Test-retest reliability of upper-limb proprioception and balance tests in older nursing home residents

2020 ◽  
Vol 89 ◽  
pp. 104079
Author(s):  
Luis Galhardas ◽  
Armando Raimundo ◽  
José Marmeleira
Author(s):  
Jean Neils-Strunjas ◽  
K. Jason Crandall ◽  
Brian Weiler ◽  
Annika Gabbard ◽  
Caroline Wood ◽  
...  

Purpose The purpose of this article was to describe the validity and reliability of the Fun and Social Engagement Evaluation (FUSE) developed to evaluate and measure social engagement displayed by nursing home residents during Bingocize. The FUSE combines health care worker observation and a resident self-report measure to produce a score that represents a resident's total engagement. Method To describe validity, trained health care workers who implement Bingocize were surveyed about the items on the FUSE. Visual inspection of bar graphs of responses to survey questions were used to determine content validity. To assess reliability of the FUSE, nursing home residents were evaluated by trained research assistants. Test–retest reliability of the participant scores 1 week apart was determined with the bivariate correlation (Pearson product–moment correlation coefficient). Results For validity, the majority of survey respondents indicated that the behaviors were representative of nursing home residents during Bingocize. For reliability, there was moderate–strong test–retest reliability over 1 week ( r = .60). Interrater reliability between two raters observing eight participants across two sessions was significant, κ = .68 (95% CI [.504,.848]), p < .0001. Conclusion Results offer evidence that the FUSE is a valid and reliable method for determining social engagement during Bingocize.


2019 ◽  
Vol 42 (15) ◽  
pp. 2170-2177 ◽  
Author(s):  
Christine T. Shiner ◽  
Angela Vratsistas-Curto ◽  
Valerie Bramah ◽  
Steven G. Faux ◽  
Yuriko Watanabe

2018 ◽  
Vol 34 (10) ◽  
pp. 806-812 ◽  
Author(s):  
Vanessa Pereira Lima ◽  
Marcelo Velloso ◽  
Fabiana Damasceno Almeida ◽  
Bianca Carmona ◽  
Giane Amorim Ribeiro-Samora ◽  
...  

2018 ◽  
Vol 31 (3) ◽  
pp. 136-148 ◽  
Author(s):  
Elja van der Wolf ◽  
Susan A. H. van Hooren ◽  
Wim Waterink ◽  
Lilian Lechner

Background: The gerontopsychiatric population consists of nursing home residents with combined psychiatric and physical disabilities. A validated measure to assess well-being among this population is currently not available. This article is a first step toward the development of a well-being instrument for the gerontopsychiatric population. Methods: Potential measurement items were gathered and selected with the help of both gerontopsychiatric residents and care professionals. A total of 295 residents and their primary professional caregivers were interviewed. Theoretical and data-driven considerations were applied in the methodological process of scale construction. Results: The final instrument comprised of 30 items within 3 dimensions of well-being (physical, social, and psychological well-being). Reliability and validity were found to be adequate for all dimensions and subscales. Conclusions: The Laurens Well-Being Inventory for Gerontopsychiatry measures well-being in gerontopsychiatric nursing home residents. The first results regarding reliability and validity are promising. More research is needed especially to examine test–retest reliability and responsiveness to change.


2021 ◽  
pp. 1-4
Author(s):  
Jamon Couch ◽  
Marc Sayers ◽  
Tania Pizzari

Context: An imbalance between shoulder internal rotation (IR) and external rotation (ER) strength in athletes is proposed to increase the risk of sustaining a shoulder injury. Hand-held (HHD) and externally fixed dynamometry are reliable forms of assessing shoulder IR and ER strength. A new externally fixed device with an attachable fixed upper-limb mold (The ForceFrame) exists; however, its reliability in measuring shoulder strength is yet to be investigated. Objective: To determine the test–retest reliability of the ForceFrame, with and without the fixed upper-limb mold, in the assessment of shoulder IR and ER strength, as compared with HHD. Design: Test–retest reliability study. Setting: Laboratory, clinical. Participants: Twenty-two healthy and active individuals were recruited from the university community and a private physiotherapy practice. Main Outcome Measures: Maximal isometric shoulder IR and ER strength was measured using the ForceFrame and traditional HHD in neutral and at 90° shoulder abduction. Mean (SD) strength measures were calculated. Test–retest reliability was analyzed using intraclass correlation coefficients (3, 1). The SEM and minimal detectable change were calculated. Results: Good to excellent test–retest reliability was found for all shoulder strength tests across Hand-held dynamometry (HHD) and externally fixed dynamometry (EFD) are reliable forms (intraclass correlation coefficients [3, 1] = .854–.916). The minimal detectable changes ranged between 25.61 and 41.84 N across tests. Test–retest reliability was not affected by the dynamometer or testing position. Conclusions: The results from this study indicate that both the ForceFrame and HHD are suitable for measuring shoulder strength in clinical practice. The use of the fixed upper-limb mold with the ForceFrame does not improve reliability.


Hand Therapy ◽  
2020 ◽  
Vol 25 (4) ◽  
pp. 130-138
Author(s):  
Hayley S Legg ◽  
Jeff Spindor ◽  
Reanne Dziendzielowski ◽  
Sarah Sharkey ◽  
Joel L Lanovaz ◽  
...  

Introduction Research investigating psychometric properties of multi-joint upper body strength assessment tools for older adults is limited. This study aimed to assess the test–retest reliability and concurrent validity of novel clinical strength measures assessing functional concentric and eccentric pushing activities compared to other more traditional upper limb strength measures. Methods Seventeen participants (6 males and 11 females; 71 ± 10 years) were tested two days apart, performing three maximal repetitions of the novel measurements: vertical push-off test and dynamometer-controlled concentric and eccentric single-arm press. Three maximal repetitions of hand-grip dynamometry and isometric hand-held dynamometry for shoulder flexion, shoulder abduction and elbow extension were also collected. Results For all measures, strong test–retest reliability was shown (all ICC > 0.90, p < 0.001), root-mean-squared coefficient of variation percentage: 5–13.6%; standard error of mean: 0.17–1.15 Kg; and minimal detectable change (90%): 2.1–9.9. There were good to high significant correlations between the novel and traditional strength measures (all r > 0.8, p < 0.001). Discussion The push-off test and dynamometer-controlled concentric and eccentric single-arm press are reliable and valid strength measures feasible for testing multi-joint functional upper limb strength assessment in older adults. Higher precision error compared to traditional uni-planar measures warrants caution when completing comparative clinical assessments over time.


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