Validity and Interrater Reliability of the SOAR Tool during Ambulation in Individuals with Parkinson Disease

2019 ◽  
Vol 11 (3) ◽  
pp. 176
Author(s):  
Kristen Prejean Barta ◽  
Carolyn P Da Silva ◽  
Shih-Chiao Tseng ◽  
Toni Roddey

Parkinson disease (PD) leads to neurological impairments yet the auditory system remains intact. Rhythmic Auditory Stimulation (RAS) and Patterned Sensory Enhancement (PSE) have been shown to impact gait in PD. Music therapists (MT) can individualize auditory protocols but for a physical therapist (PT) to incorporate PSE into treatment, a new tool is needed. The Synchronized Optimization Auditory Rehabilitation (SOAR) tool is a new software created to simulate PSE techniques and allow for customization depending on the individual’s reaction to the cue. The purposes were to evaluate the validity of the SOAR tool with RAS and the interrater reliability between disciplines’ application of the SOAR tool. Day one - MT measured gait parameters during no cue, RAS, and SOAR tool. Day two - PT measured gait parameters while using the SOAR tool. A moderate to high correlation between RAS and the SOAR tool on gait was found. The interrater reliability between the MT and PT was high. These finding suggest the SOAR tool is an additional auditory cue delivery tool that PTs could use in the treatment of individuals with PD when auditory cues are deemed appropriate and a MT is not an available member of the interdisciplinary rehabilitation team.

2019 ◽  
pp. 163-199
Author(s):  
Kristen Murray ◽  
Nicole Aquino ◽  
Julianne Nugent

2006 ◽  
Vol 86 (10) ◽  
pp. 1426-1435 ◽  
Author(s):  
Meg E Morris

Abstract The purpose of this article is to consider the role of the physical therapist in locomotor training for people with Parkinson disease. The ways in which disease progression, medication status, environmental conditions, individual factors, and the goals of locomotor tasks contribute to clinical decision making are explored. Using the International Classification of Functioning, Disability and Health, gait training will be considered in relation to impairments of body structure and function, activity limitations, and participation restrictions in people who are newly diagnosed through to those with end-stage disease. Based on the principles of neural adaptation and clinical research findings, practical suggestions are made on how to provide the most efficient and effective physical therapy services at different stages of Parkinson disease.


2020 ◽  
Vol 100 (3) ◽  
pp. 468-476 ◽  
Author(s):  
Bolette S Rafn ◽  
Chiara A Singh ◽  
Julie Midtgaard ◽  
Pat G Camp ◽  
Margaret L McNeely ◽  
...  

Abstract Background Early identification of breast cancer–related upper body issues is important to enable timely physical therapist treatment. Objective This study evaluated the feasibility and reliability of women performing self-managed prospective surveillance for upper body issues in the early postoperative phase as part of a hospital-based physical therapy program. Design This was a prospective, single-site, single-group feasibility and reliability study. Methods Presurgery arm circumference measurements were completed at home and at the hospital by participants and by a physical therapist. Instruction in self-measurement was provided using a video guide. After surgery, all circumference measurements were repeated along with self-assessment and therapist assessment for shoulder flexion and abduction active range of motion. Feasibility was determined by recruitment/retention rates and participant-reported ease of performing self-measurements (1 [very difficult] to 10 [very easy]). Reliability was determined as intrarater reliability, interrater reliability, and agreement. Results Thirty-three women who were 53.4 (SD = 11.4) years old participated, with recruitment and retention rates of 79% and 94%, respectively. Participant-reported ease of measurement was 8.2 (SD = 2.2) before surgery and 8.0 (SD = 1.9) after surgery. The intrarater reliability and interrater reliability were excellent before surgery (intraclass correlation coefficient [ICC] ≥ 0.94; 95% confidence interval = 0.87–0.97) and after surgery (ICC ≥ 0.91; 95% confidence interval = 0.76–0.96). Agreement between self-assessed and therapist-assessed active shoulder flexion (κ = 0.79) and abduction (κ = 0.71) was good. Limitations Further testing is needed using a prospective design with a longer follow-up to determine whether self-managed prospective surveillance and timely treatment can hinder the development of chronic breast cancer–related upper body issues Conclusions Self-measured arm circumference and shoulder range of motion are reliable, and their inclusion in a hospital-based program of prospective surveillance for upper body issues seems feasible. This approach may improve early detection and treatment


2004 ◽  
Vol 10 (1) ◽  
pp. 36-45
Author(s):  
Maureen Dillon ◽  
Sandra Kippen ◽  
Julie Ellis

The phenomenon of the interdisciplinary healthcare team is relatively new, and the experience of being part of such a team presents particular issues as members knit together their practices to form a cohesive whole. This article presents the results of a study of such a team. The participants were 6 health professionals involved in a rehabilitation program in a small not-for-profit hospital in a regional area. They participated in in-depth interviews to assist an exploration of the experience of belonging to such a team. The rationale for using this team was that it was generally recognised as a professional and cohesive group of people who were particularly successful at setting and achieving team goals. Phenomenological philosophy and methodology underpinned data collection and analysis, particularly that described by Colaizzi, which requires rigorous adherence to several steps in the analysts and returning to each participant with the findings for their final validation. The data analysis revealed themes relating to relationships with each other, with the team, and with the hierarchy. The essence of these experiences emerged as a notion of shared reality within the context of the team. Thus this article concludes that the essence of a successful rehabilitation team lies in its shared reality comprising such concepts as respect, shared wisdom and effective communication.


2010 ◽  
Vol 29 (2) ◽  
pp. 87-100 ◽  
Author(s):  
Patricia Fronek ◽  
Melissa Kendall ◽  
Susan Booth ◽  
Ellen Eugarde ◽  
Timothy Geraghty

2000 ◽  
Vol 80 (2) ◽  
pp. 168-178 ◽  
Author(s):  
Suh-Fang Jeng ◽  
Kuo-Inn Tsou Yau ◽  
Li-Chiou Chen ◽  
Shu-Fang Hsiao

Abstract Background and Purpose. The goal of this study was to examine the reliability and validity of measurements obtained with the Alberta Infant Motor Scale (AIMS) for evaluation of preterm infants in Taiwan. Subjects. Two independent groups of preterm infants were used to investigate the reliability (n=45) and validity (n=41) for the AIMS. Methods. In the reliability study, the AIMS was administered to the infants by a physical therapist, and infant performance was videotaped. The performance was then rescored by the same therapist and by 2 other therapists to examine the intrarater and interrater reliability. In the validity study, the AIMS and the Bayley Motor Scale were administered to the infants at 6 and 12 months of age to examine criterion-related validity. Results. Intraclass correlation coefficients (ICCs) for intrarater and interrater reliability of measurements obtained with the AIMS were high (ICC=.97–.99). The AIMS scores correlated with the Bayley Motor Scale scores at 6 and 12 months (r=.78 and .90), although the AIMS scores at 6 months were only moderately predictive of the motor function at 12 months (r=.56). Conclusion and Discussion. The results suggest that measurements obtained with the AIMS have acceptable reliability and concurrent validity but limited predictive value for evaluating preterm Taiwanese infants.


2007 ◽  
Vol 16 (4) ◽  
pp. 316-330 ◽  
Author(s):  
Angelle M. Sander ◽  
Risa Nakase-Richardson ◽  
Fofi Constantinidou ◽  
Jeffrey Wertheimer ◽  
Diane R. Paul

2009 ◽  
Vol 23 (2) ◽  
pp. 119-126 ◽  
Author(s):  
Lynn Koch ◽  
Dent Gitchel ◽  
Kristin Higgins

2015 ◽  
Vol 95 (3) ◽  
pp. 299-305 ◽  
Author(s):  
Robyn Gisbert ◽  
Margaret Schenkman

<LEAP> highlights the findings and application of Cochrane reviews and other evidence pertinent to the practice of physical therapy. The Cochrane Library is a respected source of reliable evidence related to health care. Cochrane systematic reviews explore the evidence for and against the effectiveness of appropriate interventions—medications, surgery, education, nutrition, exercise—and the evidence for and against the use of diagnostic tests for specific conditions. Cochrane reviews are designed to facilitate the decisions of clinicians, patients, and others in health care by providing a careful review and interpretation of research studies published in the scientific literature.1Each article in thisPTJseries summarizes a Cochrane review or other scientific evidence on a single topic and presents clinical scenarios based on real patients or programs to illustrate how the results of the review can be used to directly inform clinical decisions. This article focuses on an adult patient with relatively early Parkinson disease.Can physical therapist intervention strategies improve his physical functioning and help him reach his goal of engaging in an exercise program to prevent decline related to progressive Parkinson disease?


2018 ◽  
Vol 97 (6) ◽  
pp. 383-389 ◽  
Author(s):  
Camila Pinto ◽  
Aline Souza Pagnussat ◽  
Ana Francisca Rozin Kleiner ◽  
Ritchele Redivo Marchese ◽  
Ana Paula Salazar ◽  
...  

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