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Reham Badawy, Yordan P Raykov, Luc J W Evers, Bastiaan R Bloem, Marjan J Faber, Andong Zhan, Kasper Claes, Max A Little
The use of wearable sensing technology for objective, non-invasive and remote clinimetric testing of symptoms has considerable potential. However, the accuracy achievable with such technology is highly reliant on separating the useful from irrelevant sensor data. Monitoring patient symptoms using digital sensors outside of controlled, clinical lab settings creates a variety of practical challenges, such as recording unexpected user behaviors. These behaviors often violate the assumptions of clinimetric testing protocols, where these protocols are designed to probe for specific symptoms...
April 16, 2018: Sensors
Fausto Salaffi, Giovanni Giacobazzi, Marco Di Carlo
Chronic pain is nowadays considered not only the mainstay symptom of rheumatic diseases but also "a disease itself." Pain is a multidimensional phenomenon, and in inflammatory arthritis, it derives from multiple mechanisms, involving both synovitis (release of a great number of cytokines) and peripheral and central pain-processing mechanisms (sensitization). In the last years, the JAK-STAT pathway has been recognized as a pivotal component both in the inflammatory process and in pain amplification in the central nervous system...
2018: Pain Research & Management: the Journal of the Canadian Pain Society
Raj Dedhia, Tsung-Yen Hsieh, Oliver Chin, Taha Z Shipchandler, Travis T Tollefson
Importance: In the setting of facial paralysis, inadequate eyelid closure and lower eyelid ectropion can lead to corneal exposure and impaired quality of life. Repair of paralytic ectropion is challenging, and an ideal surgical approach for all cases has not been identified. Objective: To assess the patient-reported outcomes and eyelid position improvement in patients with flaccid facial paralysis undergoing lateral eyelid coupling with a tarsal strip canthoplasty and modified tarsoconjunctival flap to correct eyelid malposition...
April 5, 2018: JAMA Facial Plastic Surgery
Alberto Vascellari, Davide Venturin, Carlo Ramponi, Giulia Ben, Antonio Poser, Alex Rossi, Nicolò Coletti
BACKGROUND: The Italian versions of Shoulder Pain and Disability Index (SPADI), Simple Shoulder Test (SST), and University of California-Los Angeles (UCLA) Shoulder Rating Scale have been validated to assess shoulder dysfunction in patients treated for neck cancer. The present study investigated the psychometric properties of the Italian versions of the SPADI, SST, and UCLA in patients after shoulder surgery for anterior instability. MATERIALS AND METHODS: The study population included 98 patients...
March 29, 2018: Journal of Shoulder and Elbow Surgery
Pierrette Baschung Pfister, Eling D de Bruin, Iris Sterkele, Britta Maurer, Rob A de Bie, Ruud H Knols
Manual muscle testing (MMT) and hand-held dynamometry (HHD) are commonly used in people with inflammatory myopathy (IM), but their clinimetric properties have not yet been sufficiently studied. To evaluate the reliability and validity of MMT and HHD, maximum isometric strength was measured in eight muscle groups across three measurement events. To evaluate reliability of HHD, intra-class correlation coefficients (ICC), the standard error of measurements (SEM) and smallest detectable changes (SDC) were calculated...
2018: PloS One
Thomas Petzold, Stefanie Deckert, Paula R Williamson, Jochen Schmitt
We conducted a systematic review of clinical guidelines (CGs) to examine the methodological approaches of quality indicator derivation in CGs, the frequency of quality indicators to check CG recommendations in routine care, and clinimetric properties of quality indicators. We analyzed the publicly available CG databases of the Association of the Scientific Medical Societies in Germany (AWMF) and National Institute for Health and Care Excellence (NICE). Data on the methodology of subsequent quality indicator derivation, the content and definition of recommended quality indicators, and clinimetric properties of measurement instruments were extracted...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
Tiago A Mestre, Noelle E Carlozzi, Aileen K Ho, Jean-Marc Burgunder, Francis Walker, Aileen M Davis, Monica Busse, Lori Quinn, Filipe B Rodrigues, Cristina Sampaio, Christopher G Goetz, Esther Cubo, Pablo Martinez-Martin, Glenn T Stebbins
The compromise of quality of life in Huntington's disease is a major issue, both for individuals with the disease as well as for their caregivers. The International Parkinson and Movement Disorder Society commissioned a review of the use and clinimetric validation status of measures used in Huntington's disease to assess aspects related with quality of life and to make recommendations on their use following standardized criteria. We included both patient-centered measures (patient health-related quality-of-life measures) and caregiver-centered measures (caregiver quality-of-life measures)...
March 23, 2018: Movement Disorders: Official Journal of the Movement Disorder Society
Katja Ehrenbrusthoff, Cormac G Ryan, Christian Grüneberg, Denis J Martin
BACKGROUND: Deficits in the sensorimotor system and its peripheral and central processing of the affected body part might be a contributing factor to chronic low back pain (CLBP). Hence, sensorimotor assessment is important. Valid and reliable sensorimotor measurement instruments are needed. OBJECTIVE: To investigate the reliability and validity of sensorimotor measurement instruments for people with chronic low back pain (CLBP). DESIGN: Systematic review and meta-analysis...
March 2, 2018: Musculoskeletal Science & Practice
Per Bech, Stephen Fitzgerald Austin, Marianne Engelbrecht Lau
INTRODUCTION: Patient-reported outcome measures (PROMs) for anxiety and depressive disorders are an important aspect of measurement-based care. AIM: The aim of the study was to perform a clinimetric analysis of two PROMs scales in patents with depression and anxiety. METHODS: Patients completed a 10-item version (SCL-10) of the Symptom Checklist to measure burden of symptoms and a brief 5-item version of World Health Organization Well-being scale (WHO-5) to measure quality of life...
March 16, 2018: Nordic Journal of Psychiatry
María Carmen Saucedo Figueredo, Juan Carlos Morilla Herrera, Mercedes San Alberto Giraldos, Inmaculada López Leiva, Álvaro León Campos, Celia Martí García, Silvia García Mayor, Shakira Kaknani Uttumchandani, José Miguel Morales Asencio
AIMS: To adapt the Edinburgh Feeding Evaluation in Dementia Scale (EdFED) for use in a Spanish-speaking population and to assess its validity and reliability in patients with dementia. METHOD: A cross-sectional study was carried out in two stages: 1. Cross-cultural adaptation (translation, back-translation, review by committee of experts, pilot test and weighting of results); 2. Clinimetric validation comprising interobserver reliability assessment, test-retest reliability and internal consistency...
2018: PloS One
Rodrigo Marín-Navarrete, Aldebarán Toledo-Fernández, Luis Villalobos-Gallegos, Carlos Roncero, Nestor Szerman, María Elena Medina-Mora
This study explored the clinical importance of latent impulsivity subtypes within a sample of individuals with substance use disorders (SUDs) and high rates of co-occurring disorders (CODs) receiving residential treatment, aiming to assess the heterogeneity of the associations between SUDs and CODs across such impulsivity subtypes. The abbreviated Barratt impulsiveness scale was used to assess motor and cognitive (attentional and nonplanning) impulsivity, a structured interview for diagnosis of SUD and CODs, and other clinimetric measures for severity of substance use...
2018: Frontiers in Psychiatry
A van Schaaijk, K Nieuwenhuijsen, M H W Frings-Dresen, J K Sluiter
Background: Work ability (WA) and work functioning (WF) instruments can be useful in occupational health practice. The reproducibility of both instruments is important to their relevance for daily practice. Clinimetrics concerns the methodological and statistical quality of instruments and their performance in practice. Aims: To assess the reproducibility of WA and WF instruments. Methods: Dutch workers completed a questionnaire containing WA questions and the WF questionnaire twice with a 7-day interval between...
February 17, 2018: Occupational Medicine
Yimy F Medina, Rafael Eduardo Ruíz-Gaviria, Adriana Buitrago-Lopez, Catalina Villota
To summarize evidence concerning the articular examination needed to determine rheumatoid arthritis (RA) activity (follow-up or control) via a systematic review. A search of Medline, Embase, Lilacs, SciELO, the Web of Science, the National Technical Reports Library, and the reference lists of relevant studies through March 2017 was conducted using a systematic methodology to identify studies of patients with RA older than 18 years in which a detailed description of the physical examination or a description of the components of the articular examination was provided...
February 20, 2018: Clinical Rheumatology
Scott W Cheatham, Morey J Kolber, G Monique Mokha, William J Hanney
Background: Manual pressure palpation is an examination technique used in the classification of myofascial pain syndrome (MPS) and fibromyalgia (FM). Currently, there are no validated systems for classifying results. A valid and reliable pressure pain threshold scale (PPTS) may provide a means for clinicians to grade, document, and report findings. The purpose of this investigation was to validate a PPTS in individuals diagnosed with MPS and FM. Intra-rater reliability, concurrent validity, minimum cut-off value, and patient responses were evaluated...
February 2018: Journal of Manual & Manipulative Therapy
Saurab Sharma, Pascal Thibault, J Haxby Abbott, Mark P Jensen
Background: Pain catastrophizing is an exaggerated negative cognitive response related to pain. It is commonly assessed using the Pain Catastrophizing Scale (PCS). Translation and validation of the scale in a new language would facilitate cross-cultural comparisons of the role that pain catastrophizing plays in patient function. Purpose: The aim of this study was to translate and culturally adapt the PCS into Nepali (Nepali version of PCS [PCS-NP]) and evaluate its clinimetric properties...
2018: Journal of Pain Research
Marie-Andrée Couture, Valérie Calva, Ana de Oliveira, Léo LaSalle, Nancy Forget, Bernadette Nedelec
INTRODUCTION: Burns of the face and mouth region have a profound impact on function. Currently the outcome measure that is most commonly used in the burn care literature is horizontal and vertical opening. Impairment-based outcomes such as this do not capture the functional implications of these injuries in spite of the devastating impact they can have on burn survivor's lives. PURPOSE OF THE STUDY: To generate an assessment that evaluates the impairments, activity limitations, and participation restrictions associated with mouth injuries and prospectively collect data to examine the clinimetric properties...
February 7, 2018: Burns: Journal of the International Society for Burn Injuries
Dongni Johansson, Kristina Malmgren, Margit Alt Murphy
OBJECTIVES: Wearable technology is increasingly used to monitor neurological disorders. The purpose of this systematic review was to synthesize knowledge from quantitative and qualitative clinical researches using wearable sensors in epilepsy, Parkinson's disease (PD), and stroke. METHODS: A systematic literature search was conducted in PubMed and Scopus spanning from 1995 to January 2017. A synthesis of the main findings, reported adherence to wearables and missing data from quantitative studies, is provided...
February 9, 2018: Journal of Neurology
W M Oo, J M Linklater, M Daniel, S Saarakkala, J Samuels, P G Conaghan, H I Keen, L A Deveza, D J Hunter
OBJECTIVE: The aims of this study were to systematically review clinimetrics of commonly assessed ultrasound pathologies in knee, hip and hand osteoarthritis (OA), and to conduct a meta-analysis for each clinimetric. METHODS: Medline, Embase, and Cochrane Library databases were searched from their inceptions to September 2016. According to the Outcome Measures in Rheumatology (OMERACT) Instrument Selection Algorithm, data extraction focused on ultrasound technical features and performance metrics...
February 7, 2018: Osteoarthritis and Cartilage
Muhammad Hibatullah Romli, Lynette Mackenzie, Meryl Lovarini, Maw Pin Tan, Lindy Clemson
Home hazards are associated with falls among older people living in the community. However, evaluating home hazards is a complex process as environmental factors vary according to geography, culture, and architectural design. As a result, many health practitioners commonly use nonstandardized assessment methods that may lead to inaccurate findings. Thus, the aim of this systematic review was to identify standardized instruments for evaluating home hazards related to falls and evaluate the clinimetric properties of these instruments for use by health practitioners...
March 2018: Evaluation & the Health Professions
Nina Timmerby, Fiammetta Cosci, Maggie Watson, Claudio Csillag, Florence Schmitt, Barbara Steck, Per Bech, Mikael Thastum
BACKGROUND: The Family Assessment Device (FAD) is a 60-item questionnaire widely used to evaluate self-reported family functioning. However, the factor structure as well as the number of items has been questioned. A shorter and more user-friendly version of the original FAD-scale, the 36-item FAD, has therefore previously been proposed, based on findings in a nonclinical population of adults. AIMS: We aimed in this study to evaluate the brief 36-item version of the FAD in a clinical population...
February 7, 2018: Nordic Journal of Psychiatry
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