subjective balance evaluations). This potentially hazardous interpretation was based on clinical evaluations that are dependent on the observer’s assessment and skill in evaluating visible errors (ie, balance error scoring system [BESS]) and/or a balance test with unknown sensitivity for the diagnosis of
Harsimran S. Baweja and Daniel J. Goble
Column-editor : Neil Curtis
Column-editor : Carl G. Mattacola
Eric L. Sauers
Rafael Squillantini, Brielle Ringle, and Julie Cavallario
patient, including patient history, clinical evaluation, and imaging results. Mulligan et al. randomized the order of the examination techniques, 11 whereas Lichtenburg performed the examination techniques in a predetermined order. 12 All three studies compared the results of the examination tests to
Lachlan E. Garrick, Bryce C. Alexander, Anthony G. Schache, Marcus G. Pandy, Kay M. Crossley, and Natalie J. Collins
.2), medium (≥0.5), large (≥0.8), and very large (≥1.3). 17 Results From 127 respondents, 79 participants underwent clinical evaluation of single-leg squat performance (Figure 1 ). The rating panel reached consensus for all discrepancies (13 cases, 16%). Twenty-three (29%) participants were rated as good
Ryan McCann, Kyle Kosik, Masafumi Terada, and Phillip Gribble
, while a parent or legal guardian signed the informed consent document. Procedures Within 48 hr of RTP, one member of the research team, also an AT with 7 years of experience, conducted an independent clinical evaluation of the primary outcomes in the athletic training facility of each patient’s school
Eric D. Merritt and Julianne D. Schmidt
Nicholas M. Hattrup, Rebekah L. Gardiner, Hannah Gray, Cailee E. Welch Bacon, and Tamara C. Valovich McLeod
Focused Clinical Question: In a high school, college, and professional athletic population, does individualized baseline tests increase the diagnostic accuracy (e.g., sensitivity and specificity) of identifying cognitive impairments when utilizing neurocognitive testing compared to normative data? Clinical Bottom Line: There was insufficient evidence to definitively suggest the use of individualized baseline data over the use of normative data during a postinjury assessment.
Jaclyn Megan Sions, Elisa Sarah Arch, and John Robert Horne
Background: Adults postamputation are not meeting physical activity recommendations. Physical activity is an important consideration in prosthetic prescription. The objective of this study was to determine if functional mobility, balance confidence, and prosthetic use are associated with physical activity among adults with a lower-limb amputation. Methods: This study recruited patients aged 18–85 years with unilateral transtibial amputations. The Cumulative Illness Rating Scale was used to determine comorbidity burden. Participants completed the Prosthetic Evaluation Questionnaire-Mobility Section, Activities-specific Balance Confidence Scale, and Houghton Scale of Prosthetic Use and wore a StepWatch monitor for 7 days to obtain daily step counts. Linear regression was used to evaluate relationships between each self-report measure and step counts after controlling for covariates, that is, sex, age, time since initial amputation, and comorbidity burden. Results: Forty-seven participants had ≥5 days of step data and were included in this analysis. The Prosthetic Evaluation Questionnaire-Mobility Section [mean (SD): 35.0 (9.6) points] and Activities-specific Balance Confidence Scale [79.2% (15.9%)] each explained 13% of the variance in step count [5491 (4043) steps], whereas the Houghton Scale of Prosthetic Use [10.3 (1.2) points] explained 10% of the variance. Conclusion: Self-reported functional mobility, balance confidence, and prosthetic use predict short-term average daily step counts as determined from research-grade accelerometers.