Clinical Reasoning Process of Physiotherapists When Observing Hemiplegic Gait
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 54
- 主要终点
- Number of Gait Abnormalities Observed
研究概览
简要总结
The goal of this study is to find out what clinical reasoning process physiotherapists undergo when observing hemiplegic patients gait.
详细描述
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?
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
Number of Gait Abnormalities Observed
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
未报告次要终点
研究者
Clare Maguire
MPTSc (cand) PhD
Technical University of Bern