scholarly journals Validation of Skully Care as a Fast Method for Quantifying Positional Cranial Deformities

2021 ◽  
pp. 105566562110350
Author(s):  
Léon N.A. Van Adrichem ◽  
Sophia A.J. Kronig ◽  
Otto D.M. Kronig

Objective Craniofacial measuring is valuable for diagnosis and evaluation of growth and treatment of positional skull deformities. Plagiocephalometry (PCM) quantifies skull deformities and is proven to be reliable and valid. However, PCM needs direct skin contact with thermoplastic material, is laborious and time-consuming. Therefore, Skully Care (SC) was developed to measure positional skull deformities with a smartphone application. Design SC is retrospectively compared to PCM. Setting Pediatric physiotherapy centers. Patients Age ≤1 year, analyzed or treated for positional skull deformities. Interventions A total of 60 skull shape analyses were performed. Main Outcome Measures The main outcome measures employed are Pearson correlation coefficient between cranial vault asymmetry index (CVAI; in SC) and oblique diameter difference index (ODDI; in PCM) and between cranial index (CI; in SC) and cranial proportional index (CPI; in PCM). Mann–Whitney U test determined difference of time consumption between PCM and SC. Results High correlation was found between CVAI and ODDI ( r = 0.849; P < .01) in positional plagiocephaly and very high correlation between CI and CPI ( r  = 0.938; P < .01) in positional brachycephaly. SC is significantly faster than PCM ( P < .001). Conclusions SC is valid in analyzing positional skull deformities and strongly correlates to PCM, the gold standard in daily physiotherapy practice. The combination of simplicity, validity, speed, and user and child convenience makes SC a promising craniofacial measuring method in daily practice. SC has potential to be the modern successor for analyzing positional skull deformities.

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Olav Amundsen ◽  
Nina Køpke Vøllestad ◽  
Ingebrigt Meisingset ◽  
Hilde Stendal Robinson

Abstract Background Goal setting is linked to person-centred care and is a core component in physiotherapy, but the associations between goal classes, patient characteristics and outcome measures for musculoskeletal disorders has not been investigated. The study’s purpose was to examine 1) how goals used in clinical practice for patients with musculoskeletal disorders (MSD) are distributed in classes based on ICF, 2) if goal classes were associated with patient characteristics and 3) whether goal classes were associated with treatment outcome. Methods Data analysis from a longitudinal observational study (N = 2591). Goals were classified in symptom, function/structure, activity/participation and non-classifiable. Associations between patient characteristics and goal classes were examined using x2 and one-way ANOVA. Association between goal classes and outcomes were examined using multiple logistic and linear regression models. Outcomes are reported at 3 months or end of treatment if prior to 3 months. Results There was a high variability in goals used for patients with MSD. 17% had symptom goals, 32.3% function/structure, 43.4% activity/participation and 7.4% non-classifiable goals. We found significant associations between goal classes and age, gender, severity, region of pain/diagnosis and emotional distress (all p < .001). Activity/participation goals were associated with better outcomes on GPE (OR 1.80, 95% CI 1.23–2.66). Non-classifiable goal was associated with poorer outcomes on pain intensity (B .87, 95% CI .32–1.43). Conclusion There is an association between goal classes and patient characteristics. Including activity/participation in the main goal was associated with better outcomes for GPE and having a non-classifiable goal was associated with poorer outcomes for pain intensity. Trial registration The project is approved by the Regional committee for Medical and Health Research Ethics in Norway (REC no. 2013/2030). https://clinicaltrials.gov/ct2/show/NCT03626389.


2021 ◽  
pp. e20200069
Author(s):  
Anastasia N.L. Newman ◽  
Michelle E. Kho ◽  
Jocelyn E. Harris ◽  
Alison Fox-Robichaud ◽  
Patricia Solomon

Purpose: This article describes current physiotherapy practice for critically ill adult patients requiring prolonged stays in critical care (> 3 d) after complicated cardiac surgery in Ontario. Method: We distributed an electronic, self-administered 52-item survey to 35 critical care physiotherapists who treat adult cardiac surgery patients at 11 cardiac surgical sites. Pilot testing and clinical sensibility testing were conducted beforehand. Participants were sent four email reminders. Results: The response rate was 80% (28/35). The median (inter-quartile range) reported number of cardiac surgeries performed per week was 30 (10), with a median number of 14.5 (4) cardiac surgery beds per site. Typical reported caseloads ranged from 6 to 10 patients per day pe therapist, and 93% reported that they had initiated physiotherapy with patients once they were clinically stable in the intensive care unit. Of 28 treatments, range of motion exercises (27; 96.4%), airway clearance techniques (26; 92.9%), and sitting at the edge of the bed (25; 89.3%) were the most common. Intra-aortic balloon pump and extracorporeal membrane oxygenation appeared to limit physiotherapy practice. Use of outcome measures was limited. Conclusions: Physiotherapists provide a variety of interventions with critically ill cardiac surgery patients. Further evaluation of the limited use of outcome measures in the cardiac surgical intensive care unit is warranted.


2013 ◽  
Vol 18 (6) ◽  
pp. 1-6 ◽  
Author(s):  
Roger O. Kollock ◽  
Bonnie Van Lunen ◽  
Jennifer L. Linza ◽  
James A. Onate

Context:Assessment of hip strength can be performed with either isokinetic or isometric testing procedures, but the degree of association between values derived from the alternative testing methods has not been previously documented.Objective:To investigate the relationship between isometric peak torque and isokinetic peak torque at 60°·s-1 for various hip motions.Participants:Eighteen physically active males (N = 9) and females (N = 9) participated (22 ± 3 years, 173.0 ± 10.5 cm, 73.8 ± 16.7 kg).Intervention(s):Three isokinetic repetitions at 60°·s-1 and three isometric contractions of 5 s each for the hip fexors (HFs), hip extensors (HEs), hip abductors (ABs), hip adductors (ADs), hip external rotators (ERs), and hip internal rotators (IRs).Outcome Measures:Pearson correlation coefficients and coefficients of determination were calculated for both absolute and allometric-scaled peak torque values.Results:Meaningful associations between isometric and isokinetic peak torque values were found for each hip motion. Allometric-scaled strength values demonstrated stronger correlations than absolute strength values.Conclusions:The results suggest that portable fixed isometric testing of hip strength is an alternative to isokinetic testing at 60°·s-1.


US Neurology ◽  
2017 ◽  
Vol 13 (01) ◽  
pp. 26 ◽  
Author(s):  
Jeffrey A Allen ◽  
Deborah F Gelinas ◽  
Richard A Lewis ◽  
Richard J Nowak ◽  
Gil I Wolfe ◽  
...  

The challenges encountered during the assessment of patients with chronic inflammatory demyelinating polyneuropathy (CIDP) are many. Ideally, CIDP outcome measures capture impairments in disability, strength, and sensory dysfunction, and quality of life (QoL). A number of outcome measures have been validated for this purpose. Disability outcomes include the adjusted inflammatory neuropathy cause and treatment (INCAT) disability score, INCAT overall disability sum score (ODSS), and overall neuropathy limitations scale (ONLS). A more sensitive disability score, the inflammatory Rasch-built overall disability scale (I-RODS), has also been validated for use in clinical trials and may better capture clinically meaningful changes in those with CIDP. Strength and sensory impairment can be assessed in a number of ways, including the INCAT sensory subscore (ISS), Medical Research Council sum score, and Martin vigorimeter or Jamar dynamometer grip strength. However, the feasibility of applying and interpreting these measures during routine daily practice has been questioned. Furthermore, these outcome measures may not reflect other factors that can impair QoL in those affected by CIDP, such as pain and fatigue. A valid, reliable, and responsive composite measure that addresses all aspects of impairment faced by patients with CIDP remains an unmet need in clinical practice.


2017 ◽  
Vol 14 (4) ◽  
pp. 420-428 ◽  
Author(s):  
Leslyn Keith ◽  
Carol Rowsemitt ◽  
Lorie G. Richards

This study investigated whether a lifestyle modification program that encouraged a ketogenic diet (KD) for participants with lymphedema and obesity would reduce weight and limb volume and improve quality of life. A total of 12 participants with lymphedema and obesity (mean body mass index = 38.38; SD = 7.02) were enrolled in a lifestyle modification group. The timespan from baseline data collection to 30-day follow-up was 18 weeks. Retention rate was 83.3%. Data were analyzed with repeated-measures ANOVA and Pearson correlation. Participants demonstrated statistically significant improvement in most outcome measures. Mean weight loss was 5.18 kg—F(4, 36) = 11.17; P < .001—or 4.8% of mean baseline weight. The average limb volume reduction was 698.9 ml—F(4, 36) = 9.4; P < .001—and was positively correlated with weight loss (r = 0.8; P = .005). There appeared to be a tendency for participants who used a KD (n = 6) to demonstrate superior results in most outcome measures compared with those who did not use the diet (n = 4), although the sample size of the 2 groups was too small to report definitive results. This lifestyle modification program provided insight into the possible value of a KD for obesity and lymphedema management.


2021 ◽  
Author(s):  
Ankit Gupta ◽  
Antonio G. Ravelo-García ◽  
Fernando Morgado-Dias

<div>Heart Rate (HR) estimation is of utmost need due to its applicability in diverse fields. Conventional methods for HR estimation require skin contact and are not suitable for scenarios such as sensitive skin or prolonged unobtrusive HR monitoring. Therefore remote photoplethysmography (rPPG) methods have been an active area of research. These methods utilize the facial videos acquired using a camera followed by extracting the Blood Volume Pulse (BVP) signal for heart rate calculation. The existing rPPG methods either used a single color channel or weighted color differences, which has limitations dealing with motion and illumination artifacts. This study considers BVP extraction as an undercomplete problem and proposed a method U-LMA. First, a non-linear Cumulative Density Function (CDF) approximated by a hyperbolic tangent (tanh) was used to deal with the non-linearity associated with rigid and non-rigid motions and illumination variations. Then, the entropy of the proposed non-linear CDF was optimized using a customized LMA for BVP signal extraction, followed by maximum peak estimation for HR calculation. The performance of the proposed method was tested under three scenarios: constrained, motion, and illumination variations scenarios. High Pearson correlation coefficient values and smaller lower-upper statistical limits of bland-altman plots , justified the good performance of the U-LMA. Comparative analysis of U-LMA with undercomplete ICA with negentropy (U-neg) and other state-of-the-art methods demonstrated its best performance of U-LMA by achieving the lowest error and highest correlation values (0.01 significance level) . Additionally, higher accuracy satisfying the clinically accepted error differences also justified its clinical relevance.</div>


2018 ◽  
Vol 48 (8) ◽  
pp. 1310-1326 ◽  
Author(s):  
Melkie Getnet Tadesse ◽  
R Harpa ◽  
Y Chen ◽  
L Wang ◽  
V Nierstrasz ◽  
...  

Sensory investigations of the functional textiles could be an alternative for the quality inspection and control of the products. The purpose of this research is to use subjective evaluation technique for assessing the tactile comfort of some functional textile fabrics based on AATCC Evaluation procedure 5-2011. Blind subjective evaluations and visual subjective evaluations were performed for sensory investigation. Ten fabric-skin-contact and comfort-related sensory properties were used to evaluate the handle of the functional textile fabrics. The reliability of the sensorial data obtained by subjective tests was evaluated using statistical data analysis techniques. A minimum and maximum consensus distances recorded were 0.58 and 1.61, respectively, using a descriptive sensory panel analysis and proves the consistency and similar sensorial perception between panelists. The Pearson correlation coefficient between panelists was up to 96% and hence a strong agreement between the panelist’s judgment. The results allowed to consider the subjective evaluation using a panel of experts could be validated in the case of functional fabrics. For functional textiles, additional visual subjective evaluation should be considered to have a similar human perception in addition to blind subjective evaluation.


2017 ◽  
Vol 16 (1) ◽  
pp. 188-208 ◽  
Author(s):  
Orna Fennelly ◽  
Catherine Blake ◽  
François Desmeules ◽  
Diarmuid Stokes ◽  
Caitriona Cunningham

2000 ◽  
Vol 9 (1) ◽  
pp. 15-25 ◽  
Author(s):  
Janice K. Loudon

Context:Proprioception of the knee joint.Objective:To determine the difference in knee-joint-angle reproduction in women with and without genu recurvatum (GR).Design:Between-subjects.Setting:Clinic.Subjects:Twenty-four women divided into 2 groups according to their standing knee-extension angle.Main Outcome Measures:Each subject's ability to actively reproduce active positioning of 3 knee angles (10, 30, and 60°) was measured. Pearson correlation coefficients were calculated to determine correlation values for standing GR angle and absolute angular error (AAE). A1 -way repeated-measures MANOVA was computed to evaluate differences in group, angle, limb, and trial.Results:Standing GR angle correlated significantly to the AAE angle at 10° (r= .48). The high-recurvatum group consistently scored worse, with the highest error rate occurring at 10°.Conclusion:Individuals with GR might have diminished proprioceptive sense at end-range extension that could potentially lead to knee injury.


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