Conclusions There is considerable variability in the type of measures utilized to measure physical impairments and limitations in survivors of critical illness .
Purpose To identify measures used to evaluate the broad constructs of functional impairment and limitations in the critically ill across the continuum of recovery , and to evaluate , synthesis e and compare the clinimetric properties of the measures identified .
Inter-rater reliability of manual muscle strength testing in ICU survivors and simulated patients
Objective The goal of the paper is to determine inter-rater reliability of trained examiners performing st and ardized strength assessment s using manual muscle testing ( MMT ) .  Design , subjects , and setting The authors report on 19 trainees undergoing quality assurance within a multi-site prospect i ve cohort study .InterventionInter-rater  reliability for specially trained evaluators ( “ trainees ” ) and a reference rater , performing MMT using both simulated and actual patients recovering from critical illness was evaluated . Measurements and results Across 26 muscle groups tested by 19 trainee-reference rater pairs , the median ( interquartile range ) percent agreement and intraclass correlation coefficient ( ICC ; 95 % CI ) were : 96 % ( 91 , 98 % ) and 0.98 ( 0.95 , 1.00 ) , respectively . Across all 19 pairs , the ICC ( 95 % CI ) for the overall composite MMT score was 0.99 ( 0.98–1.00 ) . When limited to actual patients , the ICC was 1.00 ( 95 % CI 0.99–1.00 ) . The agreement ( kappa ; 95 % CI ) in detecting clinical ly significant weakness was 0.88 ( 0.44–1.00 ) . Conclusions MMT has excellent inter-rater reliability in trained examiners and is a reliable method of comprehensively assessing muscle strength
Conclusions There is considerable variability in the type of measures utilized to measure physical impairments and limitations in survivors of critical illness .
Purpose To identify measures used to evaluate the broad constructs of functional impairment and limitations in the critically ill across the continuum of recovery , and to evaluate , synthesis e and compare the clinimetric properties of the measures identified .