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KCE reports vol. 40 APPENDICES Physiotherapy 143
Anamnesis
Observation
Palpation
Muscular testing
Schöber's test
Visual Analogic Scale
Maigne test (mobility)
Added functional test: Mobility clinical tests
Plumb line
Roland-Morris Questionnaire
Dallas-Pain Questionnaire
SF-36 scale
Proportion of physiotherapists using functional
tests to assess acute low back pain (%)
0 10 20 30 40 50 60 70 80 90 100
n = 325
0 50 100 150 200 250 300
Number of physiotherapists using functional
tests to assess acute low back pain (n)
Figure 4.9 Distribution of the functional tests used by Belgian ambulatory physiotherapists to assess acute low back pain
(without radiating pain).
Total knee replacement
Overall, 263 physiotherapists out of the 367 respondents have indicated the functional tests used to determine
the evolution of patients suffering from total knee replacement. The distribution of functional tests is
presented in Figure 4.10. Two functional tests not included in the pre-established list of the questionnaire
were considered as it was mentioned by at least 10 physiotherapists (see Appendix 4.C). They concern tape
measure (to assess the muscle perimeters) and clinical functional assessments (e.g., walking, bicycling, and
climbing stairs). The most frequent functional tests used by Belgian ambulatory physiotherapists to assess
patients with total knee replacement refer to clinical tests carried out by the physiotherapists as part of the
clinical examination but not (or almost not) documented in the literature. The most frequent clinical tests used
by Belgian ambulatory physiotherapists were, from the most prevalent to the least: observation (98 ± 02%),
anamnesis (89 ± 04%), goniometry (80 ± 05%), palpation (76 ± 05%), and muscular testing (71 ± 05%). The
Lower Extremity Functional Scale (LEFS), one of the rare functional assessment tool whose metric properties
and quality appraisal has been documented is rarely used by Belgian ambulatory physiotherapists (03 ± 02%).