Joint flexibility problems and the impact of its operationalisation

Autor: Laurien M. Disseldorp, C.P. van der Schans, Marianne K. Nieuwenhuis, Leonora J. Mouton, Anouk M. Oosterwijk
Přispěvatelé: Extremities Pain and Disability (EXPAND), Health Psychology Research (HPR), SMART Movements (SMART), Healthy Ageing, Allied Health Care and Nursing
Rok vydání: 2019
Předmět:
Male
Activities of daily living
MOTION
CHILDREN
CONTRACTURES
Critical Care and Intensive Care Medicine
UPPER EXTREMITY
030207 dermatology & venereal diseases
0302 clinical medicine
Reference Values
Prevalence
EPIDEMIOLOGY
Medicine
Range of Motion
Articular
Child
Functionality
Range of motion
Netherlands
Joint Flexibility
RANGE
Healthy subjects
Flexibility (personality)
General Medicine
Physical Functional Performance
flexibility
BURN OUTCOMES QUESTIONNAIRE
INTERRATER RELIABILITY
Child
Preschool
Emergency Medicine
Female
Burns
medicine.medical_specialty
Contracture
Adolescent
Likert scale
Cicatrix
03 medical and health sciences
INJURY
Humans
gewrichten
KINEMATICS
business.industry
Infant
030208 emergency & critical care medicine
Inter-rater reliability
joints
Physical therapy
Normative
Surgery
business
Zdroj: Burns, 45(8), 1819-1826. ELSEVIER SCI LTD
Burns : journal of the International Society for Burn Injuries, 45(8), 1819-1826. Elsevier Limited
ISSN: 0305-4179
DOI: 10.1016/j.burns.2019.03.010
Popis: Background Dissatisfaction is being voiced with the generally used way joint flexibility problems are defined (operationalised), i.e. as a range of motion (ROM) one or more degrees lower than normative ROM of healthy subjects. Other, specifically more function-related operationalisations have been proposed. The current study evaluated the effect of applying different operationalisations of joint flexibility problems on its prevalence. Method ROM data of 95 joints affected by burns of 23 children were used, and data on 18 functional activities (Burn Outcome Questionnaire (BOQ)). Five methods were used to operationalise joint flexibility problems: (1) ROM below normative ROM, (2) ROM below normative ROM minus 1SD, (3) ROM below normative ROM minus 2SD, (4) ROM below functional ROM, and (5) a score of 2 or more on the Likert Scale (BOQ). Results Prevalence of joint flexibility problems on a group level ranged from 13 to 100% depending on the operationalisation used. Per joint and movement direction, prevalence ranged from 40% to 100% (Method 1) and 0% to 80% (Methods 2–4). 18% of the children received ‘2’ on the Likert Scale (Method 5). Conclusion The operationalisation of joint flexibility problems substantially influences prevalence, both on group and joint level. Changing to a function-related operationalisation seems valuable; however, international consensus is required regarding its adoption. Trial registration The study is registered in the National Academic Research and Collaborations Information System of the Netherlands (OND1348800).
Databáze: OpenAIRE
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