Interrater reliability of diastasis recti abdominis measurement.

Abstract:

:Diastasis recti abdominis, or midline separation of the abdominal musculature, has not been investigated scientifically. The purposes of this study were to provide data on the incidence and degree of diastasis recti abdominis, to describe the measurement system used, and to determine the interrater reliability of the measurements performed. Forty subjects less than four days postpartum were tested by four raters. All subjects were measured in a supine, flexed-knee position at a standard point of palpation above the umbilicus. During palpation, each subject performed a partial sit-up, and the rater determined the number of finger widths filling the separation. An analysis of variance for repeated measures revealed a highly significant difference between the measurement scores of the four raters. This measurement system, therefore, was found to be unreliable. All subjects had some degree of diastasis recti abdominis; over 60% had separations significant enough to warrant protective exercises. The author proposes that the incidence and degree of diastasis recti abdominis may be underestimated, that selected components of exercise prescriptions may be contraindicated, and that a reliable instrument for measuring the degree of separation is needed.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Bursch SG

doi

10.1093/ptj/67.7.1077

subject

Has Abstract

pub_date

1987-07-01 00:00:00

pages

1077-9

issue

7

eissn

0031-9023

issn

1538-6724

journal_volume

67

pub_type

杂志文章
  • Performance on clinical tests of balance in Parkinson's disease.

    abstract:BACKGROUND AND PURPOSE:Due to the high incidence of falls in people with idiopathic Parkinson's disease (PD), the assessment of standing balance is a key component of physical therapist evaluation. This study investigated performance on clinical tests of standing balance in subjects with and without PD. SUBJECTS:The s...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.6.577

    authors: Smithson F,Morris ME,Iansek R

    更新日期:1998-06-01 00:00:00

  • Maximal Dynamic Inspiratory Pressure Evaluation in Heart Failure: A Comprehensive Reliability and Agreement Study.

    abstract:OBJECTIVE:The purpose of this study was to analyze the reliability (interrater and intrarater) and agreement (repeatability and reproducibility) properties of tapered flow resistive loading (TFRL) measures in patients with heart failure (HF). METHODS:For this cross-sectional study, participants were recruited from the...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa165

    authors: da Silva FMF,Cipriano G,Lima ACGB,Andrade JML,Nakano EY,Chiappa GR,Cahalin LP,Cipriano GFB

    更新日期:2020-12-07 00:00:00

  • Effects of a functional therapy program on motor abilities of children with cerebral palsy.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine whether the motor abilities of children with spastic cerebral palsy who were receiving functional physical therapy (physical therapy with an emphasis on practicing functional activities) improved more than the motor abilities of children in a reference g...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ptj/81.9.1534

    authors: Ketelaar M,Vermeer A,Hart H,van Petegem-van Beek E,Helders PJ

    更新日期:2001-09-01 00:00:00

  • Electromyographic biofeedback applications to the hemiplegic patient. Changes in upper extremity neuromuscular and functional status.

    abstract::The effect of a specific EMG biofeedback treatment protocol on quantified changes in neuromuscular measures and functional activities was examined among the upper extremities of 22 chronic stroke patients who each received 60 feedback training sessions. These data were compared with changes measured from a Control Gro...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/63.9.1393

    authors: Wolf SL,Binder-MacLeod SA

    更新日期:1983-09-01 00:00:00

  • Cardiopulmonary resuscitation. A survey of instruction in physical therapy schools.

    abstract::Sixty-two physical therapy schools were surveyed reageding their teaching of cardiopulmonary resuscitation. Eighty-two percent of the schools responded to the questions and 27 percent indicated no such instruction. Included in this report is a copy of the questionnaire and the results of the survey. The recommendation...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/55.7.744

    authors: Price HL Jr

    更新日期:1975-07-01 00:00:00

  • Prevention of electrical shock hazards in physical therapy.

    abstract::Basic electrical safety information for the physical therapist is presented, and the most hazardous areas in a physical therapy clinic are identified. Physical therapy modalities are no safer than the power receptacle (wall outlet) into which they are plugged. High frequency physical therapy equipment should never be ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.10.1215

    authors: Arledge RL

    更新日期:1978-10-01 00:00:00

  • Implementation of the problem-oriented progress note in a skilled nursing facility.

    abstract::Problem-oriented style progress notes were implemented in a skilled nursing facility where problem-oriented medical records were not in use. The problem-oriented note consists of subjective information, objective information, analysis or assessment of the problems, and plan for treatment, and is called a SOAP note. Si...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.2.160

    authors: Shaughnessy MK,Burnett CN

    更新日期:1979-02-01 00:00:00

  • Musculoskeletal deterioration and hemicorporectomy after spinal cord injury.

    abstract:BACKGROUND AND PURPOSE:The long-term management following an hemicorporectomy (HCP) is not well documented in the scientific literature. The purpose of this case report is to describe the 25-year history of a man with a spinal cord injury who experienced severe musculoskeletal deterioration and hemicorporectomy. CASE ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Shields RK,Dudley-Javoroski S

    更新日期:2003-03-01 00:00:00

  • Physical Training and Activity in People With Diabetic Peripheral Neuropathy: Paradigm Shift.

    abstract::Diabetic peripheral neuropathy (DPN) occurs in more than 50% of people with diabetes and is an important risk factor for skin breakdown, amputation, and reduced physical mobility (ie, walking and stair climbing). Although many beneficial effects of exercise for people with diabetes have been well established, few stud...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.2522/ptj.20160124

    authors: Kluding PM,Bareiss SK,Hastings M,Marcus RL,Sinacore DR,Mueller MJ

    更新日期:2017-01-01 00:00:00

  • Perspectives on Spinal Precautions in Patients Who Have Cancer and Spinal Metastasis.

    abstract::Bones are the third most common site for cancer metastases, and the axial skeleton is the most frequent skeletal location. In a postmortem study, bone metastases were reported in 70% of breast and prostate cancer patients. Bone metastases from breast, lung, prostate, thyroid, and kidney cancers account for 80% of all ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz178

    authors: Guo Y,Ngo-Huang AT,Fu JB

    更新日期:2020-03-10 00:00:00

  • Standardization of the continuing care activity measure: a multicenter study to assess reliability, validity, and ability to measure change.

    abstract:BACKGROUND:There is a lack of standardized mobility measures specific to the long-term care (LTC) population. Therefore, the Continuing Care Activity Measure (CCAM) was developed. OBJECTIVE:This study determined levels of reliability, validity for clinical utilization, and sensitivity to change of this measure. DESIG...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:10.2522/ptj.20080287

    authors: Huijbregts MP,Teare GF,McCullough C,Kay TM,Streiner D,Wong SK,McEwen SE,Otten I

    更新日期:2009-06-01 00:00:00

  • Evaluation of Fidgety Movements of Infants Based on Gestalt Perception Reflects Differences in Limb Movement Trajectory Curvature.

    abstract:BACKGROUND:Infants aged 2 to 5 months show spontaneous general movements (GMs) of the whole body, which are referred to as fidgety movements (FMs). Although previous studies have shown that evaluation of GMs by the General Movement Assessment (GMA) has predictive value about later neurological impairments, it remains u...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzz034

    authors: Gima H,Shimatani K,Nakano H,Watanabe H,Taga G

    更新日期:2019-06-01 00:00:00

  • Lumbar curvature in standing and sitting in two types of chairs: relationship of hamstring and hip flexor muscle length.

    abstract::A purpose of this study was to determine the difference in the lumbar curves of subjects while they stood compared with while they sat in two chairs with different seat angles--the Balans Multi-Chair (BMC) and a standard conventional chair (SCC). An additional purpose was to determine the relationship between lumbar c...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/70.10.611

    authors: Link CS,Nicholson GG,Shaddeau SA,Birch R,Gossman MR

    更新日期:1990-10-01 00:00:00

  • Anatomy of the hand.

    abstract::The anatomy of the hand is efficiently organized to carry out a variety of complex tasks. These tasks require a combination of intricate movements and finely controlled force production. The shape of the bony anatomy in conjunction with the arrangement of soft tissues contributes to the complex kinesiology of the hand...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/69.12.1007

    authors: Moran CA

    更新日期:1989-12-01 00:00:00

  • Quantitative gait evaluation in the clinic.

    abstract::The purpose of this paper is to present a clinically feasible method to provide objective, quantitative information regarding the quality of a patient's gait. The technique used is simple and economical and requires minimal equipment. The four basic temporal and distance factors are 1) stride length, 2) step length, 3...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.3.351

    authors: Robinson JL,Smidt GL

    更新日期:1981-03-01 00:00:00

  • Mobilization of the spine.

    abstract::This article presents spinal dysfunction (as opposed to disease) as being an altered state of mechanics demonstrating either an aberrant motion or an increase or decrease from the expected range. Examination techniques, including passive intervertebral motion testing, are outlined, as is the grading system for recordi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/59.8.988

    authors: Paris SV

    更新日期:1979-08-01 00:00:00

  • Measurement for curriculum building for multiply handicapped children.

    abstract::Quantitative longitudinal tracking of objectively defined motor behaviors can be used with severely multiply handicapped infants and children to develop treatment curricula and assess the changes occurring as a result of stimulation programs. The frequency or duration of clearly defined motor behaviors can be observed...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.4.415

    authors: Whitney PL

    更新日期:1978-04-01 00:00:00

  • Accuracy and reliability of observational gait analysis data: judgments of push-off in gait after stroke.

    abstract:BACKGROUND AND PURPOSE:Physical therapists routinely observe gait in clinical practice. The purpose of this study was to determine the accuracy and reliability of observational assessments of push-off in gait after stroke. SUBJECTS:Eighteen physical therapists and 11 subjects with hemiplegia following a stroke partici...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:

    authors: McGinley JL,Goldie PA,Greenwood KM,Olney SJ

    更新日期:2003-02-01 00:00:00

  • Balance disability after stroke.

    abstract:BACKGROUND AND PURPOSE:Balance disability is common after stroke, but there is little detailed information about it. The aims of this study were to investigate the frequency of balance disability; to characterize different levels of disability; and to identify demographics, stroke pathology factors, and impairments ass...

    journal_title:Physical therapy

    pub_type: 杂志文章,多中心研究

    doi:10.1093/ptj/86.1.30

    authors: Tyson SF,Hanley M,Chillala J,Selley A,Tallis RC

    更新日期:2006-01-01 00:00:00

  • Rehabilitation for balance and ambulation in a patient with attention impairment due to intracranial hemorrhage.

    abstract:BACKGROUND AND PURPOSE:The purpose of this case report is to describe physical therapy to improve the balance and ambulation of a 16-year-old patient with attention impairment following intracranial hemorrhage. CASE DESCRIPTION:The patient initially had frequent losses of balance, especially in distracting environment...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Tappan RS

    更新日期:2002-05-01 00:00:00

  • Use of neuromuscular electrical stimulation and [corrected] dorsal wrist splint to improve the hand function of a child with spastic hemiparesis.

    abstract::This case report describes a program for a child with spastic hemiparesis who had previously received physical therapy with neuromuscular electrical stimulation (NMES). After a year without physical therapy, he returned to continue to receive NMES to strengthen muscles, increase sensory awareness, and improve hand fun...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.6.661

    authors: Carmick J

    更新日期:1997-06-01 00:00:00

  • Proprietary physical therapy service in entry-level physical therapy curricula.

    abstract::The purposes of this study were to 1) assess the value of including an expanded business administration unit that would include proprietary practice issues in an entry-level physical therapy curriculum and 2) organize topics by priority that could be included in such a unit. Twenty-seven physical therapists (100%) in ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/68.7.1123

    authors: Hulme JB,Newman WC,Miller K,Dougan J

    更新日期:1988-07-01 00:00:00

  • Assessing longitudinal change in coordination of the paretic upper limb using on-site 3-dimensional kinematic measurements.

    abstract:BACKGROUND AND PURPOSE:It is largely unknown how adaptive motor control of the paretic upper limb contributes to functional recovery after stroke. This paucity of knowledge emphasizes the need for longitudinal 3-dimensional (3D) kinematic studies with frequent measurements to establish changes in coordination after str...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100341

    authors: van Kordelaar J,van Wegen EE,Nijland RH,de Groot JH,Meskers CG,Harlaar J,Kwakkel G

    更新日期:2012-01-01 00:00:00

  • Diabetes and associated risk factors in patients referred for physical therapy in a national primary care electronic medical record database.

    abstract:OBJECTIVE:The prevalence of diabetes (type 2) in the general population has increased dramatically over the last decade, yet patients with diabetes are rarely referred for physical therapy management of their condition. The majority of patients referred for outpatient physical therapy have musculoskeletal-related condi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20080129

    authors: Kirkness CS,Marcus RL,Lastayo PC,Asche CV,Fritz JM

    更新日期:2008-11-01 00:00:00

  • Influence of Hip Abductor Strength on Functional Outcomes Before and After Total Knee Arthroplasty: Post Hoc Analysis of a Randomized Controlled Trial.

    abstract:Background:Total knee arthroplasty (TKA) is associated with declines in hip abductor (HA) muscle strength; however, a longitudinal analysis demonstrating the influence of TKA on trajectories of HA strength change has not been conducted. Objective:The purpose of this study was to quantify changes in HA strength from pr...

    journal_title:Physical therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1093/ptj/pzx066

    authors: Loyd BJ,Jennings JM,Judd DL,Kim RH,Wolfe P,Dennis DA,Stevens-Lapsley JE

    更新日期:2017-09-01 00:00:00

  • Mechanisms of shoulder injuries.

    abstract::In this article, we discuss our review of 284 shoulder injuries that were seen and treated arthroscopically during a five-year period. All of the injuries were related to the athletes' particular sport. We describe the biomechanical basis for these injuries and review the data gathered on the forces involved in the ac...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.12.1901

    authors: McLeod WD,Andrews JR

    更新日期:1986-12-01 00:00:00

  • Novice and experienced physical therapist clinicians: a comparison of how reflection is used to inform the clinical decision-making process.

    abstract:BACKGROUND:Prior experience informs clinical decision making and shapes how reflection is used by novice and experienced physical therapist clinicians. OBJECTIVES:The aims of this research were: (1) to determine the types and extent of reflection that informs the clinical decision-making process and (2) to compare the...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090077

    authors: Wainwright SF,Shepard KF,Harman LB,Stephens J

    更新日期:2010-01-01 00:00:00

  • Balance in relation to walking deterioration in adults with spastic bilateral cerebral palsy.

    abstract:BACKGROUND:Balance function is central in walking, and impaired balance function may be related to walking deterioration in adults with spastic bilateral cerebral palsy (CP). OBJECTIVES:The purposes of this study were: (1) to compare balance confidence, fear of falling, and balance ability in adults with spastic bilat...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100432

    authors: Opheim A,Jahnsen R,Olsson E,Stanghelle JK

    更新日期:2012-02-01 00:00:00

  • Impact of Inflammation and Anti-inflammatory Modalities on Skeletal Muscle Healing: From Fundamental Research to the Clinic.

    abstract::Anti-inflammatory modalities are commonly used for the treatment of various musculoskeletal injuries. Although inflammation was originally believed to interfere with skeletal muscle regeneration, several recent studies have highlighted the beneficial effects of inflammatory cells on muscle healing. This discrepancy is...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/pzx056

    authors: Duchesne E,Dufresne SS,Dumont NA

    更新日期:2017-08-01 00:00:00

  • Air splint in preprosthetic rehabilitation of lower extremity amputated limbs. A clinical report.

    abstract::The purpose of this paper is to discuss the merits of the air splint in the preprosthetic rehabilitation of lower extremity amputated limbs. We describe various methods to control postoperative edema and discuss the advantages and disadvantages of each. The protocol to apply and maintain the air splint and the advanta...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.6.912

    authors: Rausch RW,Khalili AA

    更新日期:1985-06-01 00:00:00