Turkish version of impact on family scale: a study of reliability and validity

<p>Abstract</p> <p>Background</p> <p>Although there is a considerably high prevalence of developmental disorders in Turkey there are not many assessment tools related to evaluating the impact of these children on their family. The aim of this study was to determine the validity and reliability of the Turkish version of the Impact on Family Scale (IPFAM), a health related quality of life measurement to be utilized in clinical trials, health care services, research and evaluation.</p> <p>Methods</p> <p>Caregivers of 85 children with developmental disabilities answered the questionnaire and 65 of them answered it twice with a one week interval. The reliability of the measurement was assessed by Cronbach's alpha coefficient, and with intraclass correlation coefficient (ICC) for test-retest reliability. Construct validity was assessed by calculating the correlation between total impact score of IPFAM, WeeFIM and the physiotherapists' evaluation via Visual Analogue Scale (VAS) to determine the child's disability.</p> <p>Results</p> <p>Test-retest reliability was found to be ICC = 0.953 for total impact, 0.843 for financial support, 0.940 for general impact, 0.871 for disruption of social relations and 0.787 for coping. Internal consistency was tested using Cronbach's alpha and was found to be 0.902 for total impact of IPFAM. For construct validity the correlation between total impact score of IPFAM and WeeFIM was r = -0,532 (p < 0.001) and the correlation between total impact score of IPFAM and the physiotherapist's evaluation was r = 0.519 (p < 0.001).</p> <p>Conclusion</p> <p>The Turkish version of IPFAM was found to be a reliable and valid instrument for assessing the impact of developmental disorders of the child on the family.</p

Are functional assessment questionnaires related with hand function tests in patients with nerve injury at the level of wrist and in patients with tendon injury/fracture at the level of fingers?

Objective: We aimed to research the relationship between functional assessment questionnaires answered by patients and hand function tests in patients with injury on level of wrists or fingers. Materials and Methods: Demographic characteristics of 43 patients with nerve injury at the level of wrists (median/ulnar) (LW group) and patients with fracture or tendon injury at the level of fingers (LF group) were recorded. Functional level detected by examination was evaluated according to the Seddon classification in LW group, and according to Buck-Gramco scores in LF group. The Sollerman Hand Function Test (SHFT) was administered to all patients, and the Quick-DASH (Q-DASH) and Duruöz Hand Index (DHI) were completed by all patients. Hand grip strength was expressed as a percentage of that of the uninjured hand. Results: There was no difference in mean age and distribution of gender between the groups (p=0.429, p=0.229). Three (14.3%) patients had excellent, 10 (47.6%) good, 6 (28.6%) moderate, and 2 (9.5%) patients had poor results according to the Seddon classification in LW group. 1 (4.5%) patient had excellent, 9 (40.9%) good, 4 (18.2%) poor, and 8 (36.4%) patients had bad results according to the Buck-Gramko scores in LF group. In LW and LF groups, SHFT sores were 72.3±16.8, 76.1±5.6, Q-DASH 27.9±19.4, 19.6±15.2, DHI 19.3±21.2, 11.3±10.6, respectively and the injured hand grip strength was 65.4±29.9, 72.5±25.8. The SHFT significantly correlated with the Q-DASH and DHI in both LW and LF groups (p<0.05). The SHFT significantly correlated with the Seddon classification (r=0.449) and grip strength (r=0.585) in LW group. While there was no significant correlation between SHFT and Buck-Gramco, there was a significant correlation between SHFT and grip strength (r=0.463) in LF-group. Conclusion: It was observed that hand function tests had correlations with the functional-questionnaires answered by patients both in patients with nerve injury at the level of wrist and in patients with fracture/ tendon injury at the level of finger. © Turkish Journal of Physical Medicine and Rehabilitation, Published by Galenos Publishing

A systematic review of randomised controlled trials assessing effectiveness of prosthetic and orthotic interventions.

BACKGROUND: Assistive products are items which allow older people and people with disabilities to be able to live a healthy, productive and dignified life. It has been estimated that approximately 1.5% of the world's population need a prosthesis or orthosis. OBJECTIVE: The objective of this study was to systematically identify and review the evidence from randomized controlled trials assessing effectiveness and cost-effectiveness of prosthetic and orthotic interventions. METHODS: Literature searches, completed in September 2015, were carried out in fourteen databases between years 1995 and 2015. The search results were independently screened by two reviewers. For the purpose of this manuscript, only randomized controlled trials which examined interventions using orthotic or prosthetic devices were selected for data extraction and synthesis. RESULTS: A total of 342 randomised controlled trials were identified (319 English language and 23 non-English language). Only 4 of these randomised controlled trials examined prosthetic interventions and the rest examined orthotic interventions. These orthotic interventions were categorised based on the medical conditions/injuries of the participants. From these studies, this review focused on the medical condition/injuries with the highest number of randomised controlled trials (osteoarthritis, fracture, stroke, carpal tunnel syndrome, plantar fasciitis, anterior cruciate ligament, diabetic foot, rheumatoid and juvenile idiopathic arthritis, ankle sprain, cerebral palsy, lateral epicondylitis and low back pain). The included articles were assessed for risk of bias using the Cochrane Risk of Bias tool. Details of the clinical population examined, the type of orthotic/prosthetic intervention, the comparator/s and the outcome measures were extracted. Effect sizes and odds ratios were calculated for all outcome measures, where possible. CONCLUSIONS: At present, for prosthetic and orthotic interventions, the scientific literature does not provide sufficient high quality research to allow strong conclusions on their effectiveness and cost-effectiveness

The determination of the pain beliefs of the students at Akdeniz University Vocational School of Health Services

The purpose of this study is to determine the pain beliefs of Akdeniz University Vocational School of Health Services (AUVSHS) students. Fifty Physiotherapy Assistants students, 54 Paramedic students and 37 Elderly Care students who take pain education in their curriculum and 50 Child Development and Care students who do not take pain education were included in this study. The pain beliefs of the students were evaluated with Pain Beliefs Questionnaire. There was no statistically significant difference between organic (OBS) and psychological pain belief scores (PBS) of programs with and without pain education (p>0,05). There was statistically significant difference between OBS and PBS in favor of PBS in all programs (p<0,05). In conclusion, it was determined that pain beliefs in AUVSHS were similar in all programs. It is important to balance between organic and psychological pain beliefs. So we plan to develop new training strategies to balance student’s pain beliefs

Determining the learning preferences of the students of the faculty of health sciences in Cyprus International University

The purpose of the study is to examine the learning preferences of students at the Cyprus International University of Health Sciences and determine whether these preferences have changed according to department and sex. A total of 150 students participated in the study. While 61 of the students were female and 89 were male, the mean age was 22.06 ± 1.23 years. VARK [Visual, Aural, Read-write, Kinesthetic] Learning Preferences Inventory was used to determine students’ learning preferences. As a result of the study participants mostly found "Kinesthetic" style (4.84 ± 2.13). However, there were no significant differences in terms of department and gender factors in any dimension (p> 0.05). Based on the results of this study, we think that determining the learning style that students are likely to lead to the selection of suitable techniques for the trainees

The determination of the pain beliefs of the students at Akdeniz University Vocational School of Health Services

The purpose of this study is to determine the pain beliefs of Akdeniz University Vocational School of Health Services (AUVSHS) students. Fifty Physiotherapy Assistants students, 54 Paramedic students and 37 Elderly Care students who take pain education in their curriculum and 50 Child Development and Care students who do not take pain education were included in this study. The pain beliefs of the students were evaluated with Pain Beliefs Questionnaire. There was no statistically significant difference between organic (OBS) and psychological pain belief scores (PBS) of programs with and without pain education (p>0,05). There was statistically significant difference between OBS and PBS in favor of PBS in all programs (p<0,05). In conclusion, it was determined that pain beliefs in AUVSHS were similar in all programs. It is important to balance between organic and psychological pain beliefs. So we plan to develop new training strategies to balance student’s pain beliefs

Evaluation of Low Back and Neck Pain and Disability of Interns at Physiotherapy and Rehabilitation Department of Afyon Kocatepe University

Repetitive tasks, high force, direct pressure, and awkward joint and prolonged constrained posture are cited as prime risk factors, making particularly younger adult physiotherapists vulnerable to musculoskeletal injury. Fourth-grade students (interns) perform clinical practice at Afyon Kocatepe University Hospital. They apply hydrotherapy, electrotherapy, robotic therapy, virtual reality therapy and exercise therapy to patients (inpatient and outpatient) at both orthopaedic and neurology units approximately twelve months. Because we think they are under the risk of low back and neck disorders therefore aim of the present study is to evaluate recent low back and neck pain and disability of them. 50.6% participants had recent low back pain; 52.9% participants reported mild and moderate low back disability. 21.8% participants had recent neck pain; 16% participants showed mild, moderate and severe neck disability. The difference between units related to low back and neck pain or disability wasn't significant statistically (p > 0.05). Most participants announced that they used the body biomechanics correctly (84.1%) and took care of ergonomic conditions (91.5%). In conclusion, it is vital to identify prevalence of low back and neck pain among physiotherapy students and take necessary precautions to prevent further problems

Investigation of the validity and reliability of the L test in children with cerebral palsy

Background: The L test is a modified version of the Timed Up and Go Test (TUG), with a walking path that is L-shaped. The L test is a more comprehensive test since it includes a longer walking path than TUG and turning in both directions. Objective: This study aimed to examine the reliability and validity of the L test, and the minimal detectable change (MDC) in children with cerebral palsy (CP). Methods: The study included 80 children with CP at levels 1 and 2 according to the Gross Motor Function Classification System (GMFCS). The Intraclass Correlation Coefficient (ICC) was used to assess the reliability of the L test according to GMFCS level. MDC estimates were calculated using baseline data. The correlations of the L test with TUG and the Timed up and Down Stairs Test (TUDS) were assessed for convergent validity. Results: Intra-rater (ICC 0.903-0.985 for level 1-2) and inter-rater (ICC 0.806-0.937 for level 1-2) reliability of the L test were determined to be excellent. A moderate correlation was found between the L test and TUG (r: 0.691) and TUDS (r: 0.546) for level 1; a moderate correlation was found between the L test and TUG (r: 0.625) and a high correlation was found between the L test and TUDS (r: 0.734) for level 2. The MDC values in terms of intra-rater were 1.44-2.21 s for level 1-2, and 1.30-1.57 s for level 2 in terms of inter-rater, respectively. Conclusion: The results of this study showed that the L test is a valid and reliable method in the assessment of functional mobility in children with CP

Validation of the Turkish version of the Revised Foot Function Index for patients with foot and ankle disorders

Background: The revised Foot Function Index (FFI-R) is a multidimensional instrument that was developed to assess a patient's self-reported health-related foot function. The FFI-R is clinically useful and easy to apply, and it has comprehensive subscales assessing the pain, stiffness, psychosocial stress, disability, and activity limitations related to foot and ankle problems. The present study was conducted to validate the Turkish version of the FFI-R, and to demonstrate its use in a Turkish population with various foot and ankle problems. Methods: The English version of the FFI-R was translated into Turkish, and then, it was administered to 124 patients (mean age of 39.9 years old) with foot and ankle problems and a mean symptom duration of 7.9 months. These patients completed two well-established foot and ankle-specific patient-reported outcome measures, the Foot and Ankle Outcome Score (FAOS) and the Manchester-Oxford Foot Questionnaire (MOX-FQ), and a general instrument, the 36-item Short Form Health Survey (SF-36). The test-retest reliability was evaluated using the intraclass correlation coefficient, and the internal consistency was measured using Cronbach's alpha. The construct validity of the FFI-R was assessed by correlating its subscales with the FAOS, MOX-FQ, and SF-36 subscales. Results: The test-retest reliability of the FFI-R ranged between 0.84 and 0.97. The internal consistency was 0.97 for the overall FFI-R, and it ranged between 0.85 and 0.97 for the subscales. Significant correlations were obtained between the FFI-R subscales and the FAOS, MOX-FQ, and SF-36 subscales. Conclusions: The Turkish version of the FFI-R was found to be a reliable and valid instrument for measuring the foot and ankle-related functional disability and health status of Turkish patients with foot and ankle problems. © 201

Assessment of problem solving proficiencies with self-efficacy perceptions of students in faculty of health sciences of cyprus international university

The aim of this study is to evaluate the self-efficacy perceptions and problem solving competencies of students of Health Sciences Faculty. The study included 150 students studying in 4th grade who completed the questionnaire completely. Self-efficacy-competence scale was used to evaluate students’ self-efficacy perceptions, and Problem Solving Inventory was used to evaluate problem solving proficiencies. The mean age of the students included in the study was 22.26 ± 1.27 years and 59.3% [n = 89] were female students. It was determined that the self-efficacy perception scores of the students were 82.30 ± 14.37 and the problem solving ability scores were 103.65 ± 19.31. There was a significant relationship between self-efficacy perception and problem solving ability [r = -0,328, p: 0.01]. According to the results, it was determined that the students had a low level of self-efficacy perception and problem solving competencies