A ‘movement screening test’ of functional control ability in female recreation golfers and non-golfers over the age of 80 years: A reliability study

Abstract

Assessing function in elderly populations predominantly aims to quantify the risk of falling. Current assessment methods do not consider changes associated with aging in movement coordination patterns and the ability to control movement. The aim of this study was to examine the intra-rater reliability of a ‘Movement Screening Test’ (MST) in females over 80 years across a range of physical activity levels, who were golfers and non-golfers. Female recreational golfers (N = 21) and non-golfers (N = 10) aged 80 to 87 years performed the MST. The MST consists of three tests: Test 1, sit to stand with arm lift; Test 2, trunk lean with knee bend and opposite arm lift; Test 3, chest rotation with neutral head and pelvis. Videos of the MST were analyzed and scored according to specific criteria. The videos were reviewed on two separate occasions to quantify the intra-rater reliability of scoring of the MST. Intra-rater reliability (κ) of the MST demonstrated substantial agreement for 11/23 criteria (κ = 0.65 and to 0.78) and excellent agreement for 9/23 criteria (κ = 0.81 to 1). Therefore, the reliability of the MST for women aged 80 years and over was established. The MST test and scoring system may be further refined to improve reliability. Further investigations could explore coordination patterns in older people, how these relate to various aspects of musculoskeletal function, and how they vary between different populations.