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Kushagra Verma, Senthil T Nathan, Carly D Comer, Baron Lonner, Suken A Shah
STUDY DESIGN: Prospective Analysis OBJECTIVE.: This study aims to: 1) establish a baseline for the SRS-22 in South East Asia and 2) evaluate the influence of patient demographics on the SRS-22. SUMMARY OF BACKGROUND DATA: Previous studies have established a baseline for the SRS-22 in the US and described the impact of patient demographics. While the SRS-22 is used internationally, limited normative data is available. METHODS: After approval from the local hospital and school board, 1200 adolescents (age 10-18) were asked to anonymously complete the SRS-22 in English...
October 24, 2016: Spine
Christos Karagiannopoulos, Michael Sitler, Susan Michlovitz, Carole Tucker, Ryan Tierney
STUDY DESIGN: Prospective cohort study. INTRODUCTION: The active wrist joint position sense (JPS) test has been determined to be a clinically useful test for assessing wrist sensorimotor (SM) status after distal radius fracture (DRF). Its responsiveness is yet to be determined. PURPOSE OF THE STUDY: Primary study aim was to determine the active wrist JPS test responsiveness to detect change in wrist SM status at 8 and 12 weeks after DRF treatment intervention...
October 18, 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Benedict U Nwachukwu, Kara Fields, Brenda Chang, Danyal H Nawabi, Bryan T Kelly, Anil S Ranawat
BACKGROUND: There is increasing interest in defining meaningful improvement in patient-reported outcomes. Knowledge of the thresholds and determinants for successful femoroacetabular impingement (FAI) outcomes is evolving. PURPOSE: To define preoperative outcome score thresholds and determine clinical/demographic patient factors predictive for achieving the minimal clinically important difference (MCID) after arthroscopic FAI surgery. STUDY DESIGN: Cohort study (diagnosis); Level of evidence, 2...
October 20, 2016: American Journal of Sports Medicine
Mitchell G Maltenfort
The minimally important clinical difference (MCID) is the smallest measureable change in outcome score that will make a difference to the patient. MCID is usually estimated either as the smallest difference that can be detected statistically, or as the difference between patients who respond positively and negatively to an anchor question.• MCID is the least a surgeon can do which benefits the patient from the patient's perspective.• MCID is necessary information in power analyses used to design new studies comparing treatments...
November 2016: Clinical Spine Surgery
Rebecca J Wates, Ike Woodruff, Mark T Pfefer
INTRODUCTION: Patient-reported outcome measures are frequently used to monitor patient progress during chiropractic care, yet student interns utilizing such assessments are unfamiliar with what magnitude of change (MCID) is considered beneficial to the patient. OBJECTIVE: This work seeks to determine chiropractic intern knowledge of MCID. METHODS: A five-item survey was administered to 104 chiropractic student interns. RESULTS: Nearly one-third of the interns correctly defined the MCID acronym, and approximately one-third of the interns knew at least one MCID value for the outcome assessments in the EHR...
September 2016: Journal of the Canadian Chiropractic Association
Ferdinand Krappel, Marco Brayda-Bruno, Giovanni Alessi, Jean-Michel Remacle, Luis Alberto Lopez, Jesus Javier Fernández, Gianluca Maestretti, Christian W A Pfirrmann
PURPOSE: To investigate the short and medium term efficacy and patient outcomes of DIAM spinal stabilization system on back pain, disability, leg pain and quality of life. METHODS: 165 patients were enrolled; 146 patients with a single level disc herniation (L2 to L5) were randomized: 75 investigational (herniectomy and DIAM) and 71 control (herniectomy alone) treated and followed up for 24 months. RESULTS: Significant improvements overtime (P < 0...
October 4, 2016: European Spine Journal
Christophe Duret, Anne Gaelle Grosmaire, Ophélie Courtial
OBJECTIVE: In stroke patients, motor impairments evaluated during the first few weeks usually predict upper limb motor outcomes after rehabilitation. However, a recent growing literature suggests that severe patients might not follow this principle [1]. This study aimed at exploring predictors of motor recovery after intensive training in that sub population of stroke patients. MATERIAL/PATIENTS AND METHODS: Thirty-eight patients with sub-acute hemiparesis (19 females, age 56±17 [19-87] years; time from stroke, 55±22 days) carried out 16 sessions (33±12 days) of robot-assisted adaptive training using a shoulder/elbow device integrated into conventional care...
September 2016: Annals of Physical and Rehabilitation Medicine
Zineb Benhissen, Michel Konzelmann, Philippe Vuistiner, Bertrand Leger, François Luthi, Charles Benaim
OBJECTIVE: The HFS is a pictorial questionnaire with 62 items; it is a self-report functional capacity evaluation of the upper limb [1]. The MCID is important in assessing the effectiveness of a therapy. It has not been estimated for HFS-F [2]. The aim of this study was to estimate the MCID of the HFS-F for patients hospitalized in musculoskeletal rehabilitation for chronic pain of the upper limb. As a comparison, the MCID of the DASH (disabilities of the arm, shoulder and hand) was also estimated...
September 2016: Annals of Physical and Rehabilitation Medicine
Vincent J Alentado, Stephanie Caldwell, Heath P Gould, Michael P Steinmetz, Edward C Benzel, Thomas E Mroz
BACKGROUND CONTEXT: Multiple studies have determined minimum clinically important difference (MCID) thresholds for EuroQOL-5 Dimensions (EQ-5D) scores in lumbar fusion patients. However, a comprehensive understanding of predictors for a CSI postoperatively does not exist. PURPOSE: To determine medical, radiographic and surgical predictors for obtaining a clinically significant improvement (CSI) following lumbar fusion surgery. STUDY DESIGN: Retrospective Review...
September 21, 2016: Spine Journal: Official Journal of the North American Spine Society
Helen Carey, Kathy Martin, Stephanie Combs-Miller, Jill C Heathcock
PURPOSE: The purpose of this study was to determine the absolute reliability and responsiveness of the Timed Up and Go (TUG) test, as measured using minimal detectable change (MDC) and minimal clinical important difference (MCID) values. METHODS: Prospective observational study of children aged 3 to 10 years with cerebral palsy (CP) in Gross Motor Function Classification System levels I-III who completed the TUG test. Minimal detectable change estimates were calculated using baseline data...
2016: Pediatric Physical Therapy
Vanessa L Kronzer, Michelle R Jerry, Michael S Avidan
Despite their widespread use, the two main methods of assessing quality of life after surgery have never been directly compared. To support patient decision-making and study design, we aim to compare these two methods. The first of these methods is to assess quality of life before surgery and again after surgery using the same validated scale. The second is simply to ask patients whether or not they think their post-operative quality of life is better, worse, or the same. Our primary objective is to assess agreement between the two measures...
2016: F1000Research
Dionne E Smid, Frits M E Franssen, Sarah Houben-Wilke, Lowie E G W Vanfleteren, Daisy J A Janssen, Emiel F M Wouters, Martijn A Spruit
OBJECTIVES: Pulmonary rehabilitation enhances health status and mood status in patients with chronic obstructive pulmonary disease (COPD). The aim was to determine the responsiveness of St. George's Respiratory Questionnaire (SGRQ), COPD Assessment Test (CAT), COPD Clinical Questionnaire (CCQ), and Hospital Anxiety and Depression Scale (HADS) to pulmonary rehabilitation in patients with COPD, and estimate minimum clinically important differences (MCIDs) for CAT, CCQ, and HADS. DESIGN: A prospective analysis...
September 10, 2016: Journal of the American Medical Directors Association
Vibeke Strand, Mark Kosinski, Chieh-I Chen, George Joseph, Regina Rendas-Baum, Neil M H Graham, Hubert van Hoogstraten, Martha Bayliss, Chunpeng Fan, Tom Huizinga, Mark C Genovese
BACKGROUND: Sarilumab is a human monoclonal antibody directed against the alpha subunit of the interleukin-6 receptor complex. In the MOBILITY phase III randomized controlled trial (RCT), sarilumab + methotrexate (MTX) treatment resulted in clinical improvements at 24 weeks that were maintained at 52 weeks in adults with rheumatoid arthritis (RA), who have inadequate response to MTX (MTX-IR). These analyses indicate the effects of sarilumab + MTX versus placebo on patient-reported outcomes (PROs) in this RCT...
2016: Arthritis Research & Therapy
Harma Alma, Corina de Jong, Danijel Jelusic, Michael Wittmann, Michael Schuler, Bertine Flokstra-de Blok, Janwillem Kocks, Konrad Schultz, Thys van der Molen
The minimal clinically important difference (MCID) defines to what extent change on a health status instrument is clinically relevant, which aids scientists and physicians in measuring therapy effects. This is the first study that aimed to establish the MCID of the Clinical chronic obstructive pulmonary disease (COPD) Questionnaire (CCQ), the COPD Assessment Test (CAT) and the St George's Respiratory Questionnaire (SGRQ) in the same pulmonary rehabilitation population using multiple approaches. In total, 451 COPD patients participated in a 3-week Pulmonary Rehabilitation (PR) programme (58 years, 65% male, 43 pack-years, GOLD stage II/III/IV 50/39/11%)...
September 1, 2016: NPJ Primary Care Respiratory Medicine
Richard W Bohannon, Rebecca Crouch
RATIONALE, AIMS, AND OBJECTIVES: The 6-minute walk test (6MWT) is widely used as a test of functional exercise capacity. Several studies have reported the minimal clinically important difference (MCID) for the 6MWT; however, the findings of the studies have not been examined in the context of one another. In this review, we aimed to summarize available information on the MCID for the 6MWT performed by patients with pathology. METHODS: Relevant literature was identified by searches of 3 electronic databases (PubMed, Scopus, and Cumulative Index of Nursing and Allied Health), examination of article reference lists, and consultation with an expert...
September 4, 2016: Journal of Evaluation in Clinical Practice
Gregory L Cvetanovich, Alexander E Weber, Benjamin D Kuhns, Charles P Hannon, Dwayne D'Souza, Joshua Harris, Richard C Mather, Shane J Nho
BACKGROUND: The objective of this study was to determine if adolescent and young adult patients undergoing hip arthroscopy for symptomatic femoroacetabular impingement (FAI) experience clinically meaningful improvements in functional outcome scores. METHODS: A consecutive series of patients under age 18 who underwent primary hip arthroscopy for symptomatic FAI was identified using our institution's hip registry. Demographics, preoperative radiographic measurements, and preoperative and postoperative patient-reported outcome scores [Hip Outcome Score (HOS), Activity of Daily Living (ADL), and Sports-Specific Subscale (SS), and modified Harris Hip Score (MHHS)] were collected...
August 29, 2016: Journal of Pediatric Orthopedics
Graham Nichol, Siobhan P Brown, Gavin D Perkins, Francis Kim, Fritz Sterz, Jo Ann Broeckel Elrod, Spyros Mentzelopoulos, Richard Lyon, Yaseen Arabi, Maaret Castren, Peter Larsen, Terence Valenzuela, Jan-Thorsten Graesner, Scott Youngquist, Nalinas Khunkhlai, Henry E Wang, Franek Ondrej, Juan Manuel Fraga Sastrias, Anders Barasa, Michael R Sayre
BACKGROUND: Efficient trials of interventions for patients with out-of-hospital cardiac arrest (OHCA) should have adequate but not excess power to detect a difference in outcomes. The minimum clinically important difference (MCID) is the threshold value in outcomes observed in a trial at which providers should choose to adopt a treatment. There has been limited assessment of MCID for outcomes after OHCA. Therefore, we conducted an international survey of individuals interested in cardiac resuscitation to define the MCID for a range of outcomes after OHCA...
October 2016: Resuscitation
Brian T Swanson, Sean P Riley, Mark P Cote, Robin R Leger, Isaac L Moss, John Carlos
BACKGROUND: To date, no research has examined the reliability or predictive validity of manual unloading tests of the lumbar spine to identify potential responders to lumbar mechanical traction. PURPOSE: To determine: (1) the intra and inter-rater reliability of a manual unloading test of the lumbar spine and (2) the criterion referenced predictive validity for the manual unloading test. METHODS: Ten volunteers with low back pain (LBP) underwent a manual unloading test to establish reliability...
May 2016: Journal of Manual & Manipulative Therapy
Zu-Yao Yang, Hui-Bin Zhong, Chen Mao, Jin-Qiu Yuan, Ya-Fang Huang, Xin-Yin Wu, Yuan-Mei Gao, Jin-Ling Tang
BACKGROUND: Asthma is a common chronic inflammatory disorder affecting about 300 million people worldwide. As a holistic therapy, yoga has the potential to relieve both the physical and psychological suffering of people with asthma, and its popularity has expanded globally. A number of clinical trials have been carried out to evaluate the effects of yoga practice, with inconsistent results. OBJECTIVES: To assess the effects of yoga in people with asthma. METHODS: HASH(0x3f75b30) SEARCH METHODS: We systematically searched the Cochrane Airways Group Register of Trials, which is derived from systematic searches of bibliographic databases including the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, AMED, and PsycINFO, and handsearching of respiratory journals and meeting abstracts...
July 2016: São Paulo Medical Journal, Revista Paulista de Medicina
Robert Z Tashjian, Man Hung, Jay D Keener, Randy Christopher Bowen, Jared McAllister, Wei Chen, Gregory Ebersole, Erin K Granger, Aaron M Chamberlain
BACKGROUND: Minimal clinically important differences (MCIDs) for the American Shoulder and Elbow Surgeons (ASES) score, the Simple Shoulder Test (SST), and a visual analog scale (VAS) measuring pain have not been previously described using an anchor-based method after shoulder arthroplasty. The purpose of this study was to determine the MCIDs for these measures after shoulder arthroplasty for glenohumeral arthritis or advanced rotator cuff disease. METHODS: Primary anatomic total shoulder arthroplasty (TSA), primary reverse TSA, or hemiarthroplasty was performed in 326 patients by 1 of 5 shoulder and elbow surgeons...
August 18, 2016: Journal of Shoulder and Elbow Surgery
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