Performance testing in rehabilitation: influence of context and cognitive function on mobility
Kirk, JC; Atkinson, GA; Royston, JP; O'Neill, Cja; Denham, MJ; Dobbs, SM; Kirk, JC, Physiotherapy Department, Harrow Hospital; Atkinson, GA, Physiotherapy Department, Harrow Hospital; Royston, JP, Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow; O'Neill, Cja, Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow; Denham, MJ, Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow; Dobbs, SM, Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow
Журнал:
Clinical Rehabilitation
Дата:
1987
Аннотация:
The accuracy of routine information on the response of a patient to rehabilitation was questioned. At the multidisciplinary ward round there may be on the one hand an inhibitory effect on the patient's performance due to the presence of a large team, but on the other reluctance of nurses and therapists to concede that all their efforts may only have maintained status quo. We present a randomised, controlled, crossover study of the effect of the ward round on a test of the ability to stand, walk a fixed distance, turn and sit down. Surprisingly, performance was not inhibited by the round: the 20 patients studied performed the test with equal skill, but greater speed, on the round than in a more private context. Cognitive function had a greater influence on the amount of help needed in standing and sitting safely, than on ability to walk and turn independently.
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