Usefulness of the Trendelenburg test for identification of patients with hip joint osteoarthritis.

This study examined validity indices of the Trendelenburg test as a measure of hip abductor muscle performance (adduction of pelvis-on-femur [P-O-F]) when identifying subjects with and without hip joint osteoarthritis (OA). Muscle performance of the hip abductor muscles was obtained in standing by using the P-O-F position measured with a goniometer and in supine using [...]

Clinical measurement of the thoracic kyphosis. A study of the intra-rater reliability in subjects with and without shoulder pain

The aim of this investigation was to determine the intra-tester reliability of measuring the thoracic kyphosis angle using a clinical method Measurements were made in 45 subjects with and 45 subjects without upper body symptoms. Measurements were made with the subjects in relaxed standing. Two gravity dependent inclinometers were used to measure the kyphosis. The [...]

Measurement of muscle strength in the intensive care unit

This paper explores the measures available to assess and predict intensive care unit-acquired muscle weakness. The discussion centres around the selection of the appropriate muscle to test in order to make adequate predictions of a patient’s outcome. The authors propose that the upper airway dilators are much more susceptible to a decrease in muscle strength than [...]

Intra- and Inter-Examiner Variability in Performing Tinel’s Test

The goal of this study was to evaluate intra- and inter-examiner variability in the force generated using different techniques to elicit Tinel’s sign.  Nine clinicians, consisting of 3 experienced hand and peripheral nerve surgeons, 3 junior hand and peripheral nerve surgeons, and 3 surgeons in training were included in the study. Three different Tinel-type maneuvers [...]

Reliability, validity and diagnostic accuracy of palpation of the sciatic, tibial and common peroneal nerves in the examination of low back related leg pain

This study investigated the reliability, validity and diagnostic accuracy of manual palpation of the sciatic, tibial and common peroneal nerves in the examination of 45 subjects with low-back related leg pain. The nerves were palpated manually and with an algometer, to determine pressure pain thresholds (PPTs). A second examiner performed the straight leg raise (SLR) [...]

Rotator cuff coactivation ratios in participants with subacromial impingement syndrome

Coactivation of the rotator cuff is vital to glenohumeral joint stability by centralising the humeral head within the glenoid fossa. Yet in individuals with subacromial impingement, it is hypothesised that rotator cuff coactivation abnormalities are present that could contribute to their shoulder pain. The purpose of this study was to determine if abnormal rotator cuff [...]

Raising the standards of the calf-raise test: A systematic review

The calf-raise test is used by clinicians and researchers in sports medicine to assess properties of the calf muscle-tendon unit. The test generally involves repetitive concentric–eccentric muscle action of the plantar-flexors in unipedal stance and is quantified by the number of raises performed. Although the calf-raise test appears to have acceptable reliability and face validity, [...]

Test-retest reliability and minimal detectable change of the hexagon agility test.

The purpose of this study was to examine the test-retest reliability and minimal detectable change of the hexagon test. The hexagon test is a routinely used measure of agility in the sports and rehabilitation professions, yet its reliability has not been investigated in prior research. A total of 26 college-aged men and women of various [...]

Postural orientation in subjects with anterior cruciate ligament injury: development and first evaluation of a new observational test battery.

Anterior cruciate ligament (ACL) injury is associated with mechanical instability and defective neuromuscular function, and can lead to further injury, increased joint loading and osteoarthritis. Patients with ACL injury demonstrate altered postural orientation, manifested as observable “substitution patterns” (SPs) but no one has applied a clinically useful method to systematically study postural orientation in these [...]

Patient-Reported Outcomes Measurement Information System

This initiative -the Patient-Reported Outcomes Measurement Information System (PROMIS) – aims to revolutionize the way patient-reported outcome tools are selected and employed in clinical research and practice evaluation. It will also establish a national resource for accurate and efficient measurement of patient-reported symptoms and other health outcomes in clinical practice. As part of the NIH [...]

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