Evaluation of Physiotherapy by Measuring the Outcome

Hammond, Ralph

doi:10.1016/s0031-9406(05)60959-5

Cited by 38 publications

(18 citation statements)

References 8 publications

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“…Diante da atual exigência de se demonstrar a efetividade de procedimentos clínicos, é essencial que fisioterapeutas e terapeutas ocupacionais provem a validade e a confiabilidade dos seus instrumentos de avaliação 1 . A avaliação válida e confiável da força de preensão manual é um parâmetro importante para determinar a efetividade de várias estratégias terapêuticas 2,3 , definir metas de tratamento, avaliar a habilidade do paciente para retornar a atividades funcionais, além de colaborar para o desenvolvimento de pesquisas científicas 4 .…”

Section: Introductionunclassified

Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan

2011

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Nada a declarar RESUMO: Existe uma grande variedade de instrumentos utilizados para a avaliação da força de preensão manual. Porém, não existem estudos demonstrando a validade e a confiabilidade da maioria destes instrumentos. O objetivo deste estudo foi avaliar a validade concorrente e a confiabilidade intraexaminador do dinamômetro Saehan hidráulico comparado-o com o dinamômetro Jamar hidráulico. Cem indivíduos sadios (50 homens e 50 mulheres), entre 20 e 50 anos de idade, sem alterações cognitivas, deficiências físicas, disfunções neuromusculares e ortopédicas e história de lesões nos membros superiores, foram testados com os dinamômetros Jamar e Saehan. A validade concorrente entre o dinamômetro Jamar e o dinamômetro Saehan foi excelente para os testes de força de preensão realizados com as mãos direita (r=0,976) e esquerda (r=0,986). A confiabilidade intra-examinador foi excelente tanto para o dinamômetro Jamar (r=0,985 mãos direita e esquerda) quanto para o dinamômetro Saehan (r=0,981 mão direita e r=0,985 mão esquerda). O dinamômetro Saehan é válido, confiável e comparável com o dinamômetro Jamar. Portanto, dados coletados com o dinamômetro Jamar são equivalentes aos dados coletados com o dinamômetro Saehan. Consequentemente, valores de força obtidos por testes com dinamômetro Saehan podem ser comparados com valores de referência de força de preensão que foram obtidos com o dinamômetro Jamar. DEScRitORES: dinamômetro; força de preensão manual; validade; confiabilidade.ABStRAct: There is a great variety of instruments available for evaluating hand grip strength. There is, however, a lack of studies showing the validity and reliability of most of these instruments. The purpose of this study was to examine the concurrent validity and test-retest reliability of the hydraulic Saehan dynamometer using the hydraulic Jamar dynamometer. One hundred healthy subjects (50 men and 50 women), between the ages of 20 and 50 years old, without cognitive impairment, physical disability, neuromuscular or orthopedic dysfunction, and history of upper extremity injuries were tested with the Jamar and Saehan dynamometers. The concurrent validity between the Jamar and the Saehan dynamometers was excellent for both the right hand (r=0.976) and the left hand (r=0.986). Test-retest reliability was excellent for both the Jamar (r=0.985 right and left hands) and the Saehan (r=0.981 right hand and r=0.985 left hand). The Saehan dynamometer is valid, reliable and comparable to the Jamar dynamometer. Therefore, the Jamar and Saehan dynamometers measure handgrip strength equivalently. As a result, strength values obtained with the Saehan dynamometer can be compared with reference values which were collected with the Jamar dynamometer.

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Section: Introductionunclassified

Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan

2011

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“…1 The need for standardized outcome measures has been widely advocated [2][3][4][5][6] and has been articulated in a number of policy statements, including the Core Standards of Physiotherapy Practice of the European Region of the World Confederation for Physical Therapy (WCPT) 7 and the definition of evidence-based practice of the Canadian Physiotherapy Association (CPA). 8 The extent to which the use of standardized outcome measures has been operationalized in day-to-day practice, and the nature of such use, has been reviewed by a number of authors in Canada, 9,10 the United States, 11 and Europe.…”

Section: Introductionmentioning

confidence: 99%

Use of Outcome Measures in Physiotherapy Practice in Ireland from 1998 to 2003 and Comparison to Canadian Trends

Stokes¹,

O’Neill²

2008

Physiotherapy Canada

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Purpose: The purposes of this study were to examine changes in the use of standardized outcome measures by practising physiotherapists in Ireland and to compare those trends to the results of a similar survey conducted previously in Canada. Method: A survey methodology was employed. The review of practice occurred at two points in time. Senior clinical physiotherapists working with older people participated. Questions were asked about the use of standardized outcome measures, the nature and pattern of their use, and the level of confidence the respondents had in using such measures. Results:The results chart the changes in practice over a 5-year period. Although there was an increase in the use of standardized outcome measures, the respondents acknowledged barriers to their systematic use in routine practice (e.g., lack of time, resources/administrative support). There was a lack of professional consensus on what instruments to use in general, as well as which to use for particular client groups. Concern was expressed that none of the available instruments met their clients' needs. RÉ SUMÉObjectif : Cette é tude a pour but d'examiner les changements dans l'utilisation des mesures de ré sultat standardisé es par les physiothé rapeutes en Irlande et de comparer ces tendances aux ré sultats d'un sondage similaire conduit pré cé demment au Canada. Me´thode : On a utilisé une mé thodologie de sondage. L'examen de la pratique a eu lieu deux fois pendant la pé riode d'essai. Des physiothé rapeutes cliniques chevronné s qui travaillaient avec des personnes â gé es ont participé . On leur a posé des questions sur l'emploi de mesures de ré sultat standardisé es, sur la nature et le ré gime de leur emploi et sur le niveau de confiance que les ré pondants avaient dans l'utilisation de ces mesures. Re´sultats : Les ré sultats enregistrent les changements dans la pratique sur une pé riode de cinq (5) ans. Bien qu'il y ait eu une hausse de l'utilisation des mesures de ré sultat standardisé es, les ré pondants ont reconnu des obstacles à leur emploi systé matique dans la pratique ré guliè re, p. ex., manque de temps, de ressources ou de soutien administratif. On n'a pu é tablir de consensus professionnel gé né ral sur les instruments à utiliser, et lequel utiliser pour certains groupes de clients particuliers. Le fait qu'aucun des instruments disponibles ne ré pondait aux besoins des clients suscitait de l'inquié tude. Lorsque cela a é té possible et approprié , on a comparé les donné es de l'é tude irlandaise de 2003 et celles d'une é tude auprè s de physiothé rapeutes canadiens en 1998. Conclusion : Cet examen de la pratique indique que les changements en Irlande à propos des mesures de ré sultat standardisé es sont semblables à ceux qui se sont produits au Canada mais il se pré sente des obstacles à leur inté gration complè te dans la pratique clinique et dans le processus dé cisionnel clinique.Mots clé s: comparaison internationale, personnes â gé es, mesures de ré sultat, exercice de la physiothé rapie, ré adaptat...

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“…Health measurements are also less illness-centered as most scales measure attributes of function, disability, general health status, and quality of life, rather than those of impairments (McDowell and Newell, 1996). Integration of standardized outcome measures into clinical practice improves patient care, enhances communication with patient and family on treatment goals, facilitates clinical audit and researching evidence based practice, and provides a means of internal review of resource utilization (Hammond, 2000;McBride and Quick, 1996).…”

Section: Introductionmentioning

confidence: 99%

Familiarity with, knowledge, and utilization of standardized outcome measures among physiotherapists in Nigeria

Akinpelu

Eluchie²

2006

Physiotherapy Theory and Practice

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Measurement tools that assess changes in patients' clinical status are called outcome measures and their integration into clinical practice promotes objective assessment and evidence-based practice. Healthcare providers' knowledge andfamiliarity with outcome measures are pertinent to their utilization. The purpose of this descriptive survey study was to determine the levels offamiliarity, knowledge and utilization of 16 standardized outcome measures (SOM) among physiotherapists in Nigeria. A 3-part questionnaire was administered (N = 236). Part 1 elicited demographic information, Part 2 assessedfamiliarity and utilization and Part 3 assessed knowledge of the SOM. Results indicated that over 60% of the respondents had never used and were not familiar with 14 out of the 16 SOM, indicating low levels of utilization and familiarity among respondents. Respondents' knowledge about the SOM was low (3.1 +/- 2.5), and correlated positively and significantly (p < 0.05) with their levels offamiliarity with and utilization of the SOM. Working experience had a positive influence on knowledge about SOM, but influence of work setting on familiarity, utilization, and knowledge about SOM was inconclusive. This study suggests that physiotherapists in Nigeria have poor knowledge, seldom utilize, and are unfamiliar with SOM and that the use of SOM should be promoted among them.

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Evaluation of Physiotherapy by Measuring the Outcome

Cited by 38 publications

References 8 publications

Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan

Medida da força de preensão manual- validade e confiabilidade do dinamômetro saehan

Use of Outcome Measures in Physiotherapy Practice in Ireland from 1998 to 2003 and Comparison to Canadian Trends

Familiarity with, knowledge, and utilization of standardized outcome measures among physiotherapists in Nigeria

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