Sufficient Standardization? Evaluating the Reliability of an Inertial Sensor (Beyond^TM) for Ankle Dorsiflexion After...

(1) Background: Ankle joint range of motion is recognized as abnormal in individuals with ankle sprains and Chronic ankle instability (CAI), especially in the dorsiflexion movement. This research investigated the test-retest and inter-rater reliability of the Motustech Beyond IMU for dorsiflexion movement following only one hour of rater training and familiarization. (2) Methods: In total, 62 subjects were evaluated for the inter-rater reliability and test-retest with a one-week interval. The intraclass correlation coefficient (ICC), along with the Concordance Correlation Coefficient (CCC), was determined for each test of reliability. Standard error of measurement, coefficients of variation, limits of agreement (LoA) and minimal detectable change (MDC) were used for the measurement error analysis. (3) Results: Test-retest reliability was ranked excellent (ICC = 0.949) and very high (CCC = 0.897) for both ankle dorsiflexion measurements. On the other hand, Inter-Rater reliability was evaluated as good (ICC = 0.881-0.906) and very high (CCC = 0.783-0.811). However, the measurement error analysis showed poor absolute agreement (LoA), indicating that the resulting measurement variability is considered clinically unacceptable for high-precision applications. (4) Conclusions: Beyond Inertial demonstrated excellent test-retest reliability for ankle dorsiflexion movements, although measurement error analysis showed considerable absolute error. Consequently, it may be considered a reliable tool for single-rater monitoring of ankle dorsiflexion ROM in non-clinical settings such as general physical activity and amateur sports. Future research should investigate its potential role in injury prevention contexts.