A pilot study to investigate any relationship between sustained maximal inspiratory pressure and extubation outcome
A pilot study to investigate any relationship between sustained maximal inspiratory pressure and extubation outcome
OBJECTIVE: To establish the intra- and inter-rater reliability of composite finger flexion (CFF), and to compare this with goniometry. DESIGN: Fifty-one physiotherapists and occupational therapists took part in the study. The hand of a normal subject was splinted in three different positions. Using a goniometer and a ruler alternately, each therapist measured both the proximal interphalangeal joint and CFF of three digits, following a standardized protocol. This process was repeated three times. SETTING: Eighteen NHS hospital sites in the UK. RESULTS: The two measurement methods produced different ranges and standard deviations for each digit. The repeatability coefficient shows that repeated intra-rater goniometric measures fall within 4-5 degrees of each other 95% of the time. Inter-rater goniometric measures fall within 7-9 degrees. Repeated intra-rater CFF measures fall within 5-6 mm of each other, whereas inter-rater fall within 7-9 mm. The influence of occupation, experience in hand therapy, years of practice and routine use were found to have no effect on reliability. Scaling of the two methods of measurement allowed comparison between them to be made. CFF and goniometry are equally reliable when comparing inter-rater reliability, but goniometry displays less variability than composite finger flexion for intra-rater measurements. CONCLUSION: In this study involving a subject with normal joints, goniometry is more reliable than CFF when only one measurer is involved. However, CFF may be a useful alternative where multiple joint measures are required, or when goniometry is impracticable.
outcome
141-149
Bruton, Anne
9f8b6076-6558-4d99-b7c8-72b03796ed95
March 2002
Bruton, Anne
9f8b6076-6558-4d99-b7c8-72b03796ed95
Bruton, Anne
(2002)
A pilot study to investigate any relationship between sustained maximal inspiratory pressure and extubation outcome.
Heart & Lung, 31 (2), .
(doi:10.1067/mhl.2002.122840).
Abstract
OBJECTIVE: To establish the intra- and inter-rater reliability of composite finger flexion (CFF), and to compare this with goniometry. DESIGN: Fifty-one physiotherapists and occupational therapists took part in the study. The hand of a normal subject was splinted in three different positions. Using a goniometer and a ruler alternately, each therapist measured both the proximal interphalangeal joint and CFF of three digits, following a standardized protocol. This process was repeated three times. SETTING: Eighteen NHS hospital sites in the UK. RESULTS: The two measurement methods produced different ranges and standard deviations for each digit. The repeatability coefficient shows that repeated intra-rater goniometric measures fall within 4-5 degrees of each other 95% of the time. Inter-rater goniometric measures fall within 7-9 degrees. Repeated intra-rater CFF measures fall within 5-6 mm of each other, whereas inter-rater fall within 7-9 mm. The influence of occupation, experience in hand therapy, years of practice and routine use were found to have no effect on reliability. Scaling of the two methods of measurement allowed comparison between them to be made. CFF and goniometry are equally reliable when comparing inter-rater reliability, but goniometry displays less variability than composite finger flexion for intra-rater measurements. CONCLUSION: In this study involving a subject with normal joints, goniometry is more reliable than CFF when only one measurer is involved. However, CFF may be a useful alternative where multiple joint measures are required, or when goniometry is impracticable.
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Published date: March 2002
Keywords:
outcome
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Local EPrints ID: 17832
URI: http://eprints.soton.ac.uk/id/eprint/17832
ISSN: 0147-9563
PURE UUID: d11948a9-a462-4411-8fa1-4b558e9cf2eb
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Date deposited: 16 Nov 2005
Last modified: 16 Mar 2024 02:48
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Author:
Anne Bruton
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