Clinical Reasoning Process of Physiotherapists When Observing Hemiplegic Gait
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Stroke
- Sponsor
- Technical University of Bern
- Enrollment
- 54
- Primary Endpoint
- Number of Gait Abnormalities Observed
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
The goal of this study is to find out what clinical reasoning process physiotherapists undergo when observing hemiplegic patients gait.
Detailed Description
Physiotherapists don't usually use any assessments to evaluate gait but observe it without an instrument. The questions in this study are: * what abnormalities can physiotherapists detect when observing a patient walking? * what do they consider the main problem that has a negative effect on the patient's walking? * what hypothesis do they generate? * how is the inter-rater reliability for the "main problem" and the hypothesis?
Investigators
Clare Maguire
MPTSc (cand) PhD
Technical University of Bern
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Number of Gait Abnormalities Observed
Time Frame: up to 2 months
The questionnaire will be the basis of this study as it will be the basis for open coding. It is handed out to 54 observers (=physiotherapists) and will be filled in 6 times (for 6 patient videos). The questionnaire consists of 3 main questions: 1. what gait abnormalities do you see? 2. What do you consider the main problem (1 sentence) 3. what is your hypothesis (max. 3) The question one delivers different items (each new observation is a new item) that were determined patient by patient and rater by rater by three independent researchers. They were then listed and categorised by consensus. Finally, the frequency of each item was analysed globally and for each patient.
Number of Main Problems Observed
Time Frame: up to 2 months
This outcome is a result of the second part of the Questionnaire: 1) What Gait Abnormalities do You See? 2) What do You Consider the Main Problem (1 Sentence) 3) What is Your Hypothesis (Max. 3) By consensus the three independent researchers identified the main statements from the sentences written. Items were afterwards categorised. Finally the frequency of each item was analysed globally and for each patient.
Number of Hypotheses Observed
Time Frame: up to 2 months
This outcome is a result of the third part of the questionnaire: 1) What Gait Abnormalities do You See? 2) What do You Consider the Main Problem (1 Sentence) 3) What is Your Hypothesis (Max. 3) By consensus the three independent researchers identified and categorised all the listed hypotheses from question number three of the questionnaire. After that the use frequency of each item was analysed globally and for each patient.