Biomedical subjects

E Dutil

Publications and source records attributed to E Dutil.

21 records · Page 2Linked to original sources

PubMedDate not supplied

An evaluation of the hemiplegic patient based on the Bobath approach: a reliability study.

The intra- and inter-rater reliability of a motor function evaluation of stroke patients, based on the Bobath approach, was studied. The intraclass correlation coefficient (ICC) was used to determine the degree of agreement between repeated measurements on the same patient taken by the same rater and between measurements taken by three raters on the same patient. In the intra-rater study, each of 19 patients was evaluated in three different sessions by one of 19 raters. In the inter-rater study 18 patients were each evaluated by three different raters. The intra-rater data were highly reliable, with ICCs of 0.95 and 0.97 for the upper and lower limbs respectively. For the inter-rater study, the ICCs were 0.79 and 0.77 for the upper and lower limbs respectively. It can therefore be concluded that this instrument, previously demonstrated to quantify patient progress, is also reliable both in intra- and inter-rater dimensions.

Cerebrovascular Disorders↗

PubMedDate not supplied

Principal components analysis of an evaluation of the hemiplegic subject based on the Bobath approach.

An evaluation based on the Bobath approach to treatment has previously been developed and partially validated. The purpose of the present study was to verify the content validity of this evaluation with the use of a statistical approach known as principal components analysis. Thirty-eight hemiplegic subjects participated in the study. Analysis of the scores on each of six parameters (sensorium, active movements, muscle tone, reflex activity, postural reactions, and pain) was evaluated on three occasions across a 2-month period. Each time this produced three factors that contained 70% of the variation in the data set. The first component mainly reflected variations in mobility, the second mainly variations in muscle tone, and the third mainly variations in sensorium and pain. The results of such exploratory analysis highlight the fact that some of the parameters are not only important but also interrelated. These results seem to partially support the conceptual framework substantiating the Bobath approach to treatment.

Cerebrovascular Disorders↗

PubMedDate not supplied

Normative data for grip strength of elderly men and women.

OBJECTIVES: Grip strength is an important prerequisite for good performance of the upper limb, hence it is important to evaluate it correctly. However, one of the main difficulties in evaluating the grip strength of elderly patients is the absence of valid norms. Therefore, the objective of this study was to develop normative data for maximum grip strength of persons aged 60 years and older. METHOD: The grip strength of 360 subjects aged 60 years and older, randomly recruited by age and gender strata, was evaluated with the Jamar dynamometer and the Martin vigorimeter according to the protocol of the American Society of Hand Therapists. RESULTS: Grip strength diminishes curvilinearly with age, and men are consistently stronger than women. The data are presented by the means, standard deviations, and range, and as predictive equations obtained by regression analysis. In addition to age and gender, hand circumference and body height proved to be the best indicators of grip strength for this population of elderly subjects. CONCLUSION: The random recruitment of subjects, the high participation rate in the study, and the comparability of the subjects who agreed to participate and those who refused give this study the high external validity that is essential to any norm study. The predictive equations will help occupational therapists to better estimate the expected grip strength of elderly patients than they could if using only age and gender.

Age Factors↗