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Development of a framework for the evidence-based choice of outcome measures in neurological physiotherapy

Tyson, S, Watson, A, Moss, S, Troop, H, Dean-Lofthouse, G, Jorritsma, S and Shannon, M 2008, 'Development of a framework for the evidence-based choice of outcome measures in neurological physiotherapy' , Disability and Rehabilitation, 30 (2) , pp. 142-149.

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Abstract

Background. Neurological physiotherapists recognize the need to include standardized outcome measures (OMs) in clinical practice but lack of information about the OMs available hampers utilization. This paper reports on the first stage of a project to identify the most robust OMs for use in neurological physiotherapy. Objective. To identify what physiotherapists perceive that they need to measure during a neurological assessment. Methods. Three separate workshops were held using patient vignettes to represent the acute, rehabilitation and community settings. Thirty senior neurological physiotherapists participated and were asked: ‘What would you observe, test or measure if assessing this patient?’ Data were analysed using thematic content analysis performed independently by each of the authors. Internal and external member checking ensured validity. In addition, the authors produced definitions of the items and domains identified in the data collection and subsequent content analysis. Results. Items from the data collection were classified into 16 domains that physiotherapists need to measure: Weakness; range of movement/contracture; pain; muscle tone/spasticity; sensation; ataxia/co-ordination; personal fatigue; oedema; subluxation; postural and balance impairment; walking impairment; upper limb; balance disability; walking disability; mobility disability and falls. Conclusions. The domains that physiotherapists need to measure during clinical assessment were identified. In the second stage of the project these domains will inform systematic reviews to identify the most robust outcome measures for use in clinical practice.

Item Type: Article
Uncontrolled Keywords: Neurological physiotherapy, outcome measures, assessment
Themes: Subjects / Themes > R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Disability and Rehabilitation
Publisher: Taylor & Francis
Refereed: Yes
ISSN: 0963-8288
Depositing User: Users 29196 not found.
Date Deposited: 23 Mar 2010 12:12
Last Modified: 20 Aug 2013 17:13
URI: http://usir.salford.ac.uk/id/eprint/4889

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