What Is Inter-Rater Reliability?

In this phase the athlete is standing in a neutral position holding the ball. The metatarsophalangeal and interphalangeal (great and lesser toes) are held at slight flexion pressed against the ground by an isometric contraction of the flexor halluces longus, flexor digitorum longus, flexor digitorum longus. The ankle is plantar flexed using an isometric contraction of the gastrocnemius and the soleus. The tibiofermoral (knee) joints are slightly flexed by a isomectric contraction of the quadriceps muscles (rectus femoris, vastus lateralis, vastus medialis, vastus intermedius). The acetabularfemoral (hip) joint is held at a postion of slight flexion through an isometric contraction of the biceps femoris, pectineus, iliacus, and the psoas. The intervertebral (lumbar) joint is extended by an isometric contraction using the erector spinae. The atlantooccipital (cervical spine) joint is flexed by an isometric contraction erector spinae. Both scapulothroracic (shoulder girdle) joint is protracted by an isometric contraction of the serratus anterior and pectoralis minor. The glenohumeral (shoulder) joint is at internal rotation by an isometric contraction using the pectoralis major, latissimus dorsi, teres major, and the subscapularius. The humeroulnar (elbow) joint is at 90 degrees of flexion by an isometric contraction using the biceps brachii, brachioradialis, and brachialis. The radiocarpal (wrist left and right)

We need to know the normal range of movement of the muscles and joints so when moving, handling and positioning a person we know the limits of each limb. We need to take into consideration other factors that may inhibit a person’s movements as:

Some assessment tests that can be done to determine areas of occupational dysfunction important to the person are the Canadian Occupational Performance (COPM) interview, the Robinson Bashall Functional Assessment, the Stanford Health Assessment Questionnaire, the Assessment of Motor and Process Skills (AMPS), manual muscle tests, the goniometer, and the dynamometer and pinch meter (Hammond, pp 257). The Robinson Bashall Functional Assessment, as well as the Stanford Health Assessment Questionnaire, is a functional assessment that allows the therapist to get a better understanding of the practical capabilities of patients that are suffering from RA. The Assessment of Motor and Process Skills allows an accurate estimate of ability to do IADLs based on performance of three tasks.

When one administered the dynamometer to measure gross motor strength while another one administered the lateral pinch meter for fine motor strength, there was a significant different in the amount of strength between Angelo’s right upper extremity and left upper extremity. After three trials on both arms through both of these assessment tools occurred, the results indicated that his left upper extremity was significantly weaker than his right upper extremity, all because of his cerebrovascular

Inter-rater reliability is to what extent do two or more informants agree with what they have observed. It is extremely important when doing researches since it can weaken the accuracy of the result. If there are a lot of disagreement between different informants, the findings then will not be considered as the correct representation of the variables measured. Inter-rater reliability is also essential when clinicians are making a diagnosis. There could be some unavoidable biases from the clinicians while interviewing the patients; thereby, there might be false interpretation towards the severity of symptoms.

A clinician, respectively, should produce the patient’s clinical history and results, as well as the measurement properties of the index, this well better format and put in place short- and long-term goals based on an individual-report functional scale like the LEFS (1). The intention of this research was to assess the reliability, construct validity, and sensitivity to change the Lower Extremity Functional Scale. This test was given to 107 patients with lower-extremity musculoskeletal dysfunction referred to twelve outpatient PT clinics. This index was dispensed during the patient’s initial assessment, 24 to 48 hours following the initial assessment, and then at weekly intervals for four weeks (1). A patient with an initial LEFS score of 56/80, an example of lower extremity functional scale is to create functional level, set goals, and track progress and outcome, based on the error at any specific position in time for the LEFS of five points, the therapist can be highly confident that the actual scale score is between 51 and 61 (1). The leeway, or error, associated with an assumed measure on the LEFS is about plus or minus five scale points (90% confident intervals). A clinician, ergo, can be moderately confident that an observed score within the parameter of five points of the patient’s “true” outcome (1). The short-form 36-health survey (SF-36) is a 36-item, patient-delivered

Passive stretch was performed to client’s right ( R) UE while she was side lying on the mat to increase ROM in order for the client to use her ( R) hand as a stabilizer during fine motor coordination activities. OTS performed 10 reps of scapular elevation, depression, protraction and retraction, shoulder flexion, elbow flexion, wrist flexion, and thumb interphalangeal (IP) flexion, extension, abduction, adduction and finger 2-5 distal interphalangeal (DIP) and proximal interphalangeal (PIP) flexion, extension,

For the human joint anatomy project, our group decided to research and construct the elbow joint. The following is a report and summary of the project including roles taken, challenges faced, solutions derived, and ultimately, contribution and experiences of both partners.

The participants then completed the functional evaluation by completing three one-leg hop tests on each limb. The longest distance was recorded and calculated as the percentage of the performance of the ACL reconstructed leg over the uninvolved leg, the scores were calculated as the limb symmetric index (LSI). The authors of this study defined the ceiling effect as the percent of participants who received the maximum score of 100 points. The Spearman correlation coefficient was used to examine the correlation between both scales and the limb symmetric index and was interpreted as r > 0.5 which indicated a strong association. The Kolmogorov-Smirnov test was then used to examine the distribution

Active Assisted Range of Motion is utilized under certain conditions. It is most often used when a client has a weakness due to pathology or injury. The therapist would help assist the client as the client actively moves the joint through a pain free range of motion, indicating pain when it arises. The use of light pressure touch over the joint capsule can add palpation of tissue for analysis during active assisted ROM.

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

For shoulder flexion 61% of the variance could be accounted for by the sit-and-reach. A correlation was also found between the modified sit-and-reach test and both the shoulder extension and hip flexion tests. For shoulder extension 33% of the variance was accounted for by the modified sit-and-reach and for hip flexion 22% of the variance was accounted for by the modified sit-and-reach.

Shoulder instability is commonly seen in rehabilitation settings. Many patients come in either with shoulder pain, spasticity, subluxation, decreased range of motion(ROM), stiffness, or instability. Exercise is an effective key component in achieving stability of the shoulder. Therapeutic rehabilitation relies on evidence-based practice to provide the best care to improve function and stability. The purpose of this research study was to investigate the effects of stretching and joint stabilization exercises applied to spastic shoulder joints on improving shoulder dysfunction in hemiplegic patients using three groups of hemiplegic patients (Young Youl You, Jin Gang Her, Ji-Hea Woo, Taesung Ko, & Sin Ho Chung, 2013).

This paper examines the importance of proprioception exercises in the rehabilitation process of orthopedic injuries and conditions. Proprioception is the ability to coordinate movements and understand how much strength is needed to move a body part or object. There are several different ways to test the level of proprioception as well as a number of exercises to improve it. It is debatable whether or not these types of exercises are advantageous to a patient before surgery; however, it has been demonstrated to be greatly beneficial after surgery. Additionally, there is evidence that shows proprioception is greater in the non-dominant limbs of an individual. Nevertheless, visual feedback or hand-eye coordination is better on the dominant side.

Anatomical and tracking markers are used in infra-red light motion analysis to measure 3D displacement of tracking markers attached to Abnormal loading of the knee can cause knee joint injuries or disease. Tracking markers are placed on each thigh and shank laterally by adhesive coban tape to reflect infra-red light for tracking. Infra-red light is emitted by 9 cameras which are also responsible for detection of the reflected infra-red light. Anatomical markers are used as reference point for anatomical calibration by using a marked pointer. Anatomical markers are typically placed at the medial and lateral epicondyle gap. 3 bony landmarks can be marked to establish a segmental body axis system. Coordinates of the 3 segmental bony landmarks to tracking marker axis systems within the global coordinate system can then be related together. By assuming rigid body, fixed bony axis systems are then developed in relation to the tracking marker axis systems. Finally, during the walking trial, position of tracking markers relative to the global coordinate system can be measured.