Measures of functional ability (disability) in arthritis in relation to impairment of range of joint movement.

Badley, Elizabeth M.; Wagstaff, Sue; Wood, Paul T.

doi:10.1136/ard.43.4.563

Cited by 103 publications

(51 citation statements)

References 9 publications

(1 reference statement)

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“…[1][2][3][4] The difference between the affected and the contralateral sides is related to the ability to perform the activities of daily life, such as dressing, washing, and lifting above shoulder level. [4][5][6] Measurement of the ROM plays a vital role in diagnosis, [7][8][9] assessment of the severity of disability, and the assessment of treatment outcome in clinical practice and research. 9 Several methods are available for quantifying ROM, such as goniometry, inclinometry, and even high-speed cinematography.…”

Section: Omplaints Of Shoulder Dysfunction Arementioning

confidence: 99%

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Terwee

Winter

Scholten

et al. 2005

Archives of Physical Medicine and Rehabilitation

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Objectives: To assess interobserver reproducibility (agreement and reliability) of visually estimated shoulder range of motion (ROM) and to study the influence of clinical characteristics on the reproducibility.Design: Test-retest analyses. Setting: Various health care settings in the Netherlands. Participants: Consecutive patients with shoulder complaints (Nϭ201) referred by 20 general practitioners, 2 orthopedic physicians, and 20 rheumatologists.Interventions: Not applicable. Main Outcome Measures: Independent visual estimation by 2 physiotherapists of the ROM. Agreement was calculated as the mean difference in visual estimation between examiners Ϯ1.96 ϫ standard deviations of this mean difference. The intraclass correlation coefficient (ICC) was calculated as a measure of reliability, based on a 2-way random effects analysis of variance.Results: The lowest level of agreement was for visual estimation of active and passive elevation (limits of agreement, Ϫ43.4 to 39.8 and Ϫ46.7 to 41.5, respectively, for the difference between the affected and contralateral sides), for which the level of agreement was most clearly associated with pain severity and disability. The ability to differentiate between subjects was acceptable for all movements for the difference between the affected and contralateral sides (ICCs, Ͼ.70) except for horizontal adduction (ICCϭ.49).Conclusions: Interobserver agreement was low for the assessment of active and passive elevation, especially for patients with a high pain severity and disability. Except for horizontal adduction, visual estimation seems suitable for distinguishing differences between affected and contralateral ROM between subjects.Key Words: Range of motion, articular; Rehabilitation; Reproducibility of results; Shoulder.© by American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and RehabilitationC OMPLAINTS OF SHOULDER DYSFUNCTION are often associated with restricted range of motion (ROM). [1][2][3][4] The difference between the affected and the contralateral sides is related to the ability to perform the activities of daily life, such as dressing, washing, and lifting above shoulder level. [4][5][6] Measurement of the ROM plays a vital role in diagnosis, 7-9 assessment of the severity of disability, and the assessment of treatment outcome in clinical practice and research. 9 Several methods are available for quantifying ROM, such as goniometry, inclinometry, and even high-speed cinematography. High reproducibility is an important prerequisite if measurements are to be useful for discriminative and evaluative purposes. The reproducibility of the various devices used to assess shoulder ROM has been evaluated in several studies. [10][11][12][13][14][15][16][17][18][19] Although in clinical practice ROM assessment is often based on visual inspection of the movement, insight into the reproducibility of the visual estimation of shoulder ROM is limited. 20,21 The level of reproducibility of ROM measurement may be influenced by many factors such ...

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Section: Omplaints Of Shoulder Dysfunction Arementioning

confidence: 99%

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Terwee

Winter

Scholten

et al. 2005

Archives of Physical Medicine and Rehabilitation

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“…13 -1500 -1000 -500 500 1000 1500 95% CI -£32 to £14). The uncertainty in the differences in costs and QALYs is represented in a cost-effectiveness acceptability curve ( Figure 5).…”

Section: Sensitivity Analysismentioning

confidence: 99%

“…10,11 Once joint inflammation subsides, the main limitation to repair of synovial tissue is the early establishment of fibrous adhesions with resultant connective tissue shortening and soft tissue contractures, which further accentuate pain and muscle inhibition reducing joint mobility. [12][13][14] These pathophysiological changes often lead to poor posture, body alignment and growth disturbance with reduced weight bearing, bone demineralisation and adapted gait patterns. In addition, individual factors such as growth and development, opportunity to exercise and behaviour may be affected.…”

Section: Consequences Of Pathophysiology Of Jiamentioning

confidence: 99%

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Epps¹,

Ginnelly²,

Utley³

et al. 2005

Health Technol Assess

152

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Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email.Paying by official purchase order You can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA Programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS, the public, service-users groups and professional bodies such as Royal Colleges and NHS Trusts.Research suggestions are carefully considered by panels of independent experts (including service users) whose advice results in a ranked list of recommended research priorities. The HTA Programme then commissions the research team best suited to und...

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“…In addition to compromising the performance of everyday movements, decreased flexibility may result in musculoskeletal damage (Badley et al 1984). With advancing age, the range of motion decreases, and according to Holland et al (2002), depending on the joint, a loss of up to 50 % of flexibility can be observed (Holland et al 2002).…”

Section: Introductionmentioning

confidence: 99%

Effect of a physical training program using the Pilates method on flexibility in elderly subjects

Geremia¹,

Iskiewicz²,

Marschner

et al. 2015

AGE

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The adaptations of the human body resulting from the aging process especially loss of flexibility can increase the risk of falls and the risk of developing other health conditions. Exercise training, in particular the Pilates exercise method, has become an important form of physical activity that minimizes the deleterious effects of aging on flexibility. Few studies have evaluated the effect of this training method on body flexibility among elderly. We aimed to evaluate the effects of physical training using the Pilates method on body flexibility of elderly individuals. Eighteen elderly women and two elderly men (aged 70 ± 4 years) followed a 10-week Pilates training program. Individuals were recruited from the local community via open invitations. At study entry, none of them had limited mobility (walking requiring the use of walkers or canes). Furthermore, those with neurologic, muscular, or psychiatric disorders as well as those using an assistive device for ambulation were excluded secondary to limited participation. Flexibility assessment tests (flexion, extension, right and left tilt, and right and left rotation of the cervical and thoracolumbar spine; flexion, extension, abduction, and lateral and medial right and left rotation of the glenohumeral joint; flexion, extension, abduction, adduction, and lateral and medial rotation of the right and left hip; and flexion of the right and left knee) were performed by a blinded evaluator using a flexometer before and after the training period. All assessments were carried out at the same time of day. There was an observed increase in flexion (22.86 %; p < 0.001), extension (10.49 %; p < 0.036), and rotation to the left side (20.45 %; p < 0.019) of the cervical spine; flexion (16.45 %; p < 0.001), extension (23.74 %; p = 0.006), lateral bending right (39.52 %; p < 0.001) and left (38.02 %; p < 0.001), and right rotation (24.85 %; p < 0.001) and left (24.24 %; p < 0.001) of the thoracolumbar spine; flexion (right-8.80 %, p = 0.034; left-7.03 %, p = 0.050), abduction (right-20.69 %, p < 0.001; left-16.26 %, p = 0.005), and external rotation (right-116.07 % and left-143 %; p < 0.001 for both directions) of the glenohumeral joint; flexion (right-15.83 %, p = 0.050; left-9.55 %, p = 0.047) of the hips; and bending (right-14.20 %, p = 0.006; left-15.20 %, p = 0.017) the knees. The joint with the greatest magnitude of improvement was the thoracolumbar spine. Thus, this type of training may minimize the deleterious effects of aging and may improve the functionality of elderly individuals, which would reduce the likelihood of accidents (especially falls).

show abstract

Measures of functional ability (disability) in arthritis in relation to impairment of range of joint movement.

Cited by 103 publications

References 9 publications

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Interobserver Reproducibility of the Visual Estimation of Range of Motion of the Shoulder

Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis

Effect of a physical training program using the Pilates method on flexibility in elderly subjects

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