.76) for the four-category. Conclusion: When applied to specific movement components, the three-category ordinal scale demonstrated the best balance between detailed assessment and reliability for visually rating trunk deviation, hip adduction, and lower extremity internal rotation during the SLST in patients with lower extremity injuries.

Indexed as

Exercise TestLeg InjuriesLower ExtremityAdultFemaleHumansMaleMiddle AgedMovementObserver VariationReproducibility of ResultsYoung AdultFunctional performance testInter-rater reliabilityIntra-rater reliabilityVisual assessment

Identifiers

PMID41112774
PMCPMC12535228

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.