Download the supplement (208 p.) - KCE
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<strong>KCE</strong> reports vol. 40 APPENDICES Physio<strong>the</strong>rapy 145<br />
Observation<br />
Anamnesis<br />
Muscular testing<br />
Palpation<br />
Bobath assessment<br />
Functional Independence Measure<br />
Berg Balance Scale<br />
Ashworth scale<br />
Functional Assessment Measure<br />
Picard assessment<br />
Fugl-Meyer Test<br />
SF-36 scale<br />
Bar<strong>the</strong>l Index<br />
Proportion of physio<strong>the</strong>rapists using functional<br />
tests to assess hemiplegia/paresis (%)<br />
0 10 20 30 40 50 60 70 80 90 100<br />
0 50 100 150 200 250<br />
n = 294<br />
Number of physio<strong>the</strong>rapists using functional<br />
tests to assess hemiplegia/paresis (n)<br />
Figure 4.11 Distribution of <strong>the</strong> functional tests used by Belgian ambulatory physio<strong>the</strong>rapists to assess<br />
hemiplegia/hemiparesis.<br />
Gait disorders in elderly people<br />
Overall, 309 physio<strong>the</strong>rapists out of <strong>the</strong> 367 respondents have indicated <strong>the</strong> functional tests used to determine<br />
<strong>the</strong> evolution of elderly patients suffering from gait disorders. The distribution of functional tests is presented<br />
in Figure 4.12. The most frequent functional tests used by Belgian ambulatory physio<strong>the</strong>rapists to assess elderly<br />
patients with gait disorders refer to clinical tests carried out by <strong>the</strong> physio<strong>the</strong>rapists as part of <strong>the</strong> clinical<br />
examination and to standardised functional assessment tools requisite by <strong>the</strong> INAMI/RIZIV (i.e., Tinetti Balance<br />
and Gait Evaluation, 6-Minutes Walk Test). The most frequent functional tests used by Belgian ambulatory<br />
physio<strong>the</strong>rapists were, from <strong>the</strong> most prevalent to <strong>the</strong> least: observation (96 ± 02%), anamnesis (85 ± 04%),<br />
Tinetti Balance and Gait Evaluation (81 ± 04%), and muscular testing (53 ± 06%). Six-Minutes Walk Test and<br />
palpation were also functional tests moderately used in ambulatory practice (40 ± 05% and 35 ± 05%,<br />
respectively). O<strong>the</strong>r standardised functional assessment tools not requisite by <strong>the</strong> INAMI/RIZIV (i.e., One-Leg<br />
Balance Test, Timed Get-Up-and-Go Test, Tests d Anticipation Posturale , Functional Reach Test, Berg<br />
Balance Scale, Test minimum moteur , and Modified Gait Abnormality Rating Scale) are rarely used by Belgian<br />
ambulatory physio<strong>the</strong>rapists (cumulated proportion: 29 ± 05%).