ArticleJournal of rehabilitation medicine2026
Inter-rater reliability and construct validity of a cross-diagnostic movement quality score for rehabilitation assessment.
Article in Journal of rehabilitation medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo examine the inter-rater reliability and construct validity of a Movement Quality Score (MQS) within the Standard Physical Therapy Assessment (SPTA) across diagnostic groups.
designCross-sectional study. SUBJECTS AND
methodsEighty-four hospitalized patients undergoing rehabilitation for neurological, musculoskeletal, or internal medical conditions were included. Inter-rater reliability was assessed in 68 participants independently evaluated by 2 physiotherapists. The MQS was scored using the SPTA component. Inter-rater reliability of the summed score was analysed using the intraclass correlation coefficient (ICC [2,1]). Construct validity was examined using Spearman's rank correlations between the MQS and the Functional Independence Measure (FIM) motor total score and its subdomains (self-care, sphincter control, transfers, and locomotion), as well as other SPTA components.
resultsThe MQS demonstrated excellent inter-rater reliability (ICC [2,1] = 0.93). It showed a very strong correlation with the FIM motor total score (ρ = 0.91, p < 0.001), with strong associations for transfers and locomotion (ρ = 0.92) and self-care (ρ = 0.86). The correlation with sphincter control was lower (ρ = 0.68).
conclusionThe MQS demonstrates excellent reliability and strong construct validity, supporting its use as a movement-focused complement to activities of daily living-based assessments in heterogeneous rehabilitation populations.
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