Oncology Section Task Force on Breast Cancer Outcomes: An Introduction to the EDGE Task Force and Clinical Measures of Upper Extremity Function

With the proliferation of outcome measures in the literature, many of which lack documentation of sufficient psychometric properties to justify use, it is difficult to document patient change or demonstrate effectiveness of interventions. The goal of the Section on Research’s EDGE (Evaluation Database to Guide Effectiveness) Task Force is to facilitate identification of valid and reliable tests and measures that reflect clinically important outcomes and are responsive to change for standard use across selected patient groups. This paper lays the groundwork for understanding the work of the Oncology Section’s Breast Cancer EDGE Task Force on clinical measures of shoulder function including range of motion and muscle length, upper extremity function, and scapular position and movement, as reported in the 3 papers that follow

Oncology Section Task Force on Breast Cancer Outcomes: Scapular Assessment

Background: Functional deficits and changes in scapular mechanics following breast cancer (BC) treatments have been documented. Scapular assessment is important when examining the shoulder in survivors of breast cancer to document the need for or effectiveness of physical therapy intervention. The Oncology Section Task Force on Breast Cancer Outcomes sought to identify scapular examination tools that can be recommended for routine use in individuals treated for BC. Methods: A systematic review of the literature on scapular measures was conducted. Relevant studies were examined for psychometric properties and clinical usefulness. Each method was given a recommendation score based on the Breast Cancer EDGE (Evidence Database to Guide Effectiveness) criteria. Results: Only Dynamic Motion Assessment was recommended for clinical use. The remaining tools lacked either good psychometric properties or clinical usefulness. Conclusions: Measurement of scapular motion remains a challenge and reliable and valid measures must precede further research into scapular problems among survivors of breast cancer

Joint structure and function a comprehensive analysis, 5nd ed./ Levangie

xxii, 588 hal.: ill.; 35 cm

Joint structure and function a comprehensive analysis, 5nd ed./ Levangie

xxii, 588 hal.: ill.; 35 cm

Joint Structure and Function: A Comprehensive Analysis

Contents: Kinematics and introduction to kinetics -- Kinetics: considering rotatory and translatory -- Materials used in human joints -- General properties of connective tissue -- Human joint design -- Joint function -- Changes with age, disease, injury, immobilization and exercise -- Elements of muscle structure -- Muscle function -- Effects of immobilization, injury, and aging -- Patient case -- General structure and function -- Regional structure and function -- Muscles of the vertebral column -- Effects of aging -- General structure and function -- Rib cage -- Muscles associated with the rib cage -- Coordination and integration of ventilatory motions -- Developmental aspects of structure and function -- Pathological changes in structure and function -- General functions -- Structure -- Function -- Dysfunctions -- Patient case -- Components of the shoulder complex -- Integrated function of the shoulder complex -- Patient case -- Structure: elbow joint (humeroulnar and humeroradial articulations) -- Function: elbow joint (humeroulnar and humeroradial articulations) -- Structure: radioulnar joints (superior and inferior articulations) -- Function: radioulnar joints -- Mobility and stability: elbow complex -- Effects of age and injury -- The wrist complex -- The hand complex -- Prehension -- Functional position of the wrist and hand -- Structure of the hip joint -- Function of the hip joint -- Hip joint forces and muscle function in stance -- Hip joint pathology -- Definitions of motions -- Ankle joint -- The subtalar joint -- Transverse tarsal joint -- Tarsometatarsal joints -- Metatarsophalangeal joints -- Interphalangeal joints -- Plantar arches -- Muscles of the ankle and foot -- Deviations from normal structure and function -- Static and dynamic posture -- Kinetics and kinematics of posture -- Analysis of standing posture -- Analysis of sitting postures -- Analysis of lying postures -- Effects of age, pregnancy,occupation, and recreation on posture -- General features -- Patient case -- Gait initiation -- Kinematics -- Kinetics -- Kinematics and kinetics of the trunk and upper extremities -- Stair and running gaits -- Effects of age, gender, assistive devices, orthoses -- Abnormal gait

Joint Structure and Function: A Comprehensive Analysis

Contents: Basic concepts in biomechanics -- Joint structure and function -- Muscle structure and function /Gary Chleboun, PhD, PT -- The vertebral column -- The Thorax and chest wall / Julie Ann Starr, MS. PT, and Diane Dalton, MS, PT, OCS -- The Temporomandibular joint / Jan F. Perry, EdD, PT -- The shoulder complex -- The wrist and hand complex -- The hip complex -- The knee complex -- The ankle and foot complex -- Posture -- Gait

Effect of Altering Handle Position of a Rolling Walker on Gait in Children With Cerebral Palsy

The purpose of this study was to document among a small sample of children with CP whether using rollator walkers with horizontal and with vertical handles would create any immediate changes in the gait characteristics of velocity; cadence; and right and left stride length, step length, and base of support. The hypothesis of this study was that there would be significant changes in the designated gait characteristics of the child with spastic CP when ambulating with the vertical-handled walker (forearm neutral) as compared with ambulating with the standard horizontal-handled walker (forearms pronated)