{"title":"Reliability of novice physiotherapists for measuring Cobb angle using a digital method","authors":"Patcharawan Suwannarat PT, PhD , Pattra Wattanapan MD , Arpassanan Wiyanad PT, MSc , Pakwipa Chokphukiao PT, MSc , Sininat Wilaichit PT, MPH , Sugalya Amatachaya PT, PhD","doi":"10.1016/j.hkpj.2017.01.003","DOIUrl":"10.1016/j.hkpj.2017.01.003","url":null,"abstract":"<div><h3>Background</h3><p>The Cobb’s method is the most accurate and reliable method for kyphosis measurement. Conventionally, a sagittal Cobb angle was commonly derived from a lateral plain film. With computer technology, a digital method is widely used in common clinical settings, but the existing reliability data involved only experienced raters.</p></div><div><h3>Objectives</h3><p>To assess the interrater and intrarater reliability of a digital Cobb’s method using novice physiotherapists.</p></div><div><h3>Methods</h3><p>Fifteen participants, with an occiput wall distance of more than 0 cm, were interviewed and assessed for their demographics. Then they were filmed for lateral spinal radiography over the area of thoracic spine in a standing position, and the Cobb angle was analyzed by four raters, including an expert physician and three novice physiotherapists, using a SurgimapSpine programme.</p></div><div><h3>Results</h3><p>The average Cobb angles among the four raters showed no significant difference (<em>p</em> <!-->=<!--> <!-->0.984). Outcomes of their measurements had excellent intrarater and interrater reliability [intraclass correlation coefficient (ICC<sub>3,3</sub>)<!--> <!-->=<!--> <!-->0.995–0.997] with a small range of standard errors of the measurement (<1°).</p></div><div><h3>Conclusion</h3><p>A digital Cobb’s method had excellent reliability when used by a novice health professional rater. The findings confirm the ease of using this method to detect and monitor kyphosis in general hospitals, clinics, or research facilities.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Pages 34-38"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2017.01.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37105722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roy T.H. Cheung PT, PhD , Shirley P.C. Ngai PT, PhD , Kevin K.W. Ho MD
{"title":"Chinese translation and validation of the Oxford Knee Scale for patients with knee osteoarthritis","authors":"Roy T.H. Cheung PT, PhD , Shirley P.C. Ngai PT, PhD , Kevin K.W. Ho MD","doi":"10.1016/j.hkpj.2017.03.002","DOIUrl":"10.1016/j.hkpj.2017.03.002","url":null,"abstract":"<div><h3>Background</h3><p>Oxford Knee Scale (OKS) is a commonly used instrument to assess the symptoms and functional status in people with knee osteoarthritis. However, a Chinese version of this scale is not yet available.</p></div><div><h3>Objective</h3><p>The objective of this study was to translate the OKS into Chinese and validate the Chinese version of OKS.</p></div><div><h3>Methods</h3><p>The Chinese OKS was translated from the original English version following the recommendations of the International Society for Pharmacoeconomics and Outcomes Research. One hundred Chinese reading patients with knee osteoarthritis were recruited from local hospitals and physiotherapy clinics. Psychometric properties were evaluated in terms of test–retest reliability and internal consistency. Convergent validity was examined by Spearman rank correlation coefficient tests by comparing its score with the validated Chinese version of the Western Ontario and McMaster Universities Osteoarthritis Index and Health Outcome Survey Short Form-36.</p></div><div><h3>Results</h3><p>Chinese OKS demonstrated excellent reliability (intraclass correlation coefficient<!--> <!-->=<!--> <!-->0.88). Cronbach α of individual questions was > 0.7. Strong correlation was found between the Chinese OKS and the Western Ontario and McMaster Universities Osteoarthritis Index (ρ<!--> <!-->><!--> <!-->0.553, <em>p</em> <!--><<!--> <!-->0.001). Fairly strong negative correlation was also found between Chinese OKS and Health Outcome Survey Short Form-36 (ρ = −0.273 to −0.666, <em>p</em> <!--><<!--> <!-->0.05).</p></div><div><h3>Conclusion</h3><p>The Chinese translated version of OKS is a reliable and valid instrument for clinical evaluation in Chinese reading patients with knee osteoarthritis.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Pages 46-49"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2017.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37105724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hyun-Gyu Cha PT, PhD , Young-Jun Shin PT, MS , Myoung-Kwon Kim PT, PhD
{"title":"Effects of the Bad Ragaz Ring Method on muscle activation of the lower limbs and balance ability in chronic stroke: A randomised controlled trial","authors":"Hyun-Gyu Cha PT, PhD , Young-Jun Shin PT, MS , Myoung-Kwon Kim PT, PhD","doi":"10.1016/j.hkpj.2017.02.001","DOIUrl":"10.1016/j.hkpj.2017.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Recovery of balance and walking abilities is important for the rehabilitation of stroke patients.</p></div><div><h3>Objectives</h3><p>To evaluate the effects of the Bad Ragaz Ring method on functional recovery in chronic stroke patients.</p></div><div><h3>Methods</h3><p>Twenty-two chronic stroke patients were randomly assigned to two groups: a Bad Ragaz Ring method group (the experimental group) or a control group. Stroke patients in the experimental group underwent Bad Ragaz Ring exercise and comprehensive rehabilitation therapy, whereas patients in the control group underwent comprehensive rehabilitation therapy alone. The participants in both groups received therapy 3 days per week for 6 weeks. Muscle activations, balance indices, and Timed Up and Go test results were assessed before and after the 6-week therapy period.</p></div><div><h3>Results</h3><p>The experimental group showed significant improvements in activations of tibialis anterior and gastrocnemius muscles, balance index, and Timed Up and Go test results as compared with preintervention results (<em>p</em> < 0.05), whereas the control group showed significant improvement in Timed Up and Go test (<em>p</em> < 0.05). Significant differences in posttraining gains in the activations of tibialis anterior and gastrocnemius muscles and in balance index were observed between the experimental and control groups (<em>p</em> < 0.05). Effect sizes for gains in the experimental and control groups were strong for tibialis anterior and gastrocnemius muscles (effect sizes, 1.04 and 1.45 respectively).</p></div><div><h3>Conclusion</h3><p>The Bad Ragaz Ring method may be beneficial for improving balance and leg muscle activation of chronic stroke patients.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Pages 39-45"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2017.02.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37105723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Combined transcranial and trans-spinal direct current stimulation in chronic headache: A feasibility and safety trial for a novel intervention","authors":"Ghufran Alhassani B.Med.Sc (Hons) , Julia Treleaven PhD , Siobhan S.M. Schabrun PhD","doi":"10.1016/j.hkpj.2016.11.001","DOIUrl":"10.1016/j.hkpj.2016.11.001","url":null,"abstract":"<div><h3>Background</h3><p>Chronic primary headache disorders are associated with frequent, severe pain and significant functional impairment, with treatment remaining challenging.</p></div><div><h3>Objective</h3><p>We examined the feasibility and safety of a novel brain [transcranial direct current stimulation (tDCS)] and spinal cord stimulation [trans-spinal cord direct current stimulation (tsDCS)] treatment in chronic headache.</p></div><div><h3>Methods</h3><p>Nine participants (3 males; aged, 40<!--> <!-->±<!--> <!-->15 years) suffering from chronic daily headache, chronic tension-type headache, or chronic migraine received the combined brain and spinal cord intervention for 5 consecutive days. Stimulation was applied for a total of 40 minutes (20 minutes of tDCS followed by 20 minutes of tsDCS) at 1 mA. Pain sensitivity and headache symptoms (frequency, severity, duration, and medications recorded via a headache diary, 4 weeks before and after treatment) were assessed.</p></div><div><h3>Results</h3><p>The treatment was safe, feasible, and well tolerated. Headache frequency was reduced following the treatment (<em>p</em> <!-->=<!--> <!-->0.026) in chronic tension-type headache and chronic migraine, but not in chronic daily headache. Headache severity was reduced immediately post-treatment in 67% of sessions. A trend towards a reduction in medication use was observed (<em>p</em> <!-->=<!--> <!-->0.075). No changes in headache severity (<em>p</em> <!-->=<!--> <!-->0.16) or duration (<em>p</em> <!-->=<!--> <!-->0.34) were present.</p></div><div><h3>Conclusion</h3><p>These data suggest that combined tDCS and tsDCS intervention is safe and feasible, and may improve headache frequency in patients with chronic primary headache disorders.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Pages 1-9"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37106669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Copyright Transfer Agreement","authors":"","doi":"10.1016/S1013-7025(17)30097-0","DOIUrl":"https://doi.org/10.1016/S1013-7025(17)30097-0","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Page e11"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1013-7025(17)30097-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137207925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laleh Abadi MS (PT) , Zahra Salahzadeh PhD , Mandana Rezaei PhD , Ali E. Oskouei PhD , Mahmood Reza Azghani PhD
{"title":"Hip joint torques in type II diabetes with and without neuropathy","authors":"Laleh Abadi MS (PT) , Zahra Salahzadeh PhD , Mandana Rezaei PhD , Ali E. Oskouei PhD , Mahmood Reza Azghani PhD","doi":"10.1016/j.hkpj.2017.01.004","DOIUrl":"10.1016/j.hkpj.2017.01.004","url":null,"abstract":"<div><h3>Background</h3><p>Patients with diabetes and peripheral neuropathy demonstrate significantly reduced peak torques at the peripheral joints.</p></div><div><h3>Objectives</h3><p>The aim of this study was to assess isometric and concentric peak torques of the hip joint in people with type II diabetes with and without peripheral neuropathy in comparison with healthy participants.</p></div><div><h3>Methods</h3><p>27 patients with type II diabetes including 15 patients without peripheral neuropathy, 12 patients with diabetes and peripheral neuropathy and 15 healthy people participated. Isometric and concentric peak torques of hip flexion, extension, adduction and abduction of the non-dominant leg were measured by motorized dynamometer.</p></div><div><h3>Results</h3><p>Peak and average peak concentric torques of the hip extension and abduction in patients with diabetes and peripheral neuropathy were lower than those patients with diabetes and control group. Angle of extension peak torque was significantly greater in patients with diabetes and peripheral neuropathy compared with other groups. Angle of flexion peak torque was lower in the patients with diabetes and peripheral neuropathy.</p></div><div><h3>Conclusions</h3><p>Torque related parameters in patients with type II diabetes with or without peripheral neuropathy, are different from healthy subjects. As a result, patients with diabetes especially with peripheral neuropathy are more susceptible of injury and disability in lower limbs.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Pages 27-33"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2017.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37105721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authorship and Conflict statement","authors":"","doi":"10.1016/S1013-7025(17)30096-9","DOIUrl":"https://doi.org/10.1016/S1013-7025(17)30096-9","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"37 ","pages":"Pages e8-e10"},"PeriodicalIF":1.5,"publicationDate":"2017-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1013-7025(17)30096-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137207924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Authorship and Conflict statement","authors":"","doi":"10.1016/S1013-7025(17)30047-7","DOIUrl":"https://doi.org/10.1016/S1013-7025(17)30047-7","url":null,"abstract":"","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages e8-e10"},"PeriodicalIF":1.5,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1013-7025(17)30047-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136990410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}