scholarly journals Testes funcionais validados em indivíduos hospitalizados e não hospitalizados: revisão sistemática

2020 ◽  
Vol 10 (4) ◽  
pp. 23-53
Author(s):  
Natasha Cordeiro dos Santos ◽  
Neila Silva Soares ◽  
Jorge Luis Motta dos Anjos ◽  
Bruno Souza de Matos ◽  
Daiane Barros Carvalho
Keyword(s):  
Assessment Tool ◽  
Step Test ◽  
Functional Tests ◽  
Quality Assessment Tool ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Speed Test ◽  
Validation Studies As Topic ◽  
Contrôle Postural ◽  
Observational Cohort

Objetivo: Realizar uma revisão sistemática sobre os testes funcionais validados em diferentes perfis de indivíduos hospitalizados e não hospitalizados e avaliar as evidências psicométricas para confiabilidade e validade. Métodos: Trata-se de uma revisão sistemática. Foram utilizadas as bases de dados EMBASE, MEDLINE, Lilacs e SciELO com as palavras-chave Functional Tests (Walk Test, Gait Speed Test, Chair Stand Test, Timed Up And Go, Step Test),Validation Studies as Topic e sinônimos. Foram incluídos estudos de validação de testes funcionais em indivíduos hospitalizados ou não hospitalizados que utilizaram os critérios de validade e/ou confiabilidade e relacionaram os testes a diferentes variáveis. Esses artigos poderiam ser observacionais longitudinais ou de corte transversal ou estudos de validação que utilizaram dados de ensaios clínicos. Foram excluídos os artigos que não apresentaram características importantes da amostra e a descrição do teste. Resultados: A pesquisa resultou em 36.150 artigos, e 89 foram incluídos. Os estudos foram organizados em tabelas com informações como autor, ano; critérios de validação; amostra; teste; variáveis associadas; resultados. A qualidade dos artigos foi avaliada por meio da Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Conclusão: Os testes funcionais são válidos e confiáveis para a avaliação de indivíduos hospitalizados e não hospitalizados, estando associados à força muscular, capacidade de caminhar, controle postural, atividades de vida diária, risco de quedas, hospitalização e mortalidade.

Abstract P155: Phenotyping The Association Between Nocturia And Hypertension: A Systematic Review And Meta-analysis

Hypertension ◽  
2020 ◽  
Vol 76 (Suppl_1) ◽  
Author(s):  
Syed N Rahman ◽  
Daniel J Cao ◽  
Thomas F Monaghan ◽  
Viktor X Flores ◽  
Matthew W Moy ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Meta Analysis ◽  
Current Evidence ◽  
Quality Assessment Tool ◽  
Observable Effect ◽  
Cross Sectional ◽  
Observational Cohort ◽  
Meta Analyses ◽  
The Relationship

Introduction: The association between nocturia and hypertension has been widely reported, yet remains poorly characterized, precluding a more refined understanding of blood pressure as it relates to the clinical urology setting. We synthesized current evidence on the relationship between nocturia and hypertension as a function of nocturia severity, age, sex, race, and diuretic use. Methods: We searched PubMed, EMBASE, and Cochrane databases for studies published up to May 2020. Random effects meta-analyses were performed to identify the pooled odds ratio (OR) for nocturia given the presence of hypertension. Meta-regression and subgroup analyses were performed to identify differences across demographic factors. We applied the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies to evaluate the quality of evidence. Results: Of 1530 identified studies, 23 met the criteria for inclusion. The overall pooled OR for the association of hypertension with nocturia was 1.26 (95% CI 1.22-1.29, p<0.001). Pooled estimates were 1.21 (1.16-1.25, p<0.001) and 1.31 (1.26-1.36, p<0.001) using a 1- and 2-void cutoff for nocturia, respectively (p<0.001 between cutoffs). The association was stronger in females compared to males (1.41 [1.29-1.53] vs. 1.26 [1.20-1.32], p<0.001), and in African-American (1.56 [1.25-1.94]) and Asian (1.28 [1.24-1.32]) versus Caucasian populations (1.16 [1.09-1.24]) (p<0.05for both). Age and diuretic use had no observable effect on the association between nocturia and hypertension. Conclusions: There exists an increased odds of nocturia in hypertensive individuals. This association is stronger following a higher nocturia cutoff, in females, and in some racial subgroups, but unrelated to age and diuretic utilization.

scholarly journals Hubungan Aktivitas Duduk Lama Dengan Keluhan Musculoskeletal Pada Punggung Bawah: Critical Review

2021 ◽  
Vol 2 (3) ◽  
pp. 150-161
Author(s):  
Rahayu Gita Junita ◽  
Arif Pristianto ◽  
Arin Supriyadi ◽  
Taufik Eko Susilo
Keyword(s):  
Quality Assessment ◽  
Critical Review ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Google Scholar ◽  
Sectional Study ◽  
Quality Assessment Tool ◽  
Cross Sectional ◽  
Pubmed Central ◽  
Observational Cohort

Latar belakang Duduk dengan waktu yang lama dapat meningkatkan ketegangan pada otot punggung serta pinggul dan menimbulkan ketegangan pada persendian dalam posisi statis untuk waktu yang lama. Otot punggung mengalami kontraksi yang berlebihan, kemudian untuk menahan dan mempertahankan posisi duduk, otot menjadi spasm atau tightness. Nyeri pada punggung bawah adalah kondisi musculoskeletal yang paling umum ditemukan. Tujuan Penelitian ini bertujuan untuk meriview artikel penelitian terdahulu tentang hubungan aktivitas duduk lama dengan keluhan musculoskeletal pada punggung bawah. Metode Metode penelitian menggunakan critical review dan pencarian data dilakukan untuk mengidentifikasi metode cross sectional observational menggunakan mesin pencarian literatur seperti pubmed central (PMC) dan google scholar, kemudian dilanjutkan dengan mengidentifikasi jenis quartile (Q1-4) menggunakan mesin pencarian scimago journal and country rank (SJR) dan penilaian dengan quality assessment tool for observational cohort and cross-sectional study. Hasil Didapatkan hasil sebanyak 9 artikel yang digunakan sebagai landasan penelitian yang disesuaikan dari kriteria inklusi, dilakukan review artikel, disesuaikan dengan kaidah what, who, where, when hingga dinilai dengan quality assessment tool for observational cohort and cross-sectional study. Kesimpulan Penelitian menunjukkan adanya hubungan yang signifikan pada aktivitas duduk lama dengan keluhan musculoskeletal pada punggung bawah.Kata Kunci Aktivitas duduk lama, gangguan muskuloskeletal, nyeri punggung bawah.

scholarly journals The Impact of Vegan Diet in the Prevention and Treatment of Type 2 Diabetes: A Systematic Review

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2123
Author(s):  
Daniela Pollakova ◽  
Aikaterini Andreadi ◽  
Francesca Pacifici ◽  
David Della-Morte ◽  
Davide Lauro ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Assessment Tool ◽  
Vegan Diet ◽  
Cochrane Library ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Observational Cohort ◽  
Meta Analyses ◽  
The Impact

A protective effect of vegan diets on health outcomes has been observed in previous studies, but its impact on diabetes is still debated. The aim of this review is to assess the relationship between vegan diets and the risk for type 2 diabetes (T2D) along with its effect on glycemic control and diabetes-related complications. In accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta–Analyses) guidelines, Pubmed and Cochrane library databases were systematically searched for all relevant studies. Seven observational and eight randomized controlled (RCTs) studies were included. The methodological quality of studies was assessed using the National Institutes of Health quality assessment tool for observational cohort and cross-sectional studies and the Cochrane Risk of Bias Tool for RCTs. We found that a vegan diet is associated with lower T2D prevalence or incidence and in T2D patients decreases high glucose values and improves glucose homeostasis, as reported from the majority of included studies. This approach seems to be comparable to other recommended healthful eating models, but as it may have potential adverse effects associated with the long-term exclusion of some nutrients, appropriate nutritional planning and surveillance are recommended, particularly in specific groups of diabetic patients such as frail elderly, adolescents, and pregnant or breastfeeding women.

scholarly journals The Impact of Pain on Functionality, Postural Control and Fall Risk in Woman Aged 45 to 64 Years Old

Geriatrics ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Priscilla Beaupré ◽  
Rubens A. da Silva ◽  
Tommy Chevrette
Keyword(s):  
Postural Control ◽  
Pain Score ◽  
Fall Risk ◽  
Force Platform ◽  
Step Test ◽  
Walking Distance ◽  
Control Performance ◽  
Functional Tests ◽  
Timed Up And Go ◽  
The Impact

Background: Ageing in women is associated with chronic degenerative pain leading to a functional decrease and therefore increase fall risk. It is therefore essential to detect early functional decreases in the presence of pain related to osteoarthritis. Objective: This cross-sectional study aimed to assess the impact of pain on functionality, postural control and fall risk in women aged between 45 to 64 years old. Methods: Twenty-one (21) women aged 45 to 64 were evaluated by clinical and functional measures such as a pain questionnaire (Lequesne Index), functional tests (Stair Step Test, 5 times sit-to-stand, 6MWD, Timed-up and Go) and postural performance (under force platform). Women were classified into 2 groups from the Lequesne Pain Index (PI): low pain (score ≤ 9) and strong pain (score ≥ 10) for subsequent comparisons on functionality (physical and postural control performance). Results: A significant impact was observed between the pain index (strong PI) and 3 of the 4 functional tests carried out including Stair Step Test (p = 0.001; g = 1.44), walking distance (p = 0.003; g = 1.31) and Timed-up and Go (p = 0.04; g = −0.93). The group with a strong PI score reported further poor postural control under force platform compared to the weak pain group. Conclusion: Pain and severity based on the PI index negatively modulate physical and postural control performance in women aged 45 to 64 years old.

scholarly journals Development of a Methodological Quality Criteria List for Observational Studies: The Observational Study Quality Evaluation

2021 ◽  
Vol 6 ◽  
Author(s):  
Marjan Drukker ◽  
Irene Weltens ◽  
Carmen F. M. van Hooijdonk ◽  
Emma Vandenberk ◽  
Maarten Bak
Keyword(s):  
Observational Study ◽  
Quality Assessment ◽  
Observational Studies ◽  
Quality Evaluation ◽  
Assessment Tool ◽  
Case Control ◽  
Risk Of Bias ◽  
Study Quality ◽  
Quality Assessment Tool ◽  
Cross Sectional

Background: Existing study quality and risk of bias lists for observational studies have important disadvantages. For this reason, a comprehensive widely applicable quality assessment tool for observational studies was developed.Methods: Criteria from three quality lists were merged into a new quality assessment tool: the observational study quality evaluation (OSQE). OSQE consists of a cohort, case–control, and cross-sectional version.Results: The OSQE cohort, the OSQE case–control, and the OSQE cross-sectional version include all items applicable to that type of study, for example, the representativeness of the study population, the validity of the independent and dependent variables, and the statistical methods used. Before scoring the OSQE, the rater is asked to define how to score items, in detail. A study can obtain a star for each item. Each item also has a veto cell. This cell can be checked when poor quality with respect to that specific item results in a low quality of the study despite stars on other items. Although stars add to a sum score, the comment field is the most important part of the OSQE.Conclusion: The OSQE presented in the current article provides a short, comprehensive, and widely applicable list to assess study quality and therewith risk of bias.

scholarly journals Correlation Scale, Functional Tests and Comorbidities with Episodes in Cerebrovascular Accident

2021 ◽  
Vol 26 (282) ◽  
pp. 30-43
Author(s):  
Dérrick Patrick Artioli ◽  
Gladson Ricardo Flor Bertolini
Keyword(s):  
Neuromuscular Control ◽  
Lower Limbs ◽  
Step Test ◽  
Walking Ability ◽  
Functional Tests ◽  
Cross Sectional ◽  
Postural Changes ◽  
Level Function ◽  
Risk Of Falls ◽  
Correlation Scale

Introduction: In assessing patients with a stroke sequel, tonic and postural changes are generally evaluated, but other important information, such as functional capacity, risk of falls, and gait, should also be taken into account. Objective: To correlate the impairment level determined by Brunnstrom's scale, the results of functional tests and analyze the characteristics of the sample as being affected by comorbidities, time and number of strokes occurred. Methods: Cross-sectional evaluation of 50 patients (convenience) at a center of public rehabilitation, using Brunnstrom's scale  (1-6, better limb ability closer to 6), Time Up and Go (TUG) (significant mobility deficit and in risk of falls above 20 seconds), Upright Motor Control Test (UMCT) (1-3, bellow 3 are household walkers), Step Test (ST) (disparity between member refers to slower individuals), registration of comorbidity and the time since the stroke happened and the number of episodes. Results: Grade "4" rated for upper and lower limbs by Brunnstrom's Scale, achieving over 20 seconds in TUG, level 2 in UMCT, and commitment of paretic member related to non-paretic on the ST (p<0.01). There was no influence of the time or number of strokes suffered. The main associations found were hypertension, diabetes, and dyslipidemia. Conclusion: The Brunnstrom's scale appointed moderate level function impairment for upper and lower limbs. Wherein association with functional tests determines slower and vulnerable individuals, with disability in changing the load support between members, neuromuscular control and balance deficit, fall risk and compromised walking ability.

Sitting Posture During Occupational Driving Causes Low Back Pain; Evidence-Based Position or Dogma? A Systematic Review

2019 ◽  
pp. 001872081987173
Author(s):  
Sarah Tinitali ◽  
Kelly-Ann Bowles ◽  
Jennifer L. Keating ◽  
Terry Haines
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Assessment Tool ◽  
Future Research ◽  
Low Back ◽  
Cross Sectional ◽  
Sitting Posture ◽  
National Heart Lung ◽  
Observational Cohort ◽  
Driving Posture

Objective In this review, we determine if there is evidence to demonstrate a relationship between occupational driving posture and low back pain. Background The burden of low back pain is increasing. An understanding of this relationship is required to enable the development of recommendations for clinicians and policy-makers for the driving industry. Method Five databases were searched up to March 12, 2018. Study quality was assessed using the National Heart, Lung, and Blood Institute’s Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies, followed by a GRADE analysis to consider the evidence as a whole. A narrative, critical synthesis was completed that considered the methods by which driving posture and low back pain were measured and analyzed. Results There were 653 articles identified, with seven eligible for review. Four articles identified an association between occupational driving posture and low back pain, yet this was based on the use of measurement tools lacking validity. Although a relationship may exist, the specific driving postures associated with low back pain and the strength of this relationship have not been confirmed. Conclusion: Future research needs to employ validated and reliable, real-time qualitative methods for measuring occupational driving posture to advance our understanding of this relationship. Application Clinical and policy recommendations regarding driving posture and low back pain should be used with caution, as they are guided by evidence incorporating bias. Future studies are required to confirm the specific postures assumed while occupational driving and their relationship with low back pain, before recommendations can be made.

scholarly journals Activities-Specific Balance Confidence in People with Multiple Sclerosis

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Ylva Nilsagård ◽  
Anna Carling ◽  
Anette Forsberg
Keyword(s):  
Multiple Sclerosis ◽  
Convergent Validity ◽  
Ecological Validity ◽  
Cross Sectional Study ◽  
Step Test ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Balance Confidence ◽  
Rural And Urban ◽  
Four Square

Objective. To evaluate the validity of the Activities-specific Balance Confidence scale (ABC) in people with multiple sclerosis (PwMS).Design. A multicentre, cross-sectional study.Setting. Six rural and urban Swedish sites, including specialized units at hospitals and primary care centers.Participants. A sample of 84 PwMS with subjective gait and balance impairment but still able to walk 100 m (comparable with EDSS 1–6).Outcome Measures. Timed Up and Go, Timed Up and Gocog, 25-foot Timed Walk Test, Four Square Step Test, Dynamic Gait Index, Chair Stand Test, 12-item MS Walking Scale, self-reported falls, and use of assistive walking device were used for validation.Results. The concurrent convergent validity was moderate to good (0.50 to −0.75) with the highest correlation found for the 12-item MS Walking Scale. The ABC discriminated between multiple fallers and nonfallers but not between men and women. Ecological validity is suggested since ABC discriminated between users of assistive walking device and nonusers. The internal consistency was high atα=0.95,and interitem correlations were between 0.30 and 0.83.Conclusion. This study supports the validity of the ABC for persons with mild-to-moderate MS. The participants lacked balance confidence in many everyday activities, likely restricting their participation in society.

scholarly journals Identifying dietary differences between Scotland and England: a rapid review of the literature

2017 ◽  
Vol 20 (14) ◽  
pp. 2459-2477 ◽  
Author(s):  
Stephanie Chambers ◽  
Karen L Barton ◽  
Viviana Albani ◽  
Annie S Anderson ◽  
Wendy L Wrieden
Keyword(s):  
English Language ◽  
Assessment Tool ◽  
Grey Literature ◽  
Premature Mortality ◽  
Statistical Testing ◽  
Rapid Review ◽  
Cross Sectional ◽  
Study Objective ◽  
Level Data ◽  
Observational Cohort

AbstractObjectiveRates of premature mortality have been higher in Scotland than in England since the 1970s. Given the known association of diet with chronic disease, the study objective was to identify and synthesise evidence on current and historical differences in food and nutrient intakes in Scotland and England.DesignA rapid review of the peer-reviewed and grey literature was carried out. After an initial scoping search, Medline, CINAHL, Embase and Web of Science were searched. Relevant grey literature was also included. Inclusion criteria were: any date; measures of dietary intake; representative populations; cross-sectional or observational cohort studies; and English-language publications. Study quality was assessed using the Quality Assessment Tool for Observational Cohort and Cross-sectional Studies. A narrative synthesis of extracted information was conducted.ResultsFifty publications and reports were included in the review. Results indicated that children and adults in Scotland had lower intakes of vegetables and vitamins compared with those living in England. Higher intakes of salt in Scotland were also identified. Data were limited by small Scottish samples, difficulty in finding England-level data, lack of statistical testing and adjustment for key confounders.ConclusionsFurther investigation of adequately powered and analysed surveys is required to examine more fully dietary differences between Scotland and England. This would provide greater insight into potential causes of excess mortality in Scotland compared with England and suitable policy recommendations to address these inequalities.

scholarly journals Relationship between SHARE-FI Frailty Scores and Physical Performance Measures in Older Adult Medicaid Recipients

Geriatrics ◽  
2018 ◽  
Vol 3 (3) ◽  
pp. 51 ◽  
Author(s):  
Margaret Danilovich ◽  
Laura Diaz ◽  
Daniel Corcos ◽  
Jody Ciolino
Keyword(s):  
Older Adult ◽  
Physical Performance ◽  
Performance Measures ◽  
Gait Speed ◽  
Fall Risk ◽  
Assessment Tool ◽  
Performance Measure ◽  
Self Report ◽  
Timed Up And Go ◽  
Cross Sectional

The Survey of Health, Ageing and Retirement in Europe-Frailty Instrument (SHARE-FI) is a frailty assessment tool designed for primary care settings comprised of four self-report questions and grip strength measurement, yet it is not known how SHARE-FI scores relate to objective physical performance measures that assess physical functioning, fall risk, and disability. This cross-sectional, observational study examined the association between SHARE-FI scores and a battery of physical performance measures in a sample of older adult, Medicaid waiver recipients (n = 139, mean age = 74.19 ± 8.36 years). We administered the SHARE-FI, Timed Up and Go (TUG), gait speed, and Short Physical Performance Battery (SPPB) in participants’ homes. Among clients, 45% were frail, 35% pre-frail, and 20% non-frail. There were significant differences in all physical performance measure scores with respect to SHARE-FI category. SHARE-FI continuous scores significantly predicted TUG time, all domains of the SPPB, gait speed, and inability to complete the chair rise test. Self-reported walking difficulty and objectively measured gait speed were significantly correlated. The SHARE-FI continuous frailty score predicts scores on a variety of validated physical performance measures. Given the fast administration time, the SHARE-FI could potentially be used to serve as a surrogate for physical performance measures with known association with physical function, fall risk, and disability.

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