Clinical reasoning in occupational therapy involves therapists using their knowledge and experience to evaluate a client and determine the appropriate treatment. Therapists must gather information about the client's medical history, current symptoms, abilities and goals to develop an understanding of how the condition impacts their daily activities. This evaluation process allows occupational therapists to create customized treatment plans that focus on improving a client's functioning and independence through therapeutic activities.
Clinical reasoning in occupational therapy involves therapists using their knowledge and experience to evaluate a client and determine the appropriate treatment. Therapists must gather information about the client's medical history, current symptoms, abilities and goals to develop an understanding of how the condition impacts their daily activities. This evaluation process allows occupational therapists to create customized treatment plans that focus on improving a client's functioning and independence through therapeutic activities.
- Whipple's disease is a rare infection caused by the bacterium Tropheryma whipplei. It was first reported in 1907 but the bacterium was not identified until 1991 and not cultured until 2000.
- Classic symptoms include weight loss, diarrhea, arthralgia or arthritis. Neurological involvement occurs in 10-40% of cases and can include cognitive changes, supranuclear ophthalmoplegia, and altered consciousness.
- T. whipplei can also cause heart infections in 17-55% of cases, with infiltration of the pericardium, myocardium, and endocardium. Endocarditis from T. whipplei is a potential cause of sudden
An incomplete spinal cord injury results in partial damage to the spinal cord, leaving some motor and sensory function remaining below the level of injury. The effects depend on the area of the cord damaged, such as the anterior, central, or posterior regions. Common types of incomplete injury include anterior cord syndrome, central cord syndrome, and Brown-Séquard syndrome. Recovery from incomplete injuries can vary greatly between individuals based on the specific nerves impacted.
This document discusses ankle instability and chronic ankle sprains. It begins by describing the anatomy of the ankle joint and its ligaments. It then explains that ankle sprains are common injuries, often caused by an inversion mechanism. Chronic ankle instability can develop after repeated sprains and is characterized by recurrent sprains, pain, and a feeling of the ankle giving way. Treatment of ankle sprains focuses on RICE initially, followed by bracing and physical therapy to improve strength, range of motion and proprioception. Surgery is rarely needed except for severe, unresolving cases.
Outcome measures and their importance in physiotherapy practice and researchAkhilaNatesan
Outcome measures are used to assess a patient's status and progress over time. They can be in the form of questionnaires completed by patients or performance-based tests administered by clinicians. It is important to choose valid and reliable outcome measures that were properly developed and tested. Outcomes are broadly considered physical, social, and psychological well-being. They provide information about treatment effectiveness beyond traditional measures like mortality and help evaluate quality of care.
Este documento discute condromalácia patelar, incluindo sua epidemiologia, fisiopatologia, diagnóstico e tratamento. A condromalácia patelar ocorre quando há compressão repetida anormal da cartilagem articular do joelho. Sintomas incluem dor na região anterior do joelho, especialmente durante movimentos de compressão. O tratamento envolve fisioterapia, exercícios e, em alguns casos, cirurgia.
- Whipple's disease is a rare infection caused by the bacterium Tropheryma whipplei. It was first reported in 1907 but the bacterium was not identified until 1991 and not cultured until 2000.
- Classic symptoms include weight loss, diarrhea, arthralgia or arthritis. Neurological involvement occurs in 10-40% of cases and can include cognitive changes, supranuclear ophthalmoplegia, and altered consciousness.
- T. whipplei can also cause heart infections in 17-55% of cases, with infiltration of the pericardium, myocardium, and endocardium. Endocarditis from T. whipplei is a potential cause of sudden
An incomplete spinal cord injury results in partial damage to the spinal cord, leaving some motor and sensory function remaining below the level of injury. The effects depend on the area of the cord damaged, such as the anterior, central, or posterior regions. Common types of incomplete injury include anterior cord syndrome, central cord syndrome, and Brown-Séquard syndrome. Recovery from incomplete injuries can vary greatly between individuals based on the specific nerves impacted.
This document discusses ankle instability and chronic ankle sprains. It begins by describing the anatomy of the ankle joint and its ligaments. It then explains that ankle sprains are common injuries, often caused by an inversion mechanism. Chronic ankle instability can develop after repeated sprains and is characterized by recurrent sprains, pain, and a feeling of the ankle giving way. Treatment of ankle sprains focuses on RICE initially, followed by bracing and physical therapy to improve strength, range of motion and proprioception. Surgery is rarely needed except for severe, unresolving cases.
Outcome measures and their importance in physiotherapy practice and researchAkhilaNatesan
Outcome measures are used to assess a patient's status and progress over time. They can be in the form of questionnaires completed by patients or performance-based tests administered by clinicians. It is important to choose valid and reliable outcome measures that were properly developed and tested. Outcomes are broadly considered physical, social, and psychological well-being. They provide information about treatment effectiveness beyond traditional measures like mortality and help evaluate quality of care.
Este documento discute condromalácia patelar, incluindo sua epidemiologia, fisiopatologia, diagnóstico e tratamento. A condromalácia patelar ocorre quando há compressão repetida anormal da cartilagem articular do joelho. Sintomas incluem dor na região anterior do joelho, especialmente durante movimentos de compressão. O tratamento envolve fisioterapia, exercícios e, em alguns casos, cirurgia.
1. 理学療法科学 21(4):357–362,2006
■研究論文
臨床的体幹機能検査(FACT)の開発と信頼性
Development and Reliability of Functional Assessment for Control of Trunk (FACT)
奥田 裕1) 荻野 禎子1) 小澤 佑介1)
原田 慎一1) 江連 亜弥1) 内山 靖2)
YUTAKA OKUDA, RPT1), YOSHIKO OGINO, RPT1), YUSUKE OZAWA, RPT1), SHINICHI HARADA, RPT1),
AYA EDURE, RPT1), YASUSHI UCHIYAMA, RPT, PhD2)
1) Rehabilitation Amakusa Hospital: 343 Hirakata, Koshigaya, Saitama 343-0002, Japan. TEL +81 48-977-3979
2) Department of Physical Therapy, Faculy of Medicine,Gunma University
Rigakuryoho Kagaku 21(4): 357–362, 2006. Submitted Jan. 13, 2006. Accepted Jun. 26, 2006.
ABSTRACT: We aimed to develop a Functional Assessment for Control of Trunk (FACT), and determine its reliabil-
ity in this study. FACT judges the trunk performance and consists of 10 items with a full score of 20. Five physical
therapists arranged in pairs, separately performed FACT for 23 cerebrovascular accident patients. We studied the inter-
rater reliability of total scores with intra-class correlation coefficient (2,1), and analyzed the adjustment rate per item
with percentages and κ coefficients. We used Cronbach’s α for internal consistency. High inter-rater reliability
(ICC(2,1)=0.96) was found for the total score. The agreement rate for each item ranged from 87-100%, κ coefficients
0.62-1, showing sufficient reliability for clinical introduction; Cronbach’s α was 0.81. FACT is able to assess trunk
function through a points measure of performance, and its application in clinical settings and research as a treatment-
oriented test method is anticipated.
Key words: Functional Assessment for Control of Trunk, cerebrovascular accident, reliability
要旨:臨床的体幹機能検査(FACT: Functional Assessment for Control of Trunk)を開発し,信頼性を明らかにすること
を目的とした。FACTは体幹にかかわるパフォーマンスの可否を判定するもので,10項目20点満点で構成されている。
脳卒中者23例を対象として,理学療法士5名でペアを作り,別々にFACTを実施した。検者間信頼性について,合計点
では級内相関係数(2,1),項目毎の合致率は%とκ係数を用いて検討した。内的整合性はクロンバックのα係数を用いた。
合計点は検者間で高い信頼性を認めた(ICC(2,1)=0.96)。項目毎では87~100%の一致率が示され,κ係数は0.62~1で臨
床導入が可能な信頼性を有することが示された。また,クロンバックのαは0.81であった。FACTは体幹機能をパフォー
マンスによる得点尺度で捉えることができ,治療指向的な検査法の一つとして臨床,研究両分野での適用が期待され
る。
キーワード:臨床的体幹機能検査,脳卒中,信頼性
1)
リハビリテーション天草病院 リハビリテーション部:埼玉県越谷市平方343(〒343-0002)TEL 048-977-3979
2)
群馬大学 医学部保健学科理学療法学専攻
受付日 2006年1月13日 受理日 2006年6月26日