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    Inter and intra-rater reliability of the manual assessment of respiratory motion ('MARM' technique) in adults

    Ludwig, Martin

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    MARTIN LUDWIG_2013-11-13.pdf (1.366Mb)
    Date
    2013
    Citation:
    Ludwig, M. (2013). Inter and intra-rater reliability of the manual assessment of respiratory motion (’MARM’ technique) in adults. (Unpublished document submitted in partial fulfilment of the requirements for the degree of Master of Osteopathy). Unitec Institute of Technology, Auckland, New Zealand. Retrieved from https://hdl.handle.net/10652/2367
    Permanent link to Research Bank record:
    https://hdl.handle.net/10652/2367
    Abstract
    AIM: The primary aim of this study was to investigate the inter- and intra-rater reliability of a "manual assessment of breathing" (MARM). A secondary aim was to explore the relationship between Breath Holding Time (BHT), Breathing Rate (BR), breathing compartment dominance (thoracic and abdominal), and two questionnaires concerned with symptoms of breathing (Nijmegen (NQ) and Self Evaluation of Breathing Questionnaires (SEBQ)). METHODS: Practitioners (n=6) received introductory level instruction in MARM assessment. They then rated the mechanical breathing pattern of 16 participants with nil to moderate breathing dysfunction. Participants completed two breathing questionnaires (NQ and SEBQ) and were also assessed for Breath Holding Time, Breathing Rate and Abdominal Excursion using Respiratory Inductive Plethysmography.RESULTS: The inter-rater and intra-rater reliability of the MARM was poor (inter-rater: ICC[2,1] range = -0.18 to 0.36; intra-rater: ICC[2,1] range = -0.51 to 0.92). Inter and intra-rater reliability of the MARM was insufficient to warrant clinical use. Moderate correlations were identified between Breathing Rate (BR) and Breath Holding Time (BHT) (r = 0.5; p = 0.04), between BHT and the Self Evaluation of Breathing Questionnaire (SEBQ) (r = 0.5; p = 0.05), and between the SEBQ and the Nijmegen Questionnaire (NQ) (r = 0.6; p = 0.01). CONCLUSIONS: Raters in this study demonstrated poor inter-rater reliability of the MARM. The intra-rater reliability is higher for some raters indicating that the MARM may be more useful for individual practice, when the same rater is undertaking assessment of breathing.
    Keywords:
    breathing dysfunction, breathing assessment, respiration, measurement, physical examination
    ANZSRC Field of Research:
    110203 Respiratory Diseases
    Degree:
    Master of Osteopathy
    Supervisors:
    Bacon, Catherine; Moran, Robert
    Rights:
    This digital work is protected by copyright. It may be consulted by you, provided you comply with the provisions of the Act and the following conditions of use: Any use you make of these documents or images must be for research or private study purposes only, and you may not make them available to any other person. You will recognise the author's and publishers rights and give due acknowledgement where appropriate.
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    • Osteopathy Dissertations and Theses [194]

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