Patient-Reported Quality of Care for Osteoarthritis: Development and Testing of the OsteoArthritis Quality Indicator Questionnaire.
Patient-reported quality of care for osteoarthritis: Development and testing of the OsteoArthritis Quality Indicator Questionnaire.
Filed under: Rehab Centers
Arthritis Care Res (Hoboken). 2013 Feb 11;
Osterås N, Garratt A, Grotle M, Natvig B, Kjeken I, Kvien TK, Hagen KB
OBJECTIVE: The purpose of this study was to develop and test a new instrument for patient self-reported quality of osteoarthritis (OA) care, and to provide quality indicator (QI) pass rates in a Norwegian OA cohort. METHODS: The OsteoArthritis Quality Indicator (OA-QI) questionnaire was developed using published QIs, expert panels, and patient interviews. Self-reported data were collected from 359 persons in a Norwegian OA cohort, and test-retest reliability and validity were assessed. Separate QI pass rates and summary QI pass rates were calculated. RESULTS: The 17-item questionnaire includes QIs related to patient education and information, regular provider assessments, referrals and pharmacological treatment. The patient self-reported questionnaire was completed with minimal respondent burden. Support for content validity was confirmed by two patient research partners and two expert panels. All ten predefined hypotheses relating to construct validity were confirmed. Test-retest Kappa coefficients ranged from 0.20-0.80 and the percent of exact agreement from 62% to 90%. The mean pass rate for individual QIs was 31% (range: 5 – 49%). Median summary QI pass rate was 27% (IQR 12 – 50%) with lower summary pass rates for non-pharmacological compared to pharmacological treatments. CONCLUSION: To our knowledge this is the first instrument developed to measure patient-reported QI pass rates for OA care. This study indicates that the OA-QI questionnaire is acceptable to persons with OA, and its short format makes it suitable for population surveys. The low patient self-reported QI pass rates in this study suggest a potential for quality improvement in OA care. © 2013 by the American College of Rheumatology.
HubMed – rehab
Effects of the heel-to-toe rocker sole on walking in able-bodied persons.
Filed under: Rehab Centers
Prosthet Orthot Int. 2013 Feb 11;
Arazpour M, Hutchins SW, Ghomshe FT, Shaky F, Karami MV, Aksenov AY
Background and aim:The most commonly prescribed external shoe modification is the use of rocker soles. The aim of this study was to evaluate the effect of a heel-to-toe rocker sole profile on specific temporal-spatial parameters and the kinematics of walking when added to footwear.Method:Seventeen healthy adult volunteers participated in this study. For each subject, gait analysis was performed under two conditions that were tested in a random order: walking with either a baseline shoe with a flat sole or a modified shoe adapted with a heel-to-toe rocker sole.Results:Significant differences were observed between rocker sole conditions during initial double-limb support and second double-limb support during stance phase. In frontal plane movement, significant differences were observed between the rocker sole conditions but only during second double-limb support phase.Conclusions:This heel-to-toe rocker sole may be useful for patients with conditions such as ankle arthrodesis or for use with ankle-foot orthoses where limited ankle motion is required.Clinical relevanceThe heel-to-toe rocker sole may be useful for conditions including ankle arthrodesis and for use with solid ankle-foot orthoses but may not be suitable for patients with reduced balance or an unstable posture.
HubMed – rehab
The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis.
Filed under: Rehab Centers
Prosthet Orthot Int. 2013 Feb 11;
Azadinia F, Kamyab M, Behtash H, Maroufi N, Larijani B
Background:Hyperkyphosis increases the risk of falls for elderly people by reducing postural balance. Spinomed orthosis and the posture-training support are two available options for improving postural balance but have never been compared.Objectives:To compare the effect of the Spinomed orthosis and the posture-training support on balance in elderly people with thoracic hyperkyphosis.Study Design:This study is a clinical trial on an accessible sample of elderly people with thoracic kyphosis.Method:Eighteen participants (16 women and 2 men), aged 60-80 years, with thoracic kyphosis greater than 50°, completed the study procedure. Subjects were randomly allocated to two groups, namely, Spinomed orthosis and the posture-training support groups. Sensory organization test and limits of stability were assessed using the EquiTest system and the Balance Master system, respectively. Balance score, directional control, and reaction time were measured to evaluate balance with and without orthosis in a random order.Results:In the posture-training support group, significant changes were observed in the studied balance parameters: balance score (p < 0.001), directional control (p = 0.027), and reaction time (p = 0.047). There was a significant change in balance score (p < 0.001) and directional control (p = 0.032) in the Spinomed group. However, there were no significant differences in the effect of the two orthoses, the Spinomed orthosis and posture-training support, on balance factors.Conclusion:Both Spinomed orthosis and posture-training support may improve balance in the elderly with thoracic hyperkyphosis in a similar manner.Clinical relevanceDespite the importance of falls suffered by elderly people, not much attention has been paid to balance improvement and fall prevention while managing hyperkyphosis. This study evaluates the effect of the Spinomed orthosis and posture-training support on balance in hyperkyphotic elderly people. It provides some new insights into reducing the risk of falls for elderly people. HubMed – rehab
Assessment of Sexual Violence Against Female Students in Wolaita Sodo University, Southern Ethiopia.
Filed under: Rehab Centers
J Interpers Violence. 2013 Feb 11;
Tora A
Studies indicate that girls and women encounter sexual violence in their day-to-day social life in all cultures and societies. This study aimed to determine the prevalence of sexual violence against female students in Wolaita Sodo University; 374 female students provided responses to self-administered questionnaire. The study revealed 23.4% (95% CI = 18.7-27.3) attempted rape, 8.7% (95% CI = 3.6-12.9) completed rape, 24.2% (95% CI = 17.7-26.1) committed physical harassment, 18.7% (95% CI = 12.8-20.3) committed verbal harassment, and 11.3% (95% CI = 6.6-12.6) forced sexual initiation. Reported level of these perpetrations was experienced mainly at high school and during enrollment year in the university. Boyfriends, close friends, family members and relatives, school and university teachers, other employees, and strangers were found to be the key perpetrators of sexual violence against women. Interventions are required to create a safe learning environment for female students through prevention and rehabilitation programs.
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