Choosing Your Outlook on Functional Limitation Reporting
Unless you’ve gone full-blown ostrich, you’ve heard about Functional Limitation Reporting (FLR)—also known as claims-based outcome reporting (CBOR) and G-code reporting—by now. And if you haven’t, it is absolutely time to get your head out of the sand because FLR is coming quickly. In fact, CMS is making FLR mandatory starting July 1, 2013. And [...]
How Do I Implement Functional Limitation Reporting?
Last month, WebPT shared a blog on CMS’s new G-codes in a cleverly titled post, “Ain’t Nothin’ But a G-Code, Baby.” As the name implies, this new mandate is not nearly as daunting as you may think. Here, I’ll discuss how with just a few steps, and some clinical judgment, you can easily implement these [...]
All Aboard the PQRS Train!
It’s already November, and for those of us who’ve been patiently—or not—waiting for CMS to announce their 2013 Physicians Quality Reporting System (PQRS, formerly known as PQRI) plans, our wait is over. So let’s talk about what’s new—and not so new—for 2013. First, the basics: 2013 is the first year that PQRS is “mandatory.” Now, [...]
Reliability of a quantitative clinical posture assessment tool among persons with idiopathic scoliosis
The objective of this study was to determine overall, test–retest and inter-rater reliability of posture indices among persons with idiopathic scoliosis. Seventy participants aged between 10 and 20 years with different types of idiopathic scoliosis (Cobb angle 15 to 60°) were recruited from the scoliosis clinic. Based on the XY co-ordinates of natural reference points [...]
Feasibility of a new concept for measuring actual functional performance in daily life of transfemoral amputees.
Determining the feasibility of implementing a new concept to objectively evaluate actual functional abilities of transfemoral amputees into a new measuring tool called “Assessment of Daily Activity Performance in Transfemoral amputees” (ADAPT). Study 1 comprised two groups of 10 participants, age range 19-72 years. One group used microprocessor-controlled knee joints and the other group used [...]
Reliability, Construct Validity, and Responsiveness of the Neck Disability Index, Patient-Specific Functional Scale, and Numeric Pain Rating Scale in Patients with Cervical Radiculopathy.
The objective of this study was to examine the psychometric properties of the Neck Disability Index, Patient-Specific Functional Scale, and the Numeric Pain Rating Scale in a cohort of patients with cervical radiculopathy. A single-group repeated-measures design. Patients (n = 165) presenting to physical therapy with cervical radiculopathy completed the Neck Disability Index, Patient-Specific Functional [...]
Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke.
This stud compared the test-retest reliability, validity, and responsiveness of the Dynamic Gait Index, the 4-item Dynamic Gait Index, and the Functional Gait Assessment for assessment of walking in patients with stroke. Forty-five outpatients participating in the validity and responsiveness study were tested using the 3 walking measures as well as the 10-m walk test, [...]
A within-subjects trial to test the equivalence of online and paper outcome measures: the Roland Morris Disability Questionnaire
Augmenting validated paper versions of existing outcome measures with an equivalent online version may offer substantial research advantages (cost, rapidity and reliability). However, equivalence of online and paper questionnaires cannot be assumed, nor can acceptability to respondents. The aim was to test whether online and written versions of the Roland Morris Disability Questionnaire (RMDQ), a [...]
Trinity Amputation and Prosthesis Experience Scales (TAPES): A psychometric assessment using classical test theory and Rasch analysis.
The objective of this study was to perform a detailed psychometric analysis using both classical test theory and Rasch analysis of the three main scales of the Trinity Amputation and Prosthesis Experience Scales (TAPES) in people with a lower-limb amputation. A sample of 498 persons who were prosthesis users with a lower-limb amputation was retrospectively [...]
Responsiveness of physical function outcomes following physiotherapy intervention for osteoarthritis of the knee: an outcome comparison study
The objective of this study was to compare the responsiveness of two self-report measures and three physical performance measures of function following physiotherapy for osteoarthritis of the knee. Patients referred for physiotherapy with osteoarthritis of the knee were recruited. The Western Ontario and McMaster Universities (WOMAC), Lequesne Algofunctional Index (LAI), timed-up-and-go test (TUGT), timed-stand test [...]
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