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Intra and Inter-Rater Reliability and Convergent Validity of the Canadian Agility and Movement Skill Assessment

Yannick A D Breeschooten1, Johannes J Noordstar, Maaike C A Sprong

  • 1Physical Therapy Sciences, Program in Clinical Health Sciences, University Medical Center Utrecht, Utrecht, The Netherlands (Ms Breeschooten); Child Development & Exercise Center, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands (Dr Noordstar, Dr Sprong, Ms de Kievit, Dr Takken, and Dr Hulzebos).

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|April 22, 2025
PubMed

Insights

The Canadian Agility and Movement Skill Assessment (CAMSA) reliably measures motor skills in children with critical congenital heart disease (CCHD). This tool is suitable for assessing complex movements in this population.

Area of Science:

  • Pediatric cardiology
  • Developmental pediatrics
  • Motor skill assessment

Background:

  • Children with critical congenital heart disease (CCHD) often experience motor skill deficits.
  • Reliable and valid assessment tools are crucial for monitoring and managing motor development in these children.
  • The Canadian Agility and Movement Skill Assessment (CAMSA) is a potential tool for evaluating complex motor skills.

Purpose of the Study:

  • To determine the inter- and intra-rater reliability of the CAMSA for children aged 7-10 with CCHD.
  • To assess the convergent validity of the CAMSA against the Movement-ABC-2 (M-ABC-2) in this population.

Main Methods:

  • Forty-one children (7-10 years) with CCHD participated.
  • The CAMSA and M-ABC-2 were administered concurrently.
  • Four raters assessed CAMSA video recordings at two separate 2-week intervals.

Main Results:

  • Excellent inter-rater reliability (ICC=0.94) and intra-rater reliability (ICC=0.95) were found for the CAMSA.
  • A non-statistically significant trend was observed between CAMSA and M-ABC-2 scores.

Conclusions:

  • The CAMSA demonstrates excellent reliability for assessing complex motor skills in children aged 7-10 with CCHD.
  • The non-significant convergent validity suggests the CAMSA and M-ABC-2 may measure distinct motor constructs.
Abstract

Keywords:
congenital heart diseasemotor skillsphysical activityreliabilityvalidity

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