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題 名 | 冰凍肩患者物理治療評估表之臨床實用性=Tests of Physical Therapy Assessment Form for Patients with Frozen Shoulders |
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作 者 | 林居正; 曹昭懿; 吳英黛; | 書刊名 | 物理治療 |
卷 期 | 25:3 2000.05[民89.05] |
頁 次 | 頁157-168 |
分類號 | 418.996、418.996 |
關鍵詞 | 評估表; 冰凍肩; 物理治療; 信度分析; 成果評量; Assessment form; Frozen shoulder; Physical therapy; Reliability; Outcome measurement; |
語 文 | 中文(Chinese) |
中文摘要 | 背景與目的:為了協助物理治療支付制度之架構及標準,建立疾患適當之評估表是有需要的。本研究以修正之德菲法(modified Delphi method)設計冰凍肩病患之評估表格,測試其專家效度及信度,並檢驗此評估表是否可反應冰凍肩病患之療程及各階段之療效。 方法:23位資深骨科物理治療師協助設計評估表,最後有18位參與評估表之效度評估,其中14位(78%)同意評估表之設計,4位(22%)認為評估表有1個以上的項目需要修改。14位冰凍肩病患,接受1位物理治療師以本研究最後修訂之量表連續2次評估(間隔小於3天),及接受另一位物理治療師評估,做為評估表測試者內及測試者間之信度分析。 結果:除了肩胛骨外滑度測試者內及測試者間信度值略微偏低(分別為0.61及0.66),其他項目均有良好測試者內及測試者間信度值(0.85-0.99)。33位冰凍肩病患完成評估表之追蹤分析,22位接受3次評估、5位接受4次評估、6位接受5次評估,冰凍肩病患之物理治療評估總分在26星期內由31-46分進步到停止物理治療的78-84分(p<0.01)。 結論:此評估表有良好之信、效度,而且可以反應出冰凍肩病患接受物理治療之進步情形,可作為評估療效的依據。 |
英文摘要 | Background and Purposes: It is important to establish a comprehensive assessment form for patients who receive physical therapy services in the era of managed care and evidence based medicine. This study was conducted to (1) develop a physical therapy assessment form for frozen shoulder using modified Delphi method; (2) examine its validity and reliability; and (3) investigate the responsiveness of this assessment form. Methods: Twenty-three senior physical therapists were invited to develop a physical therapy assessment form for frozen shoulder. Eighteen of them (78%) went through the expert validation process. Seventy-eight percent (14 physical therapists) agreed with this assessment form, while 22% (4 physical therapists) did not agree completely on some items of the form. Fourteen patients participated in reliability tests. One physical therapist assessed these patients twice to test intra-tester reliability. These patients were also assessed by another physical therapist at the same time for inter-tester reliability. Results: Good intra-tester and inter-tester reliability were found(ICC=O.85-0.99)in all items except scapula sliding test (inter- tester reliability=O.61, inter-tester reliability=O.66).Thirty-three patients with frozen shoulders were assessed for the responsiveness of these diseases. These patients had significant improvement from 31-46 to 78-84 in total scores on the final evaluation (p<0.01) ,which include the assessment of pain, function, scapula sliding, muscle strength, range of motion, and satisfaction according to the developed form. Conclusion: The physical therapy assessment form for frozen shoulders developed in this study can be used as a reference for evaluating physical therapy treatment outcomes. |
本系統中英文摘要資訊取自各篇刊載內容。