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Hip joint torques in type II diabetes with and without neuropathy 伴有和不伴有神经病变的2型糖尿病的髋关节扭矩
IF 1.5 Q4 REHABILITATION Pub Date : 2017-12-01 DOI: 10.1016/j.hkpj.2017.01.004
Laleh Abadi MS (PT) , Zahra Salahzadeh PhD , Mandana Rezaei PhD , Ali E. Oskouei PhD , Mahmood Reza Azghani PhD

Background

Patients with diabetes and peripheral neuropathy demonstrate significantly reduced peak torques at the peripheral joints.

Objectives

The aim of this study was to assess isometric and concentric peak torques of the hip joint in people with type II diabetes with and without peripheral neuropathy in comparison with healthy participants.

Methods

27 patients with type II diabetes including 15 patients without peripheral neuropathy, 12 patients with diabetes and peripheral neuropathy and 15 healthy people participated. Isometric and concentric peak torques of hip flexion, extension, adduction and abduction of the non-dominant leg were measured by motorized dynamometer.

Results

Peak and average peak concentric torques of the hip extension and abduction in patients with diabetes and peripheral neuropathy were lower than those patients with diabetes and control group. Angle of extension peak torque was significantly greater in patients with diabetes and peripheral neuropathy compared with other groups. Angle of flexion peak torque was lower in the patients with diabetes and peripheral neuropathy.

Conclusions

Torque related parameters in patients with type II diabetes with or without peripheral neuropathy, are different from healthy subjects. As a result, patients with diabetes especially with peripheral neuropathy are more susceptible of injury and disability in lower limbs.

糖尿病和周围神经病变患者周围关节的峰值扭矩明显降低。目的:本研究的目的是评估伴有和不伴有周围神经病变的2型糖尿病患者髋关节的等长和同心峰值扭矩,并与健康参与者进行比较。方法选取27例2型糖尿病患者,其中无周围神经病变患者15例,糖尿病合并周围神经病变患者12例,正常人15例。用电动测力仪测量非优势腿髋屈曲、伸展、内收和外展的等距和同心峰值扭矩。结果糖尿病伴周围神经病变患者髋关节外展和髋关节外展的峰值和平均同心扭矩均低于糖尿病患者和对照组。与其他组相比,糖尿病和周围神经病变患者的伸展角峰值扭矩明显更大。糖尿病和周围神经病变患者屈曲角峰值扭矩较低。结论伴有或不伴有周围神经病变的2型糖尿病患者的相关参数与健康人不同。因此,糖尿病患者尤其是周围神经病变患者更容易发生下肢损伤和残疾。
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引用次数: 8
Authorship and Conflict statement 作者身份和冲突声明
IF 1.5 Q4 REHABILITATION Pub Date : 2017-12-01 DOI: 10.1016/S1013-7025(17)30096-9
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引用次数: 0
Checklist 检查表
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/S1013-7025(17)30046-5
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引用次数: 0
Authorship and Conflict statement 作者身份和冲突声明
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/S1013-7025(17)30047-7
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引用次数: 0
Physiotherapy management of knee osteoarthritis in Nigeria—A survey of self-reported treatment preferences 尼日利亚膝关节骨性关节炎的物理治疗管理-自我报告治疗偏好的调查
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/j.hkpj.2016.07.002
Olusola Ayanniyi PhD , Roseline F. Egwu MSc , Ade F. Adeniyi PhD

Background

knee osteoarthritis (OA) is a prevalent condition. Little is known about whether treatments provided by physiotherapists to patients with knee OA in Nigeria follow recommended clinical practice guidelines.

Objective

The aims of this study were to investigate Nigerian physiotherapists' treatment preferences for knee osteoarthritis (OA) and to evaluate if their preferences were in line with contemporary clinical practice guidelines and recommendations.

Methods

A cross-sectional survey of 267 physiotherapists from various health institutions in Nigeria were surveyed, using a structured questionnaire incorporating a clinical vignette on knee OA.

Results

Based on the clinical vignette, the majority of the respondents (68.2%) recommended review of x-rays as part of the diagnostic process for knee OA. Thermotherapy was the most utilized modality (86.1%), followed by therapeutic exercise (81.3%). Only 11.1% of the physiotherapists used therapeutic exercise alone. Manual therapy in conjunction with other modalities was the choice for 18% of the physiotherapists. Only 49.1% of the physiotherapists reported including advice on weight control and up to 39% reported bed rest as part of the treatment approach.

Conclusion

There was a poor consensus among the physiotherapists in Nigeria on how knee OA is managed compared with contemporary clinical guidelines and recommendations which emphasized application of core modalities, such as therapeutic exercises, patients' education, and weight control over passive modalities. Some areas of practice are in line with contemporary guidelines, while some were in conflict with evidence-based practice.

背景:膝骨关节炎(OA)是一种普遍的疾病。尼日利亚物理治疗师对膝关节OA患者的治疗是否遵循推荐的临床实践指南尚不清楚。目的本研究的目的是调查尼日利亚物理治疗师对膝关节骨关节炎(OA)的治疗偏好,并评估他们的偏好是否符合当代临床实践指南和建议。方法对来自尼日利亚各卫生机构的267名物理治疗师进行横断面调查,采用结构化问卷调查,包括膝关节OA的临床小短文。结果:根据临床调查结果,大多数受访者(68.2%)建议将x线检查作为膝关节OA诊断过程的一部分。热疗是使用最多的方式(86.1%),其次是治疗性运动(81.3%)。只有11.1%的物理治疗师单独使用治疗性运动。18%的物理治疗师选择手工疗法结合其他疗法。只有49.1%的物理治疗师报告将体重控制建议纳入治疗方法,高达39%的物理治疗师报告卧床休息作为治疗方法的一部分。结论:尼日利亚物理治疗师对膝关节OA的治疗方法缺乏共识,而当代临床指南和建议强调核心模式的应用,如治疗性运动、患者教育和体重控制,而不是被动模式。一些实践领域符合当代指南,而另一些则与循证实践相冲突。
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引用次数: 16
Copyright Transfer Agreement 版权转让协议
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/S1013-7025(17)30048-9
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引用次数: 0
Assessment of functional capacity and sleep quality of patients with chronic heart failure 慢性心力衰竭患者功能能力及睡眠质量评价
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/j.hkpj.2016.10.001
Taofeek O. Awotidebe PhD, PT , Victor O. Adeyeye MBChB, FWACP , Rufus A. Adedoyin PhD, PT , Suraj A. Ogunyemi MBChB, FWACP , Kayode I. Oke PhD, PT , Rita N. Ativie MSc, PT , Goodness B. Adeola BMR, PT , Mukadas O. Akindele PhD, PT , Michael O. Balogun MBChB, FWACP

Background

Adequate sleep improves physical and mental alertness. However, there is a dearth of empirical data on functional capacity (FC) and sleep quality (SpQ) in patients with chronic heart failure (CHF).

Objective

This study investigated the relationship between FC and SpQ of patients with CHF and apparently healthy controls (HCs).

Methods

This case-control study recruited 50 patients with CHF whose left ventricular ejection fraction (LVEF) was <40%, attending cardiac clinics of selected government hospitals in Osun State. Furthermore, 50 age- and sex-matched healthy individuals were recruited as controls. Socio-demographic characteristics and cardiovascular parameters were assessed. The FC (VO2 max) and SpQ were assessed using the 6-minute walk test (6-MWT) and Pittsburgh Sleep Quality Index (PSQI), respectively. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05.

Results

Patients had a significantly lower FC and poorer SpQ than HCs, 4.6 ± 0.5 versus 11.3 ± 1.6 mL/kg/min (t = −3.452; p = 0.001) and 8.74 ± 1.6 versus 3.8 ± 1.3 (t = −5.371; p = 0.001), respectively. HCs were about five times more likely to walk longer distance [odds ratio (OR), 4.8; confidence interval (CI), 2.0–11.1] and had a better heart rate (OR, 2.8; CI, 1.4–5.3) than patients. SpQ had a significant negative correlation with FC of patients (r = −0.362; p = 0.001) but a significant positive correlation with HCs (r = 0.481; p = 0.041). Furthermore, there were significant correlations between FC and body mass index in both groups (CHF: r = 0.247, p = 0.022; HCs: r = 0.321, p = 0.040).

Conclusion

Patients with heart failure demonstrated lower functional capacity and poorer sleep quality.

充足的睡眠可以提高身体和精神的警觉性。然而,关于慢性心力衰竭(CHF)患者的功能容量(FC)和睡眠质量(SpQ)的经验数据缺乏。目的探讨慢性心力衰竭(CHF)患者与表面健康对照组(HCs) FC和SpQ的关系。方法本病例对照研究招募50例左室射血分数(LVEF)为40%的CHF患者,在奥松州选定的政府医院心脏门诊就诊。此外,还招募了50名年龄和性别匹配的健康个体作为对照。评估社会人口学特征和心血管参数。分别采用6分钟步行测试(6-MWT)和匹兹堡睡眠质量指数(PSQI)评估FC (VO2 max)和SpQ。数据分析采用描述性和推断性统计。α水平设为p <0.05.结果患者的FC和SpQ均显著低于对照组,分别为4.6±0.5 mL/kg/min和11.3±1.6 mL/kg/min (t =−3.452;p = 0.001)和8.74±1.6和3.8±1.3 (t =−5.371;P = 0.001)。高脂肪人群行走较长距离的可能性是正常人的5倍[优势比(OR), 4.8;置信区间(CI), 2.0-11.1],心率更好(OR, 2.8;CI(1.4-5.3)高于患者。SpQ与患者FC呈显著负相关(r = - 0.362;p = 0.001),但与hcc呈显著正相关(r = 0.481;p = 0.041)。此外,两组的FC与体重指数之间存在显著相关性(CHF: r = 0.247, p = 0.022;HCs: r = 0.321, p = 0.040)。结论心力衰竭患者功能能力下降,睡眠质量较差。
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引用次数: 13
Reliability and validity of a force-instrumented treadmill for evaluating balance: A preliminary study of feasibility in healthy young adults 在健康年轻人中评估平衡的力仪器跑步机的可靠性和有效性:可行性的初步研究
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/j.hkpj.2016.12.001
Zhou Yuntao PT, MS , Izumi Kondo MD, PhD , Masahiko Mukaino MD, PhD , Shigeo Tanabe PT, PhD , Toshio Teranishi PT, PhD , Takuma Ii PT, MS , Kensuke Oono MS , Soichiro Koyama PT, PhD , Yoshikiyo Kanada PT, PhD , Eiichi Saitoh MD, PhD

Background

With the development of computer technology, computerized dynamic posturography provides objective assessments of balance and posture control under static and dynamic conditions. Although a force-instrumented treadmill-based balance assessment is feasible for balance evaluations, currently no data exists.

Objective

This study was undertaken to assess the reliability and validity of balance evaluations using a force-instrumented treadmill.

Methods

Ten healthy adults participated in evaluations using both the treadmill and the EquiTest. Four balance evaluations were conducted: Modified Clinical Test of Sensory Interaction on Balance, Unilateral Stance, Weight Bearing Squat, and Motor Control Test.

Results

All balance evaluations using the force-instrumented treadmill method shared good reliability (intraclass correlation coefficient ≥0.6). The Modified Clinical Test of Sensory Interaction on Balance, Unilateral Stance, and Weight Bearing Squat evaluations had a correlation of r < 0.5 with EquiTest, whereas the Motor Control Test balance evaluation had moderate correlations (r > 0.5) with the EquiTest.

Conclusion

The results demonstrated that all balance evaluations using the force-instrumented treadmill were reliable, and that the Motor Control Test evaluation was moderately correlated with the EquiTest. Therefore, the use of a force-instrumented treadmill in balance evaluations might provide a certain level of value to clinical practice.

随着计算机技术的发展,计算机动态体位学为静态和动态条件下的平衡和姿势控制提供了客观的评价。虽然基于力量仪器的跑步机平衡评估是可行的平衡评估,目前没有数据存在。目的本研究旨在评估使用力仪器跑步机进行平衡评估的可靠性和有效性。方法10名健康成人同时使用跑步机和EquiTest进行评估。进行了四项平衡评估:改进的临床平衡感觉相互作用测试、单侧站立、负重深蹲和运动控制测试。结果采用跑步机力仪法进行的平衡评价均具有良好的信度(类内相关系数≥0.6)。感觉相互作用对平衡、单侧站立和负重深蹲评价的改进临床试验有r <的相关性;0.5与EquiTest,而电机控制测试平衡评价有中等相关性(r >0.5)与EquiTest。结论使用力测量跑步机的所有平衡评估都是可靠的,运动控制测试的评估与EquiTest的评估有适度的相关性。因此,在平衡评估中使用力仪器跑步机可能对临床实践有一定的价值。
{"title":"Reliability and validity of a force-instrumented treadmill for evaluating balance: A preliminary study of feasibility in healthy young adults","authors":"Zhou Yuntao PT, MS ,&nbsp;Izumi Kondo MD, PhD ,&nbsp;Masahiko Mukaino MD, PhD ,&nbsp;Shigeo Tanabe PT, PhD ,&nbsp;Toshio Teranishi PT, PhD ,&nbsp;Takuma Ii PT, MS ,&nbsp;Kensuke Oono MS ,&nbsp;Soichiro Koyama PT, PhD ,&nbsp;Yoshikiyo Kanada PT, PhD ,&nbsp;Eiichi Saitoh MD, PhD","doi":"10.1016/j.hkpj.2016.12.001","DOIUrl":"10.1016/j.hkpj.2016.12.001","url":null,"abstract":"<div><h3>Background</h3><p>With the development of computer technology, computerized dynamic posturography provides objective assessments of balance and posture control under static and dynamic conditions. Although a force-instrumented treadmill-based balance assessment is feasible for balance evaluations, currently no data exists.</p></div><div><h3>Objective</h3><p>This study was undertaken to assess the reliability and validity of balance evaluations using a force-instrumented treadmill.</p></div><div><h3>Methods</h3><p>Ten healthy adults participated in evaluations using both the treadmill and the EquiTest. Four balance evaluations were conducted: Modified Clinical Test of Sensory Interaction on Balance, Unilateral Stance, Weight Bearing Squat, and Motor Control Test.</p></div><div><h3>Results</h3><p>All balance evaluations using the force-instrumented treadmill method shared good reliability (intraclass correlation coefficient ≥0.6). The Modified Clinical Test of Sensory Interaction on Balance, Unilateral Stance, and Weight Bearing Squat evaluations had a correlation of <em>r</em> <!-->&lt;<!--> <!-->0.5 with EquiTest, whereas the Motor Control Test balance evaluation had moderate correlations (<em>r</em> <!-->&gt;<!--> <!-->0.5) with the EquiTest.</p></div><div><h3>Conclusion</h3><p>The results demonstrated that all balance evaluations using the force-instrumented treadmill were reliable, and that the Motor Control Test evaluation was moderately correlated with the EquiTest. Therefore, the use of a force-instrumented treadmill in balance evaluations might provide a certain level of value to clinical practice.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages 49-56"},"PeriodicalIF":1.5,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37106276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Acute effects of different foam rolling volumes in the interset rest period on maximum repetition performance 兴趣休止期不同泡沫滚动量对最大重复性能的急性影响
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/j.hkpj.2017.03.001
Estêvão Rios Monteiro BSc , Andrew Vigotsky BSc , Jakob Škarabot MSc , Amanda Fernandes Brown MSc , Aline Gomes Ferreira de Melo Fiuza BSc , Thiago Matassoli Gomes MSc , Israel Halperin MSc , Jefferson da Silva Novaes PhD

Background

Foam rolling (FR) is a ubiquitous intervention utilised for the purpose of acutely increasing the range of motion without subsequent decreases in performance. Thus, it is commonly used during the periworkout period—that is, prior to, during, or after an athlete's workout.

Objective

This study investigated how different FR durations applied to the quadriceps during the interset rest periods affects the numbers of repetitions in the knee extension exercise.

Methods

Twenty-five females completed four sets of knee extensions with 10 repetitions of maximum load to concentric failure on four occasions. Between each set, a 4-minute rest interval was implemented in which participants either passively rested or performed FR for different durations (60 seconds, 90 seconds, and 120 seconds). The 95% confidence intervals revealed a dose-dependent relationship in which longer durations of FR resulted in fewer completed repetitions.

Results

On average, the number of repetitions with PR was 13.8% greater than that in FR120, 8.6% greater than that in FR90, and 9.1% greater than that in FR60.

Conclusion

For the purposes of performance and likely adaptation, interset FR seems to be detrimental to a person's ability to continually produce force, and should not be applied to the agonist muscle group between sets of knee extensions.

泡沫滚动(FR)是一种普遍存在的干预措施,用于急剧增加运动范围而不会随后降低性能。因此,它通常在运动前后使用,即运动员运动前、运动中或运动后。目的本研究探讨在兴趣休息期间,不同的FR对股四头肌的持续时间如何影响膝关节伸展运动的重复次数。方法25名女性完成4组膝关节伸展运动,最大负荷重复10次,共4次。在每组之间,实施4分钟的休息间隔,参与者被动休息或进行FR,持续时间不同(60秒,90秒和120秒)。95%置信区间显示了一种剂量依赖关系,即FR持续时间越长,完成的重复次数越少。结果PR重复数平均比FR120多13.8%,比FR90多8.6%,比FR60多9.1%。结论:出于运动表现和适应性的考虑,利益性FR似乎不利于一个人持续产生力量的能力,不应该应用于两组膝关节伸展之间的激动肌群。
{"title":"Acute effects of different foam rolling volumes in the interset rest period on maximum repetition performance","authors":"Estêvão Rios Monteiro BSc ,&nbsp;Andrew Vigotsky BSc ,&nbsp;Jakob Škarabot MSc ,&nbsp;Amanda Fernandes Brown MSc ,&nbsp;Aline Gomes Ferreira de Melo Fiuza BSc ,&nbsp;Thiago Matassoli Gomes MSc ,&nbsp;Israel Halperin MSc ,&nbsp;Jefferson da Silva Novaes PhD","doi":"10.1016/j.hkpj.2017.03.001","DOIUrl":"10.1016/j.hkpj.2017.03.001","url":null,"abstract":"<div><h3>Background</h3><p>Foam rolling (FR) is a ubiquitous intervention utilised for the purpose of acutely increasing the range of motion without subsequent decreases in performance. Thus, it is commonly used during the periworkout period—that is, prior to, during, or after an athlete's workout.</p></div><div><h3>Objective</h3><p>This study investigated how different FR durations applied to the quadriceps during the interset rest periods affects the numbers of repetitions in the knee extension exercise.</p></div><div><h3>Methods</h3><p>Twenty-five females completed four sets of knee extensions with 10 repetitions of maximum load to concentric failure on four occasions. Between each set, a 4-minute rest interval was implemented in which participants either passively rested or performed FR for different durations (60 seconds, 90 seconds, and 120 seconds). The 95% confidence intervals revealed a dose-dependent relationship in which longer durations of FR resulted in fewer completed repetitions.</p></div><div><h3>Results</h3><p>On average, the number of repetitions with PR was 13.8% greater than that in FR120, 8.6% greater than that in FR90, and 9.1% greater than that in FR60.</p></div><div><h3>Conclusion</h3><p>For the purposes of performance and likely adaptation, interset FR seems to be detrimental to a person's ability to continually produce force, and should not be applied to the agonist muscle group between sets of knee extensions.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages 57-62"},"PeriodicalIF":1.5,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2017.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37106668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis 膝关节骨性关节炎患者Tinetti运动能力评估量表的心理测量特性评价
IF 1.5 Q4 REHABILITATION Pub Date : 2017-06-01 DOI: 10.1016/j.hkpj.2016.07.001
Huma Parveen, Majumi M. Noohu

Objective

The objective of this study was to determine the psychometric properties of the Tinetti Performance-Oriented Mobility Assessment (POMA) scale to measure balance and gait impairments in individuals with knee osteoarthritis (OA).

Methods

A convenient sample of 25 individuals with bilateral OA knee were recruited. The convergent validity was determined by correlation analysis between scores of Berg Balance Scale (BBS) with balance subscale (POMA-B) and the Timed Up and Go Test (TUGT) with gait subscale (POMA-G). The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined.

Results

Score of BBS was significantly correlated with POMA-B scores, rs = 0.63, p = 0.001, whereas TUGT showed a negative correlation with POMA-G, rs = −0.481, p = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G.

Conclusion

The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.

目的本研究的目的是确定Tinetti性能导向活动能力评估(POMA)量表的心理测量特性,以测量膝关节骨关节炎(OA)患者的平衡和步态障碍。方法选取25例双侧OA膝关节患者作为方便样本。通过Berg平衡量表(BBS)与平衡子量表(POMA-B)和计时起跑测验(TUGT)与步态子量表(POMA-G)的相关分析来确定收敛效度。确定了内部信度[类内相关系数(ICC 3,1)]、Bland-Altman图一致限(LOA)、测量标准误差(SEM)、最小可检测变化(MDC)和天花板/地板效应。结果BBS评分与POMA-B评分呈显著相关(rs = 0.63, p = 0.001), TUGT与POMA-G评分呈负相关(rs = - 0.481, p = 0.020),具有中等收敛效度。总POMA量表(POMA- t)、POMA- b和POMA- g的ICC结果分别为0.96、0.93和0.96,表明测试重测信度较高。POMA-T、POMA-B和POMA-G的SEM分别为0.35、0.27和0.35;POMA-T的MDC值为0.97,POMA-B为0.75,POMA-G为0.63。结论研究结果表明,POMA是评估OA膝关节患者平衡和步态障碍的有效可靠工具。
{"title":"Evaluation of psychometric properties of Tinetti performance-oriented mobility assessment scale in subjects with knee osteoarthritis","authors":"Huma Parveen,&nbsp;Majumi M. Noohu","doi":"10.1016/j.hkpj.2016.07.001","DOIUrl":"10.1016/j.hkpj.2016.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>The objective of this study was to determine the psychometric properties of the Tinetti Performance-Oriented Mobility Assessment (POMA) scale to measure balance and gait impairments in individuals with knee osteoarthritis (OA).</p></div><div><h3>Methods</h3><p>A convenient sample of 25 individuals with bilateral OA knee were recruited. The convergent validity was determined by correlation analysis between scores of Berg Balance Scale (BBS) with balance subscale (POMA-B) and the Timed Up and Go Test (TUGT) with gait subscale (POMA-G). The intrarater reliability [intraclass correlation coefficient (ICC 3,1)], the Bland–Altman plots limits of agreement (LOA), the standard error of measurement (SEM), minimum detectable change (MDC) and ceiling/floor effects were determined.</p></div><div><h3>Results</h3><p>Score of BBS was significantly correlated with POMA-B scores, r<sub>s</sub> = 0.63, <em>p</em> = 0.001, whereas TUGT showed a negative correlation with POMA-G, r<sub>s</sub> = −0.481, <em>p</em> = 0.020, showing moderate convergent validity. ICC results of the total POMA scale (POMA-T), POMA-B, and POMA-G were 0.96, 0.93, and 0.96, respectively, indicating high test retest reliability. SEM, for POMA-T, POMA-B, and POMA-G was 0.35, 0.27, and 0.35, respectively; MDC values were 0.97 for POMA-T, 0.75 for POMA-B, and 0.63 for POMA-G.</p></div><div><h3>Conclusion</h3><p>The findings indicate that the POMA is a valid and reliable tool to assess balance and gait impairments in people with OA knee.</p></div>","PeriodicalId":44774,"journal":{"name":"Hong Kong Physiotherapy Journal","volume":"36 ","pages":"Pages 25-32"},"PeriodicalIF":1.5,"publicationDate":"2017-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.hkpj.2016.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37106274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 12
期刊
Hong Kong Physiotherapy Journal
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