Download the supplement (208 p.) - KCE

More documents

Recommendations

Info

146 APPENDICES Physiotherapy Observation Anamnesis Tinetti Balance and Gait Evaluation Muscular testing 6-Minutes Walk Test Palpation Cardiofrequencymeter Goniometry One-Leg Balance Test Timed Get-Up-and-Go Test "Tests d'Anticipation Posturale" Functional Reach Test Berg Balance Scale "Test minimum moteur" Modified Gait Abnormality Rating Scale Proportion of physiotherapists using functional tests to assess gait disorders in elderly (%) 0 10 20 30 40 50 60 70 80 90 100 n = 309 0 50 100 150 200 250 300 Number of physiotherapists using functional tests to assess gait disorders in elderly (n) Figure 4.12 Distribution of the functional tests used by Belgian ambulatory physiotherapists to assess gait disorders in elderly people. Bronchiolitis in infants and children Overall, 186 physiotherapists out of the 367 respondents have indicated the functional tests used to determine the evolution of infants/children suffering from bronchiolitis. The distribution of functional tests is presented in Figure 4.13. One functional test not included in the pre-established list of the questionnaire was considered as it was mentioned by at least 10 physiotherapists (see Appendix 4.C). It concerns chest palpation. The most frequent clinical tests used by Belgian ambulatory physiotherapists to assess infants/children with bronchiolitis were, from the most prevalent to the least: anamnesis (82 ± 06%) and pulmonary auscultation (62 ± 07%). Observation was also a clinical test moderately used in ambulatory practice (28 ± 06%). To our knowledge, no standardised functional assessment tools whose metric properties and quality appraisal have been pretty documented exist in the scientific literature. Anamnesis Pulmonary auscultation Observation Spirometry Added functional test: Chest palpation Pulse oximetry Proportion of physiotherapists using functional tests to assess bronchiolitis in infants/children (%) 0 10 20 30 40 50 60 70 80 90 100 n = 186 0 20 40 60 80 100 120 140 160 180 Number of physiotherapists using functional tests to assess bronchiolitis in infants/children (n) Figure 4.13 Distribution of the functional tests used by Belgian ambulatory physiotherapists to assess bronchiolitis in infants/children.
KCE reports vol. 40 APPENDICES Physiotherapy 147 1.2.5. Key element in the establishment of physiotherapeutic treatment planning The key element on which the physiotherapists go to establish their treatment planning is presented in Table 4.7 and illustrated in Figure 4.14. Most of the Belgian ambulatory physiotherapists (89 ± 4%) establish their treatment planning on the basis of the patient s functional status as estimated with clinical tests. The data were also broken down into physiotherapists age, sex, linguistic role, and delay since the degree of physiotherapy and rehabilitation (see Table 4.7). No significant difference was observed for any of the physiotherapists characteristics. 1.2.6. Knowledge and use of the ICF concepts The knowledge and the use of the concepts of the International Classification of Functioning, Disability, and Health (ICF) proposed by the World Health Organization in the physiotherapeutic practice is presented in Table 4.8 and illustrated in Figures 4.15 and 4.16. Most of the Belgian ambulatory physiotherapists do not known the ICF concepts (85 ± 4%). Moreover, only 4 ± 2% of the physiotherapists knowing the ICF concepts use these concepts in their practice (e.g., to define the objectives of the treatment or to determine the patient s evolution).
Page 1 and 2:
Functional status of the patient: a
Page 3 and 4:
Functional status of the patient: a
Page 5 and 6:
KCE reports vol. 40 APPENDICES Phys
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
KCE reports vol.40 APPENDICES Physi
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
5 KCE reports vol.40 APPENDICES Phy
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98: KCE reports vol. 40 APPENDICES Phys
Page 147: KCE reports vol. 40 APPENDICES Phys
Page 175 and 176: KCE reports vol.40 APPENDICES Physi
Page 177 and 178: KCE reports vol.40 APPENDICES Physi
Page 191 and 192: 13 14 15 16 17 18 19 20 21 22 23 24
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
show all

Download the supplement (208 p.) - KCE

Create successful ePaper yourself

Delete template?

Save as template?