Journal article
A novel assessment for Readiness Evaluation during Simulated Dismounted Operations: A reliability study
PloS one, Vol.14(12), pp.e0226386-e0226386
12/30/2019
DOI: 10.1371/journal.pone.0226386
PMCID: PMC6936885
PMID: 31887147
Abstract
Objective
To determine the intersession reliability of the Readiness Evaluation during Simulated Dismounted Operations (REDOp), a novel ecologically-based assessment for injured Service Members, provide minimal detectable change values, and normative reference range values. To evaluate the ability to differentiate performance limitations between able-bodied and injured individuals using the REDOp.
Design
Repeated measures design and between group comparison.
Setting
Outpatient rehabilitative care setting.
Participants
Service Members who were able-bodied (n = 32) or sustained a traumatic lower extremity injury (n = 22).
Interventions
During the REDOp, individuals walked over variable terrain as speed and incline progressively increased; they engaged targets; and carried military gear.
Main outcome measures
Endurance measured using total distance traveled; walking stability measured using range of full-body angular momentum; and shooting accuracy, precision, reaction time and acquisition time.
Results
Intersession reliability analyses were conducted on a sub-group of 18 able-bodied Service Members. Interclass correlation coefficient values were calculated for distance traveled (0.91), range of angular momentum about three axes (0.78-0.93), shooting accuracy (0.61), precision (0.47), reaction time (0.21), and acquisition time (0.77). Service Members with lower extremity injury demonstrated significantly less distance traveled with a median distance of 0.89 km compared to 2.73 km for the able-bodied group (p < 0.001). Service Members with lower extremity injury demonstrated significantly less stability in the frontal and sagittal planes than the able-bodied group (p < 0.001). The primary performance limiter was endurance followed by pain for both groups. There was no evidence of ceiling effects.
Conclusions
The REDOp is a highly reliable, military-relevant assessment that can be used to measure performance and identify deficits across the domains of activity tolerance, gait stability, and shooting performance.
Details
- Title: Subtitle
- A novel assessment for Readiness Evaluation during Simulated Dismounted Operations: A reliability study
- Creators
- Christopher A. Rabago - Brooke Army Medical CenterRiley C. Sheehan - Uniformed Services University of the Health SciencesKelly A. Schmidtbauer - Uniformed Services University of the Health SciencesMichael C. Vernon - Brooke Army Medical CenterJason M. Wilken - Brooke Army Medical Center
- Resource Type
- Journal article
- Publication Details
- PloS one, Vol.14(12), pp.e0226386-e0226386
- DOI
- 10.1371/journal.pone.0226386
- PMID
- 31887147
- PMCID
- PMC6936885
- NLM abbreviation
- PLoS One
- ISSN
- 1932-6203
- eISSN
- 1932-6203
- Publisher
- Public Library Science
- Number of pages
- 14
- Grant note
- HU0001-11-1-0004; HU0001-15-2-0003 / Center for Rehabilitation Science Research, Department of Rehabilitation Medicine, Uniformed Services University, Bethesda, MD
- Language
- English
- Date published
- 12/30/2019
- Academic Unit
- Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984294951802771
Metrics
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