Reliability of the motor learning strategy rating instrument for children and youth with acquired brain injury

Physical & Occupational Therapy in Pediatrics
Trishna KamathDanielle Levac

Abstract

To evaluate reliability and feasibility of the Motor Learning Strategy Rating Instrument (MLSRI) in children with acquired brain injury (ABI). The MLSRI quantifies the extent to which motor learning strategies (MLS) are used within physiotherapy (PT) interventions. PT sessions conducted by ABI team physiotherapists with a convenience sample of children with ABI (4-18 years) were videotaped and independently scored later by two raters trained in MLSRI use. Intraclass correlation coefficients (ICCs) and 95% confidence intervals (CIs) estimated intra- and inter-rater reliability. Eighteen PT sessions were evaluated. Intra- and inter-rater reliability ICCs for total score were 0.86 (95% CI: 0.66-0.94) and 0.50 (95% CI: 0.08-0.78), respectively. MLSRI category ICCs were 0.56-0.86 (intra-rater) and 0.16-0.84 (inter-rater). Intra-rater reliability of MSLRI total score was excellent. Moderate inter-rater reliability may partially be due to inconsistent item interpretation between raters. Revisions and further reliability testing are required before recommending the MLSRI for clinical and research use.

References

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Citations

Jan 10, 2014·Physiotherapy Canada. Physiothérapie Canada·C Andrea Ottensmeyer
Feb 12, 2019·Developmental Medicine and Child Neurology·Jennifer L RyanF Virginia Wright
Feb 15, 2019·Developmental Medicine and Child Neurology·Helene M Dumas
Dec 5, 2012·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Danielle LevacVirginia Wright
May 20, 2021·Physical & Occupational Therapy in Pediatrics·Kristi R MacWilliamJennifer L Ryan

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