Increasing Functional Measurement Tool Utilization by Acute Physical Therapists

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Traci Tiemann Betts ◽  
Kristin Davis ◽  
Christie Palagonia ◽  
Homer B. Walag
1999 ◽  
Vol 79 (1) ◽  
pp. 8-23 ◽  
Author(s):  
Kathy Daley ◽  
Nancy Mayo ◽  
Sharon Wood-Dauphinée

Abstract Background and Purpose. The Stroke Rehabilitation Assessment of Movement (STREAM) is a new clinical measurement tool for evaluating the recovery of voluntary movement and basic mobility following stroke. This article presents the results of 3 substudies examining the reliability (interrater and intrarater) and internal consistency of STREAM scores.Subjects and Methods. A “direct-observation reliability study” was conducted on 20 patients who had strokes and were in a rehabilitation setting. Pairs of raters from a group of 6 participating therapists provided data to judge interrater agreement. A “videotaped assessments reliability study” was done to assess intrarater and interrater agreement on the scoring of videotaped performances using the STREAM measure and involved 4 videotaped assessments that were viewed and rated on 2 occasions by 20 physical therapists. The internal consistency of the STREAM scores was evaluated for 26 patients who had strokes and who demonstrated the full range of motor ability.Results. The reliability of the STREAM scores was demonstrated by generalizability correlation coefficients of .99 for total scores and of .96 to .99 for subscale scores. The internal consistency of the STREAM scores was demonstrated by Cronbach alphas of greater than .98 on the subscales and overall.Conclusion and Discussion. These high levels of reliability support the use of the STREAM instrument for the measurement of motor recovery following stroke. Further work on the validity and responsiveness of the STREAM measure is in progress.


2006 ◽  
Vol 38 (Supplement) ◽  
pp. S232
Author(s):  
Mark D. Sleeper ◽  
Michelle Beers ◽  
Mathew Erwin ◽  
Jamie Meyer ◽  
Jaime Passaglia ◽  
...  

2019 ◽  
Vol 54 (10) ◽  
pp. 1095-1104 ◽  
Author(s):  
Hayley Root ◽  
Ashley N. Marshall ◽  
Anna Thatcher ◽  
Alison R. Snyder Valier ◽  
Tamara C. Valovich McLeod ◽  
...  

Context Gymnastics trains fundamental movement skills but has high rates of early sport specialization. Early specialization is associated with increased injury risk. Gymnasts devote time to developing technical skill, but whether specialization status influences performance is unknown. Objective To describe the participation and specialization characteristics of youth club gymnastics participants and determine whether the level of specialization is associated with fitness and functional task performance. Design Retrospective cross-sectional study. Setting A single gymnastics facility. Patients or Other Participants Data on youth gymnasts (n = 131; 84 females, 47 males; age = 10.9 ± 2.9 years, height = 142.14 ± 16.23 cm, mass = 38.15 ± 12.93 kg) were reviewed. Main Outcome Measure(s) Specialization was assessed using a 3-tiered classification. Fitness measurements consisted of the Gymnastics Functional Measurement Tool, Men's Gymnastics Functional Measurement Tool, and core strength. Functional tasks evaluated hop performance, dynamic balance, and jump-landing technique. Separate analyses of covariance, covaried by age, hours of training, and years of gymnastics participation, were used to identify differences in fitness and functional performance among specialization groups. Pearson product correlations were calculated to evaluate the relationships between training hours per week and years in gymnastics with fitness and functional performance. Results Most gymnasts were classified as moderately (50.4%, n = 66) or highly (35.1%, n = 46) specialized. Only 14.5% (n = 19) were classified as having a low level of specialization. Weak to moderate correlations were present between years in gymnastics and most fitness tasks. Moderate to strong correlations were noted between training hours per week and most fitness tasks. Low-specialization gymnasts scored lower on right lower extremity Y-balance (P = .004), upper left extremity Y-balance (P = .033), and right hop performance (P = .039) tests. Conclusions Gymnasts reported high proportions of moderate to high specialization, and many exceeded guidelines for hours participating in gymnastics per week. We did not observe clinically meaningful group differences among specialization status and fitness or functional movement tasks, indicating no clear benefit of gymnastics training to the exclusion of other sports for increased performance.


2016 ◽  
Vol 96 (2) ◽  
pp. 176-182 ◽  
Author(s):  
Lara A. Kimmel ◽  
Jane E. Elliott ◽  
James M. Sayer ◽  
Anne E. Holland

Background Functional outcome measurement tools exist for individual diagnoses (eg, stroke), but no prospectively validated mobility measure is available for physical therapists' use across the breadth of acute hospital inpatients. The modified Iowa Level of Assistance Scale (mILOA), a scale measuring assistance required to achieve functional tasks, has demonstrated functional change in inpatients with orthopedic conditions and trauma, although its psychometric properties are unknown. Objective The aim of this study was to assess interrater reliability, known-groups validity, and responsiveness of the mILOA in acute hospital inpatients. Design This was a cohort, measurement-focused study. Methods Patients at a large teaching hospital in Melbourne, Australia, were recruited. One hundred fifty-two inpatients who were functionally stable across 5 clinical groups had an mILOA score calculated during 2 independent physical therapy sessions to assess interrater reliability. Known-groups validity (“ready for discharge”/“not ready for discharge”) and responsiveness also were assessed. Results The mean age of participants in the reliability phase of the study was 62.5 years (SD=17.7). The interrater reliability was excellent (intraclass correlation coefficient [2,1]=.975; 95% confidence interval=.965, .982), with a mean difference between scores of −.270 and limits of agreement of ±5.64. The mILOA score displayed a mean difference between 2 known groups of 15.3 points. Responsiveness was demonstrated with a minimal detectable change of 5.8 points. Limitations Participants were included in the study if able to give consent for themselves, thereby limiting generalizability. Construct validity was not assessed due to the lack of a gold standard. Conclusions The mILOA has excellent interrater reliability and good known-groups validity and responsiveness to functional change across acute hospital inpatients with a variety of diagnoses. It may provide opportunities for physical therapists to collect a functional outcome measure to demonstrate the effectiveness of inpatient therapy and allow for benchmarking across institutions.


2017 ◽  
Vol 28 ◽  
pp. 9-14
Author(s):  
Joseph Kaldas ◽  
Céline Bisson ◽  
Annie-Claude Hogue ◽  
Catherine Apinis ◽  
Djamal Berbiche ◽  
...  

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