Reference values for clinical field tests used in primary based rehabilitation : a South African case study
dc.contributor.advisor | Hanekom, Susan D. | en_ZA |
dc.contributor.author | Baldeo, Kamir | en_ZA |
dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Health & Rehabilitation Sciences. Physiotherapy. | en_ZA |
dc.date.accessioned | 2021-12-07T08:42:08Z | |
dc.date.accessioned | 2021-12-22T14:32:24Z | |
dc.date.available | 2021-12-07T08:42:08Z | |
dc.date.available | 2021-12-22T14:32:24Z | |
dc.date.issued | 2021-12 | |
dc.description | Thesis (MScPhysio)--Stellenbosch University, 2021. | en_ZA |
dc.description.abstract | ENGLISH SUMMARY : Introduction: Clinical field tests are cheap and easily available tools that are used in primary based rehabilitation. To our knowledge, minimal data is available describing variation in values obtained from field tests in a “healthy” South African context. Reference values are used to assist clinical decisions, define treatment options and determine prognosis. The aim of this thesis was to 1) explore the literature and describe the populations included in establishing reference values for five clinical field tests and 2) describe the values of five clinical field tests in a ‘healthy’ population from a South African resource restrained metropolitan community. Methods: The clinical field tests included in this thesis focused on assessing functional exercise capacity; health related quality of life; peripheral muscle strength; grip strength; and respiratory strength. A scoping review was carried out following the framework of (Arksey and Malley, 2005). Six databases were searched from inception to July 2019. Studies were selected by two independent researchers at title, abstract and full text levels. We used a cross- sectional study design to describe the values for the five clinical field tests in a cohort of healthy South Africans. Convenience sampling technique stratified for age and gender, was used to obtain a sample. Reference values were presented as mean and standard deviation. Scatter plots was used to visually compare the dispersion of the South African values to selected international reference values for exercise capacity and maximal inspiratory pressure. Results: Nine systematic reviews published within the past five years, were included in the scoping review. Ten additional studies were identified through a secondary search, with nine primary studies reporting maximal inspiratory pressure reference values and one primary study reporting reference values for exercise capacity. The scoping review identified a variety of international populations, procedures, positioning, and reference values. No reference values were identified from populations in least developed countries. Thirty-five participants agreed to participate in the study. The participants were stratified according to six age groups (18- 25,26-35,36-45,46-55 and 56-65) and gender. Sixteen participants were male whilst nineteen participants were female. The average age for participants (n=35) were (39.46±13.81), average height (166.4±9.46) and average weight (75.81±19.58). The mean Body Mass Index (BMI) was (27.47±7.24). Of the total sample, participants formed 31.43% of the overweight category and 31.43% of the obese category. The scatter plots visually compared the mean and 95% Confidence Intervals of the South African population to values obtained from international cohorts for the exercise capacity and maximal inspiratory pressure. Conclusion: The scoping review highlighted the variation in reference values across populations and economic backgrounds as well as differences in testing procedures. Values for five clinical field tests used in primary based rehabilitation has documented normal variation in a healthy South African population. Clinicians need to be cognisant of factors that could impact reference values such as socio-economic environments and the testing procedure. International reference values may be inaccurate for use by clinicians in a South African context. Further work is needed to define more precise South African reference values for the five clinical field tests described in this thesis. | en_ZA |
dc.description.abstract | AFRIKAANSE OPSOMMING : Agtergrond: Kliniese veldtoetse is goedkoop en maklik beskikbare instrumente wat gebruik word in primêre rehabilitasie. Na ons wete is daar minimale data beskikbaar wat die variasie in waardes wat verkry is uit veldtoetse in 'n 'gesonde' Suid-Afrikaanse konteks, beskryf. Verwysingswaardes word gebruik om kliniese besluite te fasilteer, behandelingsopsies te bepaal en prognose te voorspel. Die doel van hierdie proefskrif was om 1) die literatuur te verken en die populasies te beskryf wat ingesluit is by die vasstelling van verwysingswaardes vir vyf kliniese veldtoetse en 2) die waardes van vyf kliniese veldtoetse bepaal in n gesonde hulpbron beperkte Suid-Afrikaanse metropolitaanse populasie Metodes: Die kliniese veldtoetse wat in hierdie tesis ingesluit is, het gefokus op die beoordeling van funksionele uithouvermoë; gesondheidsverwante lewenskwaliteit; perifere spierkrag; greepsterkte; en asemhalingskrag. 'n Literatuur oorisg is uitgevoer na aanleiding van die raamwerk van (Arksey en Malley, 2005). Ses databasisse is ingesluit en die soektog is uitgevoer van die begin van die databasis Studies is gekies deur twee onafhanklike navorsers op titel-, abstrakte- en volteksvlakke. Ons het 'n deursnitstudie-ontwerp gebruik om die waardes vir die vyf kliniese veldtoetse in 'n groep gesonde Suid-Afrikaners te beskryf. Gemaksteekproefnemingstegnieke wat volgens ouderdom en geslag gestratifiseer is, is gebruik om 'n monster te verkry. Verwysingswaardes is as gemiddelde en standaardafwyking beskryf Verspreidingsdiagramme is gebruik om die verspreiding van die Suid-Afrikaanse waardes visueel te vergelyk met geselekteerde internasionale verwysingswaardes vir oefenvermoë en maksimale inspirasiedruk. Resultate: Nege sistematiese oorsigte wat gedurende die afgelope vyf jaar gepubliseer is, is in die literatuur oorsig ingesluit. Tien addisionele studies is deur middel van 'n sekondêre soektog geïdentifiseer, met nege primêre studies wat die maksimum inspirasie-drukverwysingswaardes rapporteer en een primêre studie wat verwysingswaardes vir oefenvermoë aanmeld. Die bestekopname-oorsig het 'n verskeidenheid internasionale bevolkings, prosedures, posisionering en verwysingswaardes geïdentifiseer. Geen verwysingswaardes is geïdentifiseer van populasies in die minste ontwikkelde lande nie. Vyf en dertig deelnemers het ingestem om aan die studie deel te neem. Die deelnemers is volgens ses ouderdomsgroepe (18-25,26-35,36-45,46-55 en 56- 65) en geslag gestratifiseer. Sestien deelnemers was mans, terwyl negentien deelnemers vroulik was. Die gemiddelde ouderdom vir deelnemers (n = 35) was (39.46 ± 13.81), gemiddelde lengte (166.4 ± 9.46) en gemiddelde gewig (75.81 ± 19.58). Die gemiddelde liggaamsmassa-indeks (BMI) was (27,47 ± 7,24). Van die totale steekproef val 31,43% in die oorgewigskategorie en 31,43% in die vetsugtige kategorie. Die verspreidingsdiagramme het die gemiddelde en 95% vertrouensintervalle van die Suid-Afrikaanse bevolking visueel vergelyk met waardes verkry uit internasionale kohorte vir die oefenvermoë en maksimale inspirasiedruk. Afsluiting: Die literatuuroorsig het die variasie in verwysingswaardes tussen populasies en ekonomiese agtergronde sowel as die verskille in toetsprosedures beklemtoon. Waardes vir vyf kliniese veldtoetse wat in primêre rehabilitasie gebruik word, het normale variasie in 'n gesonde Suid-Afrikaanse bevolking aangetoon. Klinici moet kennis dra van faktore wat die verwysingswaardes kan beïnvloed soos die sosio-ekonomiese omgewings en die toetsprosedure. Internasionale verwysingswaardes kan onakkuraat wees vir gebruik deur klinici in 'n Suid- Afrikaanse konteks. Verdere werk is nodig om meer akkurate Suid-Afrikaanse verwysingswaardes te definieer vir die vyf kliniese veldtoetse wat in hierdie proefskrif beskryf word. | af_ZA |
dc.description.version | Masters | |
dc.format.extent | xv, 170 pages ; illustrations, includes annexures | |
dc.identifier.uri | http://hdl.handle.net/10019.1/123973 | |
dc.language.iso | en_ZA | en_ZA |
dc.publisher | Stellenbosch : Stellenbosch University | |
dc.rights.holder | Stellenbosch University | |
dc.subject | Hospitals -- Rehabilitation services -- South Africa | en_ZA |
dc.subject | Health surveys -- South Africa | en_ZA |
dc.subject | Well-being -- Health aspects -- South Africa | en_ZA |
dc.subject | Muscle strength -- Testing | en_ZA |
dc.subject | Physical fitness -- Testing -- South Africa | en_ZA |
dc.subject | UCTD | |
dc.title | Reference values for clinical field tests used in primary based rehabilitation : a South African case study | en_ZA |
dc.type | Thesis | en_ZA |