Establishing the Reliability and Validity of Health in Motion&amp;lt;sup&amp;gt;&amp;#169;&amp;lt;/sup&amp;gt; Automated Falls Screening Tool

Walker, Beth; Hoke, Krista; Manley, Molly; Flynn, Sheryl; Johnson, R B

doi:10.4236/aar.2018.73004

Cited by 5 publications

(6 citation statements)

References 27 publications

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“…The absolute reliability analysis of the outcome measures estimates the accuracy of scores on repeated testing in individual subjects (Walker et al, 2018). In this way, absolute reliability analysis for DiCI measurements showed SEM values lower than 2.18% and MDC values lower than 6.28% for al movements.…”

Section: Gonzálezmentioning

confidence: 97%

Validity and reliability of the DiCI for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects

González-Rosalén

Pino

Sánchez-Barbadora

et al. 2021

PeerJ

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Background A higher risk of shoulder injury in the athletic and non-athletic population is frequently associated with strength deficits. Therefore, shoulder strength assessment can be clinically useful to identify and to quantify the magnitude of strength deficit. Thus, the aim of this study was to evaluate the validity and reliability of a DiCI (a new hand-held dynamometer) for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects. Methods Forty-three recreational athletes (29 males and 14 females; age: 22.1 ± 0.47 years; body mass: 68.7 ± 13.1 kg; height = 173.3 ± 9.7 cm) and 40 symptomatic subjects (28 males and 12 females; age: 49.9 ± 8.1 years; body mass: 70.6 ± 14.3 kg; height = 171.7 ± 9.0 cm) completed shoulder flexion and abduction strength tests in two identical sessions one-week apart. Both types of movement were evaluated at 45º and 90º. Results Relative reliability analysis showed excellent intra-class correlation coefficients (ICC) for all evaluated movements (ICC range = 0.90 to 0.99). Absolute reliability analysis showed a standard error of measurement (SEM) ranging from 1.36% to 2.25%, and minimal detectable change (MDC) ranging from 3.93% to 6.25%. In conclusion, the DiCI is a valid and reliable device for assessing shoulder strength both in recreational athletes and in subjects with restricted mobility and loss of strength.

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Section: Gonzálezmentioning

confidence: 97%

Validity and reliability of the DiCI for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects

González-Rosalén

Pino

Sánchez-Barbadora

et al. 2021

PeerJ

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“…App-based testing used to guide functional assessments for both APP and CONTROL at preoperative and 30-day time points included three functional performance measures: Timed Up-and-Go test (TUG) [11] [12], Single Leg Stand Test (SLST) [13] [14], and Thirty-second Sit to Stand test (30STS) [15] [16] [17] [18]. In addition, participants completed four patient-reported outcome measures (PROs): the Knee injury and Osteoarthritis Outcome Score, Joint Replacement (KOOS JR) [19], the Veterans RAND 12-item Health Survey (VR-12) [20], the Modified Activities-specific Balance Confidence Scale (mABC) J.…”

Section: Interventionmentioning

confidence: 99%

“…This test exhibits good reliability [15], responsiveness [16], and validity [15] [17] [18]. The digital version of this test, validated in this platform [13], begins when the participant taps the "Go" button on their device as they perform full, unassisted sit-to-stand cycles as many times as they can in 30 seconds. Each full sit-to-stand cycle was counted.…”

Section: Interventionmentioning

confidence: 99%

“…The SLST measures the ability to stand and maintain balance on one leg without assistance [14]. It is a predictor of injurious falls and has been validated with this downloadable health platform [13]. For this app-based assessment the participant stood near their device and tapped/clicked the on-screen "Go" button as they lifted one foot off the floor without touching any surface to assist balance.…”

Section: Interventionmentioning

confidence: 99%

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Assessment of a Downloadable Application with Avatar Guidance for PT-Prescribed Home Exercise after Total Knee Arthroplasty: A 30-Day Usability and Feasibility Study

Carmichael¹,

Flynn²,

Struessel³

et al. 2022

AAR

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Objective: To explore the usability and feasibility of a downloadable application (APP) compared to paper handouts (CONTROL) in guiding 30 days of PT-prescribed home exercise after total knee arthroplasty (TKA), and to compare functional outcomes at 30 days postoperatively between APP and CONTROL. Design: Randomized controlled usability and feasibility study. Setting: Rehabilitation laboratories at two regional medical centers. Participants: Individuals with knee osteoarthritis undergoing unilateral TKA (APP group: N = 26; mean age, 67.0 ± 8.2 y; CONTROL group: N = 31; mean age, 64.7 ± 7.7 y). Interventions: This study assessed the user experience of a downloadable app to guide 30 days of home exercises and instruction after TKA and compared exploratory outcomes to a group using paper handouts. Main Outcome Measures: The System Usability Scale (SUS) score was used to assess patient usability experience. Raw SUS scores were dichotomized (≥72% or <72%) to determine app usability against a 75% a priori criterion for mean APP group score. Feasibility for app use was similarly evaluated in the APP group only through a priori criteria applied to computing device ownership and study use, to the absence of technology-based barriers to participation, and to completion of app-based testing. Exploratory measures compared change from baseline to 30 days for functional and patient-reported outcomes between APP and CONTROL. Results: The APP group's mean SUS score of 79.2% at 30 days exceeded the 75% threshold for good usability.

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“…Based upon these promising findings, remotely monitored exercise intervention, customized to each participant's baseline function and rate of progress, may continuously improve physical function in sepsis survivors at home. Thanks to new developments in guided digital health programs, exercise training can be guided by a smartphone 'app', and importantly, users can be reminded automatically by the app to perform daily exercises [78][79][80][81]. Figure 2 demonstrates a conceptual model of a remote exercise intervention improving physical function in older sepsis survivors.…”

Section: Other Interventions To Prevent Muscle Wasting In Sepsis Survivorsmentioning

confidence: 99%

Pathophysiology and Treatment Strategies of Acute Myopathy and Muscle Wasting after Sepsis

Mankowski

Laitano

Clanton

et al. 2021

JCM

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Sepsis survivors experience a persistent myopathy characterized by skeletal muscle weakness, atrophy, and an inability to repair/regenerate damaged or dysfunctional myofibers. The origins and mechanisms of this persistent sepsis-induced myopathy are likely complex and multifactorial. Nevertheless, the pathobiology is thought to be triggered by the interaction between circulating pathogens and impaired muscle metabolic status. In addition, while in the hospital, septic patients often experience prolonged periods of physical inactivity due to bed rest, which may exacerbate the myopathy. Physical rehabilitation emerges as a potential tool to prevent the decline in physical function in septic patients. Currently, there is no consensus regarding effective rehabilitation strategies for sepsis-induced myopathy. The optimal timing to initiate the rehabilitation intervention currently lacks consensus as well. In this review, we summarize the evidence on the fundamental pathobiological mechanisms of sepsis-induced myopathy and discuss the recent evidence on in-hospital and post-discharge rehabilitation as well as other potential interventions that may prevent physical disability and death of sepsis survivors.

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Establishing the Reliability and Validity of Health in Motion<sup>©</sup> Automated Falls Screening Tool

Cited by 5 publications

References 27 publications

Validity and reliability of the DiCI for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects

Validity and reliability of the DiCI for the measurement of shoulder flexion and abduction strength in asymptomatic and symptomatic subjects

Assessment of a Downloadable Application with Avatar Guidance for PT-Prescribed Home Exercise after Total Knee Arthroplasty: A 30-Day Usability and Feasibility Study

Pathophysiology and Treatment Strategies of Acute Myopathy and Muscle Wasting after Sepsis

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