Abstract:
OBJECTIVE:To explore the inter-observer reliability of bedside observations of stroke patients' posture using two versions of a pictorial tool. DESIGN:Three projects were conducted. The initial version of the tool was used in project 1. The modified version was used in projects 2 and 3. In each project a pair of observers (comprising the main observer and one of five co-observers with varying degrees of experience in observing posture) used the tool to make simultaneous observations of 19 aspects of the posture of a sample of stroke patients. Each patient was observed in one or more of four positions (seated, supine and lying on the affected and unaffected side). The degree of inter-observer agreement was sought by calculating kappa values and percentage agreement. SETTING:Medical wards, care of the elderly wards and a stroke unit. SUBJECTS:A convenience sample of 57 stroke patients. RESULTS:Four hundred and forty paired sets of observations were made (200 in project 1, 140 in project 2 and 100 in project 3). The main observer was in every pair. The co-observers made between 50 and 135 sets of observations each. When the results from all three projects were amassed, acceptable percentage agreement (i.e. > or =70%) was obtained for 67% (n = 78) and 73% (n = 55) of the results collected on aspects of the posture of the affected upper and lower limbs respectively. In contrast, acceptable percentage agreement for observations relating to the head, neck and trunk was obtained for only 34% (n = 50) of the results collected. Uneven distributions in the data made kappa values difficult to interpret. Inter-observer agreement was not noticeably higher for pairs in which both observers had prior experience of observing posture after stroke than for pairs in which one observer was relatively inexperienced. CONCLUSIONS:The tool has potential as a quick and simple means of collecting information at the bedside about stroke patients' posture. Refinements, additional training in using the tool for observers and further testing are suggested before its wider use is advocated.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Carr EK,Kenney FD,Wilson-Barnett J,Newham DJdoi
10.1177/026921559901300307subject
Has Abstractpub_date
1999-06-01 00:00:00pages
229-42issue
3eissn
0269-2155issn
1477-0873journal_volume
13pub_type
临床试验,杂志文章abstract:OBJECTIVE:To estimate the effectiveness of ultrasonophoresis and iontophoresis with sodium diclofenac used in addition to an exercise program for patients with impingement syndrome. DESIGN:Multicentre, double-blind, placebo randomized controlled trial. SETTING:"Mancha Centro" Outpatient primary care clinic (Spain). ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215515578293
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To investigate the effects of body awareness therapy on balance, mobility, balance confidence, and subjective health status in persons with stroke. DESIGN:A pilot randomized controlled study with follow-up at one and 4-6 weeks after the intervention period. SETTING:Four primary healthcare centres in Örebro ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215514527994
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:To determine effects of Whole Body Vibration Exercise (WBVE) associated with quadriceps resistance exercises (QRE) versus QRE only on pain, physical function, biomarkers in serum and urine, activities of daily living (ADL), and quality of life in patients with knee osteoarthitis (OA). DESIGN:Randomized-contr...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515607970
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To determine feasibility of a randomised controlled trial (RCT) of home-based Reach-to-Grasp training after stroke. DESIGN:single-blind parallel group RCT. PARTICIPANTS:Residual arm deficit less than 12 months post-stroke. INTERVENTIONS:Reach-to-Grasp training in 14 one-hour therapist's visits over 6 weeks...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215516661751
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:To establish what aspects of group-based cognitive rehabilitation for memory problems are reported, and to develop a checklist for authors, which may to improve reporting of these interventions in future studies. DATA SOURCES:A systematic search was conducted on Web of Knowledge, CINAHL, MEDLINE, AMED, EMBAS...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
doi:10.1177/0269215515595273
更新日期:2016-07-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/026921501678310199
更新日期:2001-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 社论
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更新日期:2016-03-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514552083
更新日期:2015-07-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2018-07-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
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更新日期:2017-11-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509353270
更新日期:2010-03-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510371427
更新日期:2010-10-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215507077799
更新日期:2007-04-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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journal_title:Clinical rehabilitation
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doi:10.1177/0269215506071784
更新日期:2007-03-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr730oa
更新日期:2004-05-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2007-01-01 00:00:00
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2013-08-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2010-06-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2014-10-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,评审
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更新日期:2012-11-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-04-01 00:00:00
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journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
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更新日期:2018-08-01 00:00:00