title: Musculoskeletal predictors of movement quality for the forward step-down test in asymptomatic women.
abstract: METHODS
  Cross-sectional.
  
  
  OBJECTIVE
  To investigate the interrater reliability of movement-quality ratings for the forward step-down (FSD) test and to compare hip muscle strength and lower extremity joint range of motion and muscle flexibility among asymptomatic women with different levels of movement quality.
  
  
  BACKGROUND
  The interrater reliability of the FSD test has not yet been investigated. Additionally, it is not known whether differences in musculoskeletal measures exist among individuals with different levels of movement quality during the FSD test.
  
  
  METHODS
  Two physical therapists assessed movement quality during the FSD test in 26 asymptomatic women (mean ± SD age, 22.7 ± 0.9 years). Hip muscle strength and lower extremity joint range of motion and muscle flexibility were also assessed. The interrater reliability of the FSD test was estimated by using the kappa coefficient and percent agreement. Differences in musculoskeletal measures based on movement quality were assessed by independent t tests.
  
  
  RESULTS
  The kappa coefficient and percent agreement for rating the quality of movement on the FSD test were 0.80 (95% confidence interval: 0.57, 1.00) and 85%, respectively. The subjects with moderate movement quality had significantly less strength of the hip abductors, less knee flexion range of motion measured in prone (quadriceps flexibility), and less hip adduction range of motion measured in sidelying (iliotibial band/tensor fascia latae flexibility) compared to those with good movement quality.
  
  
  CONCLUSIONS
  There was good agreement for the rating of movement quality during the FSD test, and there were physical attributes that distinguished those with moderate from those with good quality of movement.
authors.affiliation: Applied Kinesiology and Ergonomic Technology Laboratory, Department of Physical Therapy, The Graduate School, Yonsei University, Wonju, Gangwon-do, South Korea.
authors.forename: Kyung-Mi
authors.initials: KM
authors.lastname: Park
authors.forename: Heon-Seock
authors.initials: HS
authors.lastname: Cynn
authors.forename: Sung-Dae
authors.initials: SD
authors.lastname: Choung
mesh_terms: D003430:Cross-Sectional Studies; D005260:Female; D064368:Healthy Volunteers; D006621:Hip Joint / Q000502:physiology*; D006801:Humans; D007719:Knee Joint / Q000502:physiology*; D035002:Lower Extremity / Q000502:physiology*; D009068:Movement; D053580:Muscle Strength; D010808:Physical Examination / Q000379:methods*; D016059:Range of Motion, Articular; D055815:Young Adult