Physiotherapy Outcome Measures Essay

Physiotherapy Outcome Measures Essay

Length: 1683 words (4.8 double-spaced pages)

Rating: Powerful Essays

Open Document

Essay Preview

Outcome measures are used in all physiotherapy areas not only in research, but also in clinical practice. Therefore, reproducibility studies are needed to assess the repeatability or consistency of these measurements. The aim of this experiment is to examine the test retest repeatability by one practitioner for an outcome measure in physiotherapy. Seventeen subjects were recruited to participate in this experiment. Three separate readings were taken for each subject on each day on two different occasions. The results showed that there was an excellent repeatability within a day and between days with an intraclass correlation coefficient (ICC) of 0.98 and 0.92 respectively. The 95% confidence interval of the difference of value between -1.08 and 1.10 showed no difference within subject’s score. Also, the standard error measurement (SEM) was 1.78 which is considered as an acceptable value in clinical practice. The Bland and Altman 95% limits of agreement (LOA) were -2.7 to 4.7.
In conclusion, despite this outcome measure demonstrated excellent test retest reliability, lack of appropriate sample size may decrease the reproducibility of this result. Consequently, a further research is required with an appropriate sample size to draw a definite conclusion.
Reliability of an outcome measurement reflects how reproducible or repeatable the measurement is under a given set of circumstances. For an outcome measurement to be useful, it must provide stable or reproducible values with small errors of measurement when no variable is influencing the attribute that the measurement is quantifying (Rankin and Stoke 1998). In practice, the physiotherapist introduces a treatment intervention and then evaluates the effectiveness of t...

... middle of paper ...

...), the less the variation, the greater the reliability. Subsequently, the value of SEM of 1.78 showed that there was a small variation with repeated measurements.
Bland and Altman’s 95% limits of agreement provide that approximately 95% of the difference between two measurements fall between -2.7 and 4.7. Scrutiny of the plot presented in Fig. 4 indicated no evidence of learning effect and minimal error for the outcome measure for the subjects. The decision whether this limit is acceptable clinically is depending on therapist’s clinical judgment (Portney and Watkins 2009).

In conclusion, despite this outcome measure showed excellent reliability , the small sample size and the missing data may have affected its reliability (Shoukri et al, 2004). Therefore, a further study is recommended with larger sample size to confirm the consistency of this outcome measure.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

How Does Acupunture Affect Chronic Shoulder Pain Essay

- Sun et al in 2001 have studied the use of acupuncture for frozen shoulder. The study was a randomized controlled trial to evaluate the effectiveness of acupuncture as a treatment for frozen shoulder. There were thirty five subjects included in this study with a diagnosis of frozen shoulder. They were randomly divided to exercise group as the control group and exercise plus acupuncture as the treatment group. They were treated for a period of six weeks. The study evaluated functional mobility, power, and pain using Constant Shoulder assessment before treatment, at 6 weeks and at 20 weeks by a blinded assessor....   [tags: exercise, treatment, physiotherapy]

Powerful Essays
1883 words (5.4 pages)

Essay on Chiropractic, Osteopathy, Physiotherapy

- CHIROPRACTIC, OSEOPATHY, PHYSIOTHERAPY There are many health care facilities worldwide that provide treatment for an injured patient for all ages. Some professions are easily mistaken due to their philosophies and type of treatment. Professions that are commonly mistaken are Chiropractic, Osteopathy, and Physiotherapy. The purpose of this essay is to distinctly differentiate between the three professions to both increase my own knowledge and the knowledge of others. Chiropractic is a form of health care that predominantly focuses on the relationships of structures (mainly the spine and pelvis) and its functions (mainly the nervous system)....   [tags: treatment for injured patients]

Powerful Essays
1314 words (3.8 pages)

The Benefits of Evidence Based Practice in Physiotherapy Essay

- Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments. Is there scientific evidence proving the information is correct and up to date. How helpful and appropriate are these methods and treatments to the patients....   [tags: Evidence Based Practice (EBP)]

Powerful Essays
951 words (2.7 pages)

The Unparalleled Effect of Nuclear Technologies and Politics on the Outcome of the Cold War

- Of all the contending issues that fed the flames of the conflict that made up the core of the Cold War, none of them affected the outcome so much as the development and testing of nuclear arms and the politics surrounding their handling. After the long years of fighting during World War II, many of the old world powers were greatly weakened. The United States’ detonation of Little Boy and Fat Man over Hiroshima and Nagasaki respectively, brought the worlds attention and showed American superiority in technological and military might (   [tags: Outcome, Cold War, World History]

Powerful Essays
1134 words (3.2 pages)

Essay on Physiotherapy Theory and Practice

- Problem list: • Grade 2 strains of distal right biceps femoris. • This is the second time he has injured his right biceps femoris. • He has a history of left knee MCL sprain. • Employed as a full time soccer player and therefore his family will depend on him for money • Two young children that depend on him financially. • Will his club continue to pay him even though he is injured. • He will find it hard to carry out every day activities that are expected of him being a father of two young children....   [tags: management hamstring muscle injuries]

Powerful Essays
1334 words (3.8 pages)

Essay on Criteria Measures For Measure Job Performance

- Criterion Measures Selecting the appropriate criterion measures that measure job performance is a tedious task of human resource managers. The purpose of selecting the right criterion measures are make sure that the ones selected are predictive and evaluative of employee performance for a particular job, while also helping to enhance the utility of available procedures and programs that will improve job performance, along with bringing on more understanding of the psychological and behavioral processes involved with job performance (Cascio & Aquinis, 2011)....   [tags: Sales, Sales management, Management, Future]

Powerful Essays
985 words (2.8 pages)

The Effect of Fate on the Outcome of a Drama Essay

- Every day, humans wonder whether they control the choices they make or if a greater force controls them. From the first page of Shakespeare’s romantic drama, The Most Excellent and Lamentable Tragedy of Romeo and Juliet, fate is out to get the players. This deplorable catastrophe is set in Verona, Italy, where two feuding households war with each other. Romeo and Juliet, children of the fighting heads of the households, secretly wed each other and eventually kill themselves because society declares the couple cannot be together....   [tags: Literary Analysis]

Powerful Essays
1090 words (3.1 pages)

Essay on The Outcome Of A Financial Analysis Model

- Audit quality is often defined as the probability that auditors will detect and report misstatements or unintentional measurement errors in the financial statements (DeAngelo 1981). This stems from an auditor’s competence and independence, in both how they are perceived and in actuality (Watkins et al 2004). This is of vital importance to analysts because financial statements form the basis of forecast inputs. The outcome of a financial analysis model can only be as accurate as the values used to create said model....   [tags: Audit, Big Four auditors, Auditor's report]

Powerful Essays
1338 words (3.8 pages)

The Outcome of Outcome Based Luck Essay example

- The Outcome of Outcome Based Luck According to Thomas Nagel’s revolutionary, yet problematic theory, a person can never truly be responsible for anything. The philosopher theorizes that there is a force outside our own self-control that can influence our ethical standings. These forces are referred to as moral luck. In Nagel’s eyes, there are four different types of moral luck: constitutive luck, luck in one’s circumstances, luck in how one is determined by antecedent circumstances and luck in the way things turn out....   [tags: Thomas Nagel's theory]

Powerful Essays
1246 words (3.6 pages)

Outcome Based Education Essay

- Outcome-Based Education is a basic distinct from conventional education and involved the full support of all components of the school society, include educators, stakeholders who do not distribute a general understanding of its meaning. It is truly the result of linkages together and refining many of the educational models that had come before. With OBE, students focus on what is to be learned, by knowing in advance the outcomes. They are encouraged to develop conceptual understanding, to develop skill wise and to develop values and positive attitudes contrary to the previous curriculum that emphasized factual recall that resulted into rote learning of unconnected “facts”....   [tags: Conventional Education]

Powerful Essays
1410 words (4 pages)