Introduction 29-year-old male patient referred to physical therapy with complaints of gradually developed right knee pain, increased stiffness with activity, mild swelling, and occasional popping sound while climbing stairs. Patient is a long distance runner covering 10 miles 4 days a week. Also, patient does biking occasionally. Patient denies any recent injuries or fall. Patient medical history is not significant except with diagnosis of renal stones 3 years ago. Patient lives alone and perform all functional activities. However, right knee pain is affecting his normal exercise routine and currently he is not able to run more than 3 miles due to knee pain and discomfort. Physical therapist is suspecting a possible right Iliotibial …show more content…
The basic difference between Ober and modified Ober tests is the way tested knee is positioned. In Ober test physical therapist will be holding the knee of the testing leg in flexion and in modified Ober test the knee will be held in extension. The article by Reese and Brady, 2013, generated more interested in author since they used an inclinometer in an effort to measure the reliability between two IT band tests. The primary objective of the study was to determine the intrarater reliability of the Ober test and the modified Ober test for the assessment of IT band flexibility, Reese & Brady, 2013. The study was conducted in 61pain free subjects (17 males and 44 females), with a mean age of 24.2 years. Both Ober test and modified Ober tests were conducted during 2 measurement sessions over 2 consecutive days by measuring the hip adduction using an inclinometer. Three investigators participated in the measurement of IT band flexibility with different levels of experience. The article summarized that the use of an inclinometer for measuring IT band flexibility using both the Ober test and the modified …show more content…
As per Reese & Brady, 2013, the study demonstrated the ICC values calculated and the intrarater reliability was 0.90 for the Ober test and 0.91 for the modified Ober test. Results of the dependent t test indicated a significant difference (P <.001) in the range of motion of the hip between the Ober test and the modified Ober test. As per the CEBM 2011 levels of evidence, this study falls under Level 4 since the evidence was from a single descriptive or qualitative study. Conclusion Even though the dependent t test indicated a significantly greater range of motion of the hip in adduction using the modified Ober test as compared to the Ober test, the study concluded that the Ober and modified Ober tests should not be used interchangeably for the measurement of the flexibility of the IT band. Based on the information received from this article, the author will try to perform modified Ober test by stabilizing the pelvis to avoid any unnecessary motion that would apparently increase the hip range of motion. According to Wang, Jan, Lin & Wang, 2006, both the modified Ober test might be more effective in treating and stretching the iliotibial
Based off of the nine articles selected, this SRR is considered a level II study. Each was a randomized control trial (RCTs) and indicates strong and well-designed studies. A systematic review of randomized RCTs are at the top of the hierarchy of evidence, are level one, and are considered the most rigorous (Melnyk & Fineout-Overholt, 2015). Candidates were healthy
Evaluate the strength and weaknesses of the two diagnostic tests you have described in this report. Is one better than the other? Why/why
Heyward, V. (2010). Assessing Flexibility. In Advanced fitness assessment & exercise prescription (6th ed.). Champaign, Illinois: Human Kinetics.
The studies above have primarily focused on biomechanics at the knee joint, and little attention has been given to the factors which contribute to OA of the hip. One study which did look into the potential risk factors of hip OA found that the external adductor moment (EAM) at the hip was positively correlated with the bone mineral density of the femoral neck in a non-amputee population with hip OA (Hurwitz et al., 1998).
For the present study with the same power of 80% and confidence interval of 95%, 43 patients in each group were needed to be included.
Leg test – The specialist moves the patient’s legs into particular positions, checking for symptoms of
This assessment works by the person taking the test having the Strength Meter dynamometer placed over their shoulders where the handles are placed at the front of the body-around
The investigator was self-trained and calibrated before the study and during the course of study. Data recording was done by a recorder who had been trained and calibrated prior to the main study. To evaluate the intra-examiner reliability, duplicate examinations were conducted at baseline, after three months and at the end of the study. The related kappa values were 0.84, 0.92 and 0.94, respectively.
An alpha level of p<.05 was used for all statistical test. The participants were described by descriptive statistics. The t-test, chi-square, and
In the data analysis of this study, GraphPad Software is used to visualize the data. This tool is available at https://www.graphpad.com/quickcalcs/ttest1.cfm. Data will be input to the tool on the website to make a comparison. To do so, select unpaired
tests, both of which were obtained at ≥1 month of age and one of which was
The reliability of the SAQ may require further evidence. The alpha coefficients were calculated and ranged from .60 to .94. Due to the low alpha coefficients it is difficult to determine the reliability of this test. However, alpha coefficients are only used to measure the internal consistency of a test and does not refer to
There were insignificant difference between males and females regarding to modified Alvarado score as a diagnostic method in
Two tests were made: analysis of variance (ANOVA) and Scott-Knott multiple comparison test. ANOVA was made with Microsoft Excel® software. Scott-Knott was conducted with Sisvar® software to compare means (treatments statistically different). Both tests were made with a 95% confidence limit.
The empirical-experimental part of the present study is based on the series of diagnostic studies with the