Ulla Werlauff Methods to assess physical functioning - Danske ...

Data analyses / Statistics ................................................................................................................................................... 29
RESULTS ......................................................................................................................................................................... 31
Assessments at impairment level ...................................................................................................................................... 31
Dynamic muscle strength / Manual muscle test (study I, II, III) .................................................................................. 31
Isometric muscle strength / Hand held Dynamometry (studies I, II) ........................................................................... 33
Range of motion in upper limbs (studies I, II) ............................................................................................................. 33
Respiratory capacity (studies I and III) ........................................................................................................................ 34
Assessments at activity level ............................................................................................................................................ 35
Brooke upper limb scale (studies I, II, III) ................................................................................................................... 35
EK scale (studies I, II, III)............................................................................................................................................ 36
Hammersmith functional motor scale (study I) ............................................................................................................ 37
Motor Function Measure (study II) .............................................................................................................................. 38
Assessments at participation level .................................................................................................................................... 39
Fatigue Severity Scale .................................................................................................................................................. 39
Visual analogue scale ................................................................................................................................................... 39
Reliability..................................................................................................................................................................... 39
Content validity ............................................................................................................................................................ 39
Construct validity ......................................................................................................................................................... 41
MAIN RESULTS ............................................................................................................................................................. 42
Study I .......................................................................................................................................................................... 42
Study II ........................................................................................................................................................................ 42
Study III ....................................................................................................................................................................... 42
Study IV ....................................................................................................................................................................... 43
DISCUSSION ................................................................................................................................................................... 45
Generic versus disease specific scales ......................................................................................................................... 45
Scale level .................................................................................................................................................................... 46
Assessments at impairment level ...................................................................................................................................... 47
Manual muscle test ...................................................................................................................................................... 47
Hand held dynamometry .............................................................................................................................................. 48
Range of motion ........................................................................................................................................................... 48
Respiratory capacity ..................................................................................................................................................... 49
Assessments at activity level ............................................................................................................................................ 49
Brooke upper limb scale .............................................................................................................................................. 50
Egen Klassifikation scale ............................................................................................................................................. 50
Hammersmith functional motor scale .......................................................................................................................... 50
Motor Function Measure .............................................................................................................................................. 51
Assessments at participation level .................................................................................................................................... 52
Fatigue Severity Scale .................................................................................................................................................. 52
Visual analogue scale ................................................................................................................................................... 52
CONCLUSION ................................................................................................................................................................ 55
REFERENCES ................................................................................................................................................................. 56
APPENDIX – THE FUNCTIONAL SCALES, PAPERS ................................................................................................ 69
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