Development of a Computerized Adaptive Test for Assessing Balance Function in Patients With Stroke

The purpose of this study was to develop a computerized adaptive testing (CAT) system for assessing balance function in an efficient, reliable, and valid fashion in patients with stroke. This study was conducted in the departments of physical medicine and rehabilitation in 6 hospitals. The participants were inpatients and outpatients who were receiving rehabilitation. A balance item pool (41 items) was developed on the basis of predefined balance concepts… Continue reading

Reliability of shoulder internal rotation passive range of motion measurements in the supine versus sidelying position.

The objective of tis study was to compare intrarater and interrater reliability of shoulder internal rotation (IR) passive range of motion measurements utilizing a standard supine position and a sidelying position. Glenohumeral IR range of motion deficits are often noted in patients with shoulder pathology. Excellent intrarater reliability has been found when measuring this motion. However, interrater reliability has been reported as poor to fair. Some clinicians currently use a… Continue reading

Web-based assessment tool streamlines patient access to Suffolk physiotherapy

An online system to help physiotherapists assess patients in advance of an appointment and speed up treatment where needed has been created by physiotherapists working with the IM&T Department at Suffolk PCT. SuffolkPhysio, devised by Physiotherapists Joannah Keller and Phillip Dale is a web portal that allows patients to complete an assessment form online with details of their symptoms, past medical history and medications. This is then triaged by… Continue reading

Inter- and intra-tester reliability of selected clinical tests in examining patients with early phase lumbar spine and sacroiliac joint pain and dysfunction.

Of all patients with low back pain (LBP), 85% are diagnosed as “non-specific lumbar pain”. It has been postulated that the only reliable test is a straight leg raise test for detecting sciatic pain, and for other diagnostic subgroups, tests are of varying value. Only a few standardized tests exist to test function, inspection, mobility, pain, muscle flexibility or stability for patients with early phase lumbar spine and sacroiliac joint… Continue reading

Inter-rater reliability for measurement of passive physiological range of motion of upper extremity joints is better if instruments are used: a systematic review.

Question: What is the inter-rater reliability for measurements of passive physiological or accessory movements in upper extremity joints? Design: Systematic review of studies of inter-rater reliability. Participants: Individuals with and without upper extremity disorders. Outcome measures: Range of motion and end-feel using methods feasible in clinical practice. Results: Twenty-one studies were included of which 11 demonstrated acceptable inter-rater reliability. Two studies satisfied all criteria for internal validity while reporting almost… Continue reading

Diagnosing suspected scaphoid fractures: a systematic review and meta-analysis

Imaging protocols for suspected scaphoid fractures among investigators and hospitals are markedly inconsistent. We performed a systematic review and meta-analysis to assess and compare the diagnostic performance of bone scintigraphy, MRI, and CT for diagnosing suspected scaphoid fractures. Twenty-six studies were included. Sensitivity, specificity, and diagnostic odds ratio were pooled separately and summary receiver operating characteristic curves were fitted for each modality. Meta-regression analyses were performed to compare these modalities… Continue reading

Diagnostic Value of Clinical Grind Test for Carpometacarpal Osteoarthritis of the Thumb.

To evaluate the interrater reliability and the criterion validity of the grind test for thumb CMC osteoarthritis. Radiological evaluation was used as the gold standard. Seventy thumbs of 54 persons with various hand disorders were included in the study. The grind test was performed by two physical therapists, and radiographs were evaluated by a certified hand surgeon, all blinded to the participants' diagnosis and other test results. Interrater reliability… Continue reading

Six-minute walking test done in a hallway or on a treadmill: how close do the two methods agree?

The 6-min walking test (6-MWT) is probably the most widely used test to measure the functional capacity in cardiac rehabilitation. Although the American Thoracic Society recommends testing on a flat surface, treadmills are also used for testing. Therefore, this study investigated the interchangeability of results of treadmill and hallway 6-MWT in a population of patients participating in a cardiac rehabilitation programme. Agreement in 6-min walking distance between the hallway… Continue reading

The validity and reliability of a 6-Metre Timed Walk for the functional assessment of patients with stroke.

The 10-Metre Timed Walk (10MTW) is well established for use in assessment of patients with stroke. However, space limitations and the exhaustive nature of the test for many patients have resulted in many physiotherapists using a walk test of shorter distance. The aim of this study was to investigate the validity and reliability of a 6-Metre Timed Walk (6MTW) in patients with stroke. Forty-five patients with stroke (27 men and… Continue reading

Six-minute walking test and the assessment of cardiorespiratory responses during weight-loss programmes in obese children

This study assessed the exercise tolerance and cardiorespiratory responses during 2-month weight-loss programmes using the 6-minute walking test (6MWT) in obese children. Twenty-eight male obese children were randomly assigned to either a control group (C), an energy restriction group (R), an exercise training at maximum lipid-oxidation (LIPOXmax) group (E), or an energy restriction/training group (RE). The body composition, the submaximal incremental cycling exercise, and the 6MWT were performed before and… Continue reading

Next Page »