An Example of End-Digit Preference in Physiotherapy Practice

Stratford, Paul W.; Wainwright, Amy; Kennedy, Deborah

doi:10.3138/ptc.2012-42

Cited by 4 publications

(1 citation statement)

References 7 publications

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“…First, our assessment of fitness was based on a single measurement so we could not determine changes in fitness over time or issues related to within-person variability. Furthermore, there is evidence of “end-digit preference” 34 in that some MET values were disproportionately represented in our patient population. This limited our ability to evaluate the absolute risk associated with individual MET levels.…”

Section: Discussionmentioning

confidence: 88%

Sex Differences in Cardiorespiratory Fitness and All-Cause Mortality

Al-Mallah

Juraschek²,

Whelton³

et al. 2016

Mayo Clinic Proceedings

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Objective To determine whether sex modifies the relationship between fitness and mortality. Patients and Methods We included 57,284 patients without coronary artery disease or heart failure who completed a routine treadmill exercise test between 1991 and 2009. We determined metabolic equivalents of task (METs) and linked patient records with mortality data via the Social Security Death Index. Multivariable Cox regression was used to determine the association between sex, fitness, and all-cause mortality. Results There were 29,470 (51.5%) men and 27,814 (48.6%) women with mean ages of 53 and 54 years, respectively. Overall, men achieved 2 METs higher than women (P<.001). Over a median of 10 years follow-up, there were 6,402 deaths. The mortality rate for men in each MET group was similar to that of women who achieved an average 2.6 METs lower (P=.03). Fitness was inversely associated with mortality in both men (HR 0.84 per 1 MET; 95% CI: 0.83, 0.85) and women (HR 0.83 per 1 MET; 95% CI: 0.81, 0.84). This relationship did not plateau at high or low METs values. Conclusions While men demonstrated 2 METs higher than women, their survival was equivalent to women demonstrating 2.6 METs lower. Further, higher METs were associated with lower mortality for both men and women across the range of MET values. These findings are useful for tailoring prognostic information and lifestyle guidance to men and women undergoing stress testing.

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Section: Discussionmentioning

confidence: 88%

Sex Differences in Cardiorespiratory Fitness and All-Cause Mortality

Al-Mallah

Juraschek²,

Whelton³

et al. 2016

Mayo Clinic Proceedings

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Range of motion as an outcome measure for knee osteoarthritis interventions in clinical trials: an integrated review

Epskamp

Dibley

Ray

et al. 2020

Physical Therapy Reviews

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Measuring Up to Expectation: Cognitive Bias in Wrist Range-of-Motion Measurement

Rotem-Lehrer¹,

Singer²,

Reshit³

et al. 2016

J Orthop Sports Phys Ther

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Study Design Controlled laboratory study, cross-sectional design. Background The role of cognitive biases and their effect on a wide range of aspects relevant to clinical medicine has become the focus of a growing body of research, yet their effect in physical therapy is not well established. Objectives To test whether anchoring information provided to physical therapists prior to assessment of wrist range of motion (ROM) may induce bias in the measurement. Methods A total of 120 physical therapists participated in the study. Participants were asked to measure passive wrist extension ROM of a 65-year-old woman with no history of injury to the upper limb using a universal goniometer. Before initiating the measurement, some participants received a clinical description, which included sham information about the patient's health history. Three groups were differentiated according to the provided clinical content: no bias (n = 38), moderate bias (n = 41), and substantial bias (n = 41). An analysis of covariance was applied to test for differences between the 3 groups while controlling for any potential sex and experience effects. Results The analysis of covariance yielded a significant group effect (P = .009), with no significant effect for sex and experience. The adjusted mean wrist ROM was 80.2° for the no-bias group, 74.5° for the moderate-bias group, and 72.4° for the substantial-bias group. Post hoc tests demonstrated significant difference only between the group with no bias and the substantial-bias group (mean difference, 7.7°; P = .009). Conclusion Anchoring information was associated with differential results of an objective test. Physical therapists should increase their awareness of biases and consider employing debiasing strategies. J Orthop Sports Phys Ther 2016;46(12):1037-1041. Epub 30 Oct 2016. doi:10.2519/jospt.2016.6845.

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An Example of End-Digit Preference in Physiotherapy Practice

Cited by 4 publications

References 7 publications

Sex Differences in Cardiorespiratory Fitness and All-Cause Mortality

Sex Differences in Cardiorespiratory Fitness and All-Cause Mortality

Range of motion as an outcome measure for knee osteoarthritis interventions in clinical trials: an integrated review

Measuring Up to Expectation: Cognitive Bias in Wrist Range-of-Motion Measurement

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