中華民國物理治療學會物理治療成果評量研究計劃得獎著作：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

林居正(Jiu-Jenq Lin) ； 曹昭懿(Jau-Yih Tsauo) ； 吳英黛(Ying-Tai Wu)

《物理治療》 25卷3期 (2000/05) Pp. 157-168

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.

關鍵字

評估表 ； 冰凍肩 ； 物理治療 ； 信度分析 ； 成果評量

並列摘要

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.

並列關鍵字

Assessment form ； Frozen shoulder ； Physical therapy ； Reliability ； Outcome measurement