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Biomedical subjects

Susan E Bennett

Publications and source records attributed to Susan E Bennett.

3 recordsLinked to original sources

Reliability of the Dynamic Gait Index in individuals with multiple sclerosis.

OBJECTIVES: To determine if the Dynamic Gait Index (DGI) is a reliable tool for assessing balance in people with multiple sclerosis (MS) and to determine the validity of the DGI by using the 6.1-m timed walk. DESIGN: Instrument reliability test: physical therapists viewed a videotape of 10 subjects with MS performing the DGI and scored their gait by using DGI criteria. Two weeks after the first session, therapists' viewed the videotape again and scored subjects' gait to establish interrater reliability. SETTING: Hospital-based outpatient rehabilitation clinic. PARTICIPANTS: Eleven physical therapists and 10 people with MS. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Total DGI scores and each of the 8 DGI items were compared between and within raters (physical therapists). Time to walk 6.1m was compared with the total DGI score to examine concurrent validity. RESULTS: Interrater reliability for total DGI scores was .983, with each of the 8 items ranging from .910 to .976 (intraclass correlation coefficient, P<.05). Intrarater reliability for total DGI scores ranged between .760 and .986 (Pearson bivariate analysis, P<.05). An inverse relationship of -.801 (Pearson bivariate analysis, P<.01) existed between the total DGI scores and the 6.1-m walk. CONCLUSIONS: The DGI is a reliable functional assessment tool that correlated inversely with timed walk, showing its concurrent validity.

Adult↗

What constitutes advanced assessment?

As programs to prepare advanced practice nurses for primary care have flourished during the past decade, faculty aspire to teach a health assessment course that is more than a review of undergraduate work. Therefore, course faculty constructed a list of advanced assessment competencies. The purpose of this descriptive study was to validate the competencies clinical preceptors' rated as important via a mailed survey. Overall, the competencies received high mean ratings. The item receiving the highest mean score was "detects and interprets abnormalities in rate and rhythm" from the heart body system. Items within the gynecological and breast systems received the highest ratings. This study suggests a need to help advanced practice nursing students master all advanced assessment competencies on the survey.

Adult↗

Active range of motion utilized in the cervical spine to perform daily functional tasks.

This was a descriptive study to examine active range of motion required in the cervical spine during functional tasks of daily living. The objective of this study was to determine the mean active range of motion of the cervical spine required to perform 13 daily functional tasks. Previous research has examined the absolute ranges of cervical motion for women and men 20-60 years of age; however, no previous study has determined the amount and type of motion that is required for routine activities of daily living. Twenty-eight college-aged students (n = 28) served as healthy subjects and performed three trials of 13 daily tasks of functional activity. The subject's starting position and end range of motion for flexion-extension, rotation, and side bending of each task were observed and recorded using the cervical range of motion device. The three trials were averaged, and ranges of motion across the 28 subjects were reported. Of the 13 daily functional tasks performed, tying shoes (flexion-extension 66.7 degrees), backing up a car (rotation 67.6 degrees), washing hair in the shower (flexion-extension 42.9 degrees), and crossing the street (rotation head left 31.7 degrees and rotation head right 54.3 degrees) required the greatest full active range of motion of the cervical spine. Flexion-extension and rotation of the cervical spine are important to enable functional activity. Four of the 13 daily tasks performed required 30-50% of active range of motion. Side bending was seen to be coupled with rotation in completion of tasks. This article provides a baseline of normal motion of the neck required for activities of daily living and can be used in the assessment of disease states and disability.

Activities of Daily Living↗