Physiotherapy research international : the journal for researchers and clinicians in physical therapy最新文献

{"title":"Effect of information and exercise programmes after lumbar disc surgery: A randomized controlled trial.","authors":"Eva Saltskår Jentoft,&nbsp;Alice Kvåle,&nbsp;Jörg Assmus,&nbsp;Vegard Pihl Moen","doi":"10.1002/pri.1864","DOIUrl":"https://doi.org/10.1002/pri.1864","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to compare two physiotherapy interventions following lumber disc surgery regarding effect on pain, functioning and fear of movement.</p><p><strong>Methods: </strong>This study is a prospective randomized controlled study. When admitted to hospital for first time lumbar disc surgery, the participants were randomized to one of two post-operative intervention groups: one group received information only and the other exercise in combination with information. Outcomes were collected at baseline, 6-8 weeks and 12-months post-surgery. The primary outcome was to record changes in back/hip pain and leg pain. Secondary outcomes were evaluation of changes in function, fear-avoidance beliefs and kinesiophobia.</p><p><strong>Results: </strong>Seventy patients completed the study and were included in the analysis, of which 37 were randomized to the group receiving information only and the remaining 33 receiving both exercise and information. For primary outcomes, at 12 months postoperatively, the group receiving both exercise and information had significantly lower leg pain compared with those receiving only information (p < .033). For secondary outcomes, at 12 months postoperatively, a significant difference (p < .027) was detected for function, which favoured those that received both exercise and information. There was no significant difference in the results for the other secondary outcomes. Both groups showed clinically important changes in relation to pain and function from baseline to 12 months. The effect of treatment showed a statistically significant difference in favour of exercise and information, but the difference was not clinically relevant.</p><p><strong>Conclusion: </strong>Exercise in combination with information reduced leg pain and improved function, which was statistically more evident over a period of time. Postoperative physiotherapy after lumbar disc surgery could include exercises in addition to information, but perhaps not for all patients, as both groups improved, and the difference between the two groups was not clinically relevant.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1864"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38101170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of the Norwegian-language version of the elderly mobility scale in older hospitalised patients.","authors":"Inger Dokken,&nbsp;Therese Brovold,&nbsp;Karin Hesseberg","doi":"10.1002/pri.1857","DOIUrl":"https://doi.org/10.1002/pri.1857","url":null,"abstract":"<p><strong>Background and purpose: </strong>Reliable and valid assessment tools are needed to evaluate and predict physical function in older hospitalised patients. The purpose of this study was to determine the reliability and validity of the Norwegian-language version of the Elderly Mobility Scale (EMS-N) for use with geriatric patients.</p><p><strong>Methods: </strong>Fifty patients admitted to a medical ward in a hospital in Norway were included. The inclusion criteria were acute hospital admission because of medical issues, age ≥65 years and referred to a physiotherapist for a physical function review. The original version of the Elderly Mobility Scale (EMS) was translated from English to Norwegian before initiating this study. EMS-N was tested for internal consistency, test-retest reliability and criterion validity by using the short physical performance battery (SPPB) as the gold standard. Internal consistency was measured by Cronbach's alpha. Test-retest reliability was estimated by linear weighted kappa and the intra-class correlation coefficient (ICC).</p><p><strong>Results: </strong>The mean age of participants was 82 (range 65-95). The main admission diagnoses were acute functional decline (64%, n = 32) or acute infection (26%, n = 13). Internal consistency was estimated at 0.88. Test-retest reliability: six of the seven EMS-N items showed very good consistency, and the last item showed good consistency, ICC was estimated at 0.99. The standard error of measurement (SEM) reflected the absolute reliability, calculated at 0.52. The minimal detectable change (MDC) was calculated with 95 and 90% confidence intervals at 1.44 and 1.21, respectively. Criterion validity was calculated by a correlation analysis of the EMS-N and the SPPB. The rho value was estimated as 0.75, which corresponds to a high correlation and indicated good criterion validity.</p><p><strong>Discussion: </strong>EMS-N exhibited good internal consistency and good to very good test-retest reliability and criterion validity. EMS can safely be used as an assessment tool for hospitalised geriatric patients.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1857"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38121734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Progressive task-oriented circuit training for cognition, physical functioning and societal participation in individuals with dementia.","authors":"Caleb Ademola Omuwa Gbiri,&nbsp;Biliafeez Francisca Amusa","doi":"10.1002/pri.1866","DOIUrl":"https://doi.org/10.1002/pri.1866","url":null,"abstract":"<p><strong>Background and objectives: </strong>Dementia is commonly associated with cognitive deficit, functional decline and societal participation restriction across multiple domains of functioning. The decline impacts not only on the individual, but also on their informal caregivers, healthcare and the social system. This clinical random controlled study investigated the efficacy of 12-week Progressive Task-oriented circuit training on cognition, physical functioning and societal participation of individuals with dementia.</p><p><strong>Methods: </strong>This study involved 31 individuals living with dementia recruited from a tertiary health institution in Lagos Nigeria. They were randomized into two groups: Progressive Task-oriented circuit training (involved in 12-week circuit training, two times a week for 70 min per session consisting of six workstations) and Control group (training with conventional treatment and home programmes). They were assessed at baseline, mid-intervention and post-intervention using Mini-Mental State Examination (MMSE), Alzheimer's Disease Assessment Scale-Cognition (ADAS-Cog), Bristol ADLs, Community integration Questionnaire, 6-min walk test. Data analysed using the independent-samples t tests, paired t tests, Friedman two-way analysis of variance and Mann-Whitney U test (p ≤ .05).</p><p><strong>Results: </strong>Participants were aged 69.61 ± 3.44 years. There was significant improvement from baseline to post-intervention in cognition (30.77 ± 1.02 vs. 28.77 ± 3.30), physical functioning (28.19 ± 3.90 vs. 25.84 ± 6.26) and societal participation (3.64 ± 0.73 vs. 5.59 ± 2.76). However, the progressive Task-oriented circuit training had more significant improvement than the control group within the group in cognition (p = .000), physical functioning (p = .000), and societal participation (p = .000). There was no statistical difference within the Control group with cognition (p = .097), Physical functioning (p = 1.000). Meanwhile there was statistically significant effect between both groups on cognition, physical functioning and societal participation post-intervention (p < .005).</p><p><strong>Conclusion: </strong>Although both Task-oriented Circuit Training and conventional treatment with home exercise programmes are efficacious, Progressive Task-oriented Circuit Training is more efficacious in enhancing and developing therapeutic strategies to train cognition, improve functional performance and societal participation in the rehabilitation of individuals with dementia.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1866"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38248422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do changes in psychosocial factors, lifestyle factors and sitting posture influence the likelihood of musculoskeletal pain in high school computer users?","authors":"Yolandi Brink,&nbsp;Quinette Louw,&nbsp;Karen Grimmer","doi":"10.1002/pri.1865","DOIUrl":"https://doi.org/10.1002/pri.1865","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescents regularly engage in screen-based activities. Complex factors influence adolescents' growth, and habitual sitting posture. The association between over-time changes in their sitting posture, and upper quadrant musculoskeletal pain (UQMP) is poorly understood. This study tested the association between change over 12 months in seated posture angles (neck flexion [NF]; craniocervical angle [CCA] into flexion and extension; and thoracic flexion [TF]), UQMP, and predictor variables (anxiety and depression; sport activity, music participation; computer use).</p><p><strong>Methods: </strong>A one-year prospective longitudinal study enrolled 211 asymptomatic 15-18-year students. 3D motion analysis captured postural angles while students worked on desktop computers, at baseline and 12 months later. Height, weight, computing time, sport and music participation, and depression and anxiety were measured at both time periods. UQMP in the previous month was captured at 12 months. The association between over-time change in sitting posture angles and predictor variables was determined using linear regression analysis (r² ; p-values). The association between predictor variables with UQMP, and predictor variables on the association between postural angles and UQMP was assessed using logistic regression models (Odds Ratios [95%CI]). Significant confounding effects were determined when the addition of a predictor variable to the posture-UQMP model significantly changed the Likelihood Ratio chi square value.</p><p><strong>Results: </strong>N = 153 students (72%) completed the study (48 with UQMP). Significant associations occurred between head flexion (HF) and body mass index (BMI) (r²⁼ 4.20, p = .01); NF and computer use (r²⁼ 2.87, p = .036) and CCA and music participation (r²⁼ 9.99, p = .047). Music participants and non-participants in sport or music had increased risk of UQMP with CCA changes into flexion (OR 12.0) and TF changes into extension (OR 7.6) respectively.</p><p><strong>Conclusion: </strong>The association between over-time-change in sitting posture angles and UQMP is not influenced by anthropometrics, psychosocial factors or time spent computing. Music students, and students not participating in sport, require further postural analysis.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1865"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1865","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38369100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity, intra and inter-reliability of manual evaluation of the respiratory muscle strength in asthmatic patients.","authors":"Cassia da Luz Goulart,&nbsp;Renata Trimer,&nbsp;Adriana Sanches Garcia-Araujo,&nbsp;Flavia Rossi Caruso,&nbsp;Paula Angélica Ricci,&nbsp;Polliana Batista Dos Santos,&nbsp;Renata Gonçalves Mendes,&nbsp;Audrey Borghi-Silva","doi":"10.1002/pri.1852","DOIUrl":"https://doi.org/10.1002/pri.1852","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the concurrent validity, inter and intra-reliability of manual evaluation in Asthma patients.</p><p><strong>Methods: </strong>Twenty six asthma patients were assessed. Maximal respiratory muscle strength (Mrms) was tested by inspiratory and expiratory pressure (MIP and MEP, respectively) trough manovacuometer. In addition, Mrms of diaphragm (anterior and posterior), Intercostals (lower and upper portion) and Rectus abdominal were obtained manually, according to Medical Research Council (MRC) scale. Two independents evaluators, previously trained, made both measurements.</p><p><strong>Results: </strong>Reproducibility of Mrms intra-evaluators: anterior diaphragm (ICCs, 0.79 and 0.67); Posterior portion of the diaphragm (ICCs, 0.43 and 0.51); Upper intercostals (ICCs, 0.47 and 0.40); Lower intercostals (ICCs, 0.81 and 0.51) and rectus abdominal (ICCs, 1.0). Inter-reproducibility of anterior diaphragm was low to moderate, while intercostals (upper and lower portion) was relatively low. However, rectus abdominal presented high reproducibility reflecting in almost perfect agreement. In addition, we found positive correlations between MIP versus Lower Intercostals (r = .60, p = .007) and MEP versus rectus abdominal (r = .41, p = .04).</p><p><strong>Conclusion: </strong>In asthmatic patients, manual evaluation of the respiratory muscles is reliable. In addition, maximal respiratory pressures using manometer assessment were related to manual evaluation, in special to diaphragm and rectus abdominal muscles.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1852"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1852","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38028663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapy in children hospitalized with traumatic brain injury in a South African tertiary paediatric hospital.","authors":"Lieselotte Corten,&nbsp;Arjan Bastiaan van As,&nbsp;Sameer Rahim,&nbsp;Jason Kleinsmith,&nbsp;Andrew Kleyn,&nbsp;Tia Kwinana,&nbsp;Nandi Ndaba,&nbsp;Emma Sillito,&nbsp;Jammi Tiffany Smith,&nbsp;Nikita Williams,&nbsp;Anthony Figaji","doi":"10.1002/pri.1860","DOIUrl":"https://doi.org/10.1002/pri.1860","url":null,"abstract":"<p><strong>Introduction: </strong>Physical impairments following traumatic brain injury (TBI) may limit participation in daily living. Physiotherapy could assist in managing these limitations, however, there is a paucity of literature on the physiotherapy management of children in the acute phase of TBI.</p><p><strong>Objectives: </strong>To describe the characteristics, course and outcome of children hospitalized with TBI, with specific reference to the role of physiotherapy.</p><p><strong>Methods: </strong>A retrospective folder review of all children (n = 130, median 5.37 years [IQR 1.88-7.88]) admitted in 2016 with a primary diagnosis of TBI was conducted at a tertiary paediatric hospital.</p><p><strong>Results: </strong>Most cases presented with mild TBI (66.2%). The most common cranial manifestation of the TBI was brain bleeds (80%) and most occurred as a result of road traffic accidents (50%, including both pedestrian and motor vehicle accidents). Physiotherapy was administered in 35 cases (26.9%), with functional interventions, such as mobilizations out of bed, the most common form of therapy (71.4%). Children involved in road traffic accidents, presenting with severe diffuse TBI, resulting in altered tone and coordination problems, admitted to intensive care, monitored with an intracranial pressure or Licox monitor, and receiving occupational therapy and/or been followed up by dieticians, were more likely to receive physiotherapy. The duration of hospitalization (median 4 days [IQR 2-9]) was associated with infections, severity of TBI, presence of an intracranial monitoring, and parietal lobe injury.</p><p><strong>Conclusion: </strong>This is the first study in South Africa investigating standard physiotherapy care in children admitted with TBI. Physiotherapy was provided in a small portion of children and appeared to be well tolerated. However, due to the limited information recorded in the physiotherapy notes, results of this study need to be confirmed in larger, more well-documented studies before generalizations can be made.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1860"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1860","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38060861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disability is associated with catastrophizing and not with pain intensity in patients with low back pain: A retrospective study.","authors":"Andrés Pierobon,&nbsp;Ignacio Raguzzi,&nbsp;Santiago Soliño,&nbsp;Sandra Salzberg,&nbsp;Gabriel Pierobon,&nbsp;Tomás Vuoto,&nbsp;Juan Sebastián Vera Amor,&nbsp;Camila Snaider,&nbsp;Lucia Castro","doi":"10.1002/pri.1867","DOIUrl":"https://doi.org/10.1002/pri.1867","url":null,"abstract":"<p><strong>Objective: </strong>Low back pain (LBP) is the leading cause of years lived with disability at a global scale. The development and chronicity of LBP are influenced by multiple factors, and among them is catastrophizing. We are unaware of the impact that catastrophizing may have on pain and disability in our population. We also lack the tools that allow us to determine in which cases catastrophizing should be assessed. The primary objective is to compare the disability and pain intensity values at baseline in low back pain patients with high and low catastrophizing. The secondary objectives are to analyse the correlation between variables and determine disability variance, and develop a prediction model to identify patients with high catastrophizing.</p><p><strong>Method: </strong>This is a retrospective study. We included the baseline data of patients with LBP. A PCS score ≥ 23 was classified as \"high catastrophizing.\"</p><p><strong>Results: </strong>A total 121 medical sheets were analysed. Patients with high catastrophizing showed greater disability, with no differences in pain intensity. The PCS value explained 20% of the variance of disability, and pain was 1%. A cut-off point of 11 in the RMQ allowed us to identify patients with high and low catastrophizing, with an accuracy of 76.67%.</p><p><strong>Conclusion: </strong>LBP patients with high catastrophizing reported greater disability than those with low catastrophizing, with no differences as to pain intensity. The PCS was the most relevant variable to explain variability in the RMQ. The RMQ allowed us to identify patients with high and low catastrophizing.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1867"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38259228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fatigue and activity after stroke. Secondary results from the Life After Stroke study.","authors":"Ragnhild Sunde Braaten,&nbsp;Torunn Askim,&nbsp;Mari Gunnes,&nbsp;Bent Indredavik","doi":"10.1002/pri.1851","DOIUrl":"https://doi.org/10.1002/pri.1851","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to describe how the prevalence of fatigue changed from the subacute phase to the chronic phase after stroke, and to investigate how activity was associated with fatigue among participants included in the randomized controlled multicentre-study Life After STroke (LAST).</p><p><strong>Methods: </strong>The present study represents secondary analysis based on data from the LAST study. One-hundred-and-forty-five patients with mild and moderate stroke (mean (SD) age: 71.5 (10.5) years, 57.2% males) recruited from St. Olav's University Hospital were included. Fatigue was assessed by the Fatigue Severity Scale (FSS-7) at inclusion, 3 months after stroke, and at follow-up 18 months later. activPAL was used to measure activity at follow-up.</p><p><strong>Results: </strong>A total of 46 (31.7%) participants reported fatigue at inclusion and 43 (29.7%) at follow-up (p = .736). In the univariable regression analysis, sedentary behaviour, walking and sedentary bouts were significantly associated with fatigue (p ≤ .015), whereas only time spent walking was significantly associated with fatigue in the multivariable regression analysis (p = .017).</p><p><strong>Conclusions: </strong>The present study showed that fatigue is a common symptom after stroke and that the prevalence of fatigue remained unchanged from the subacute to the chronic phase. The study also showed that increased time spent walking was strongly related to lower fatigue, while no such associations were found between the other activity categories and fatigue.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1851"},"PeriodicalIF":1.7,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1851","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37956354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of outcome measures in children with severe cerebral palsy: A survey of U.K. physiotherapists.","authors":"Virginia Knox,&nbsp;Pirjo Vuoskoski,&nbsp;Anne Mandy","doi":"10.1002/pri.1786","DOIUrl":"https://doi.org/10.1002/pri.1786","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the use of outcome measures for children with cerebral palsy (CP) by paediatric physiotherapists (PTs) who are based in the United Kingdom, as limited research exists regarding their use in this population, and to explore therapists' use of measures within different Gross Motor Function Classification System (GMFCS) levels and for different types of CP.</p><p><strong>Methods: </strong>A six-item online survey was advertised through two paediatric therapy special interest groups inviting physiotherapists to participate. Descriptive statistics (range, frequencies, and percentages) were used to analyse survey data.</p><p><strong>Results: </strong>Two hundred and seven physiotherapists returned completed survey questionnaires. One hundred and seventy-six (85%) therapists reported using a wide variety of outcome measures (57). Eighty-one per cent of therapists' responses for having \"most difficulty\" in identifying responsive outcome measures were for children with impaired mobility at GMFCS Levels IV-V and children with more significant body involvement (76%), for example, spastic quadriplegia or dyskinesia. Eighty-six per cent of therapists' responses for having \"greatest ease\" of identifying responsive outcome measures were for children within GMFCS Levels I-III and for children with less significant body involvement (72%), for example, hemiplegia. The variety of outcome measures used by therapists with children within GMFCS IV-V was less (16).</p><p><strong>Conclusions: </strong>The majority (85%) of the PTs surveyed used outcome measures with children with CP, but 81% perceived a difficulty in identifying responsive measures for children with more severe impairments who are classified as GMFCS IV-V. The reasons for this perceived difficulty warrant investigation and may suggest a need for training regarding relevant measures and/or a need to develop new measures for this group of children.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"e1786"},"PeriodicalIF":1.7,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1786","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40560973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of the star excursion balance test in detecting reach deficits in subjects with chronic low back pain.","authors":"G Shankar Ganesh,&nbsp;Deepak Chhabra,&nbsp;K Mrityunjay","doi":"10.1002/pri.1589","DOIUrl":"https://doi.org/10.1002/pri.1589","url":null,"abstract":"<p><strong>Study design: </strong>The study design is a case control study.</p><p><strong>Objectives: </strong>The objective of this study is to evaluate how chronic low back pain (CLBP) affects the performance of Star Excursion Balance Test (SEBT).</p><p><strong>Background: </strong>Chronic low back pain is associated with paraspinal and other trunk muscle weakness and reduction in coordination of low back muscles. This reduction in muscular strength and coordination contributes to decreased postural stability, balance and neuromuscular control in subjects with CLBP. SEBT is a simple, reliable and valid method of dynamic performance and is an alternative to more sophisticated instrumented methods. However, no study has evaluated the effect of SEBT on CLBP patients.</p><p><strong>Methods and measures: </strong>Ten patients with CLBP (localized back pain, lasting more than 6 months and radiating no further than the buttock with normal neurological examination) and 10 normal age and sex matched subjects (mean age 34.30 + 8.67(range 22-50) participated in this study. All participants completed the SEBT on their dominant leg, and distance measures were collected and compared between groups.</p><p><strong>Results: </strong>The dependant variable was analysed using independent t-test with p < 0.05. The CLBP group demonstrated significant reductions in excursion distances for all directions of the SEBT compared with the control group, except for the posterior (P) direction (0.281) CONCLUSION: Star Excursion Balance Test is an effective and simple tool to identify and measure reach deficits in patients with CLBP. We recommend using SEBT as an outcome measure to identify dynamic balance, multi-planar excursion and postural control in patients with CLBP.</p>","PeriodicalId":519522,"journal":{"name":"Physiotherapy research international : the journal for researchers and clinicians in physical therapy","volume":" ","pages":"9-15"},"PeriodicalIF":1.7,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/pri.1589","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40299787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}