title: Inter-rater reliability of the Top Down Motor Milestone Test: a cross-sectional study.
abstract: OBJECTIVE
  To assess the inter-rater reliability of the Top Down Motor Milestone Test, which is the first step of the Mobility Opportunities Via Education programme in children with motor disabilities.
  
  
  METHODS
  A cross-sectional study.
  
  
  METHODS
  Neurosensory Developmental Unit of a tertiary hospital.
  
  
  METHODS
  Parents of 21 children with motor disabilities were interviewed and scored on the Top Down Motor Milestone Test.
  
  
  METHODS
  The subjects were interviewed by one therapist while two other therapists observed the interview procedure. All three therapists were blinded to each other's scores.
  
  
  RESULTS
  Inter-rater reliability was analysed for all the 16 subtests using the inter-rater kappa. The pooled kappa was done for the three raters. The standard error and the P-value were also calculated. The value of inter-rater kappa for individual subtests ranged from 0.74 to 0.96. Pooled kappa for the Top Down Motor Milestone Test was 0.88 with standard error 0.06 and P-value<0.01.
  
  
  CONCLUSIONS
  The inter-rater reliability of the Top Down Motor Milestone Test proved to be good for each subtest and for the whole test.
authors.affiliation: Department of Physiotherapy, Kasturba Medical College Hospital, A Constituent Institute of Manipal University, Mangalore, India. shankar_tedla@yahoo.co.in
authors.forename: Jaya Shanker
authors.initials: JS
authors.lastname: Tedla
authors.forename: Sailakshmi
authors.initials: S
authors.lastname: Ganesan
authors.forename: Srinadh
authors.initials: S
authors.lastname: Katragadda
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D002658:Developmental Disabilities / Q000175:diagnosis* / Q000534:rehabilitation; D004185:Disability Evaluation; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D015588:Observer Variation; D011782:Quadriplegia / Q000175:diagnosis* / Q000534:rehabilitation