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  • Inter- and intra-tester reliability of the acute brain injury physiotherapy assessment (ABIPA) in patients with acquired brain injury

    Author(s)
    Gesch, Janelle M
    Choy, Nancy L Low
    Weeks, Benjamin K
    Nascimento, Margarida
    Steele, Michael
    Kuys, Suzanne S
    Griffith University Author(s)
    Kuys, Suzanne S.
    Steele, Mike
    Weeks, Benjamin K.
    Gesch, Janelle M.
    Year published
    2017
    Metadata
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    Abstract
    Background: The Acute Brain Injury Physiotherapy Assessment (ABIPA) is a new outcome measure with face validity and sensitivity to change in the early stages of neuromotor recovery after acquired brain injury (ABI). Reliability of physiotherapists using the tool has not been established. Objective: Determine inter- and intra-tester reliability of physiotherapists using the ABIPA. Methods: An observational study using video-recorded assessments of patient performance (n = 7) was undertaken with two cohorts of physiotherapists: those receiving training (n = 23) and those provided with guidelines only (n = 7) to administer ...
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    Background: The Acute Brain Injury Physiotherapy Assessment (ABIPA) is a new outcome measure with face validity and sensitivity to change in the early stages of neuromotor recovery after acquired brain injury (ABI). Reliability of physiotherapists using the tool has not been established. Objective: Determine inter- and intra-tester reliability of physiotherapists using the ABIPA. Methods: An observational study using video-recorded assessments of patient performance (n = 7) was undertaken with two cohorts of physiotherapists: those receiving training (n = 23) and those provided with guidelines only (n = 7) to administer the ABIPA. Results: Across all physiotherapists (n = 30), inter-tester reliability was excellent (α ≥ 0.9) for total ABIPA score. All individual items, except trunk alignment in supine (α = 0.5), showed excellent or good internal consistency (α ≥ 0.7). For intra-tester reliability, substantial or perfect agreement was achieved for eight items (weighted Kappa Kw ≥ 0.6), moderate agreement for four items (Kw = 0.4–0.6) and three items achieved fair agreement (alignment head supine: Kw = 0.289; alignment trunk supine: Kw = 0.387 and tone left upper limb: Kw = 0.366). Conclusion: Physiotherapists are highly consistent using the ABIPA but several items may need revision to improve intra-tester reliability.
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    Journal Title
    Brain Injury
    Volume
    31
    Issue
    13-14
    DOI
    https://doi.org/10.1080/02699052.2017.1346298
    Subject
    Medical and Health Sciences not elsewhere classified
    Medical and Health Sciences
    Psychology and Cognitive Sciences
    Publication URI
    http://hdl.handle.net/10072/373196
    Collection
    • Journal articles

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