week 1 Flashcards
diagnosis
describes multiple dimensions of the indiv from basic cellular to highest level of functioning in society
prognosis
determination of the predicted optimal level of improvement in function and the amount of time needed to reach that level of improvement
intervention
interactions btw therapist and pt to produce changes in the conditions that are consistent with the dx and px
outcomes
actual results of implementing the plan of care
functioning
body functions and structures, activities and participation
international classification of functioning, disability and health (IFC) model
scientific basis for understanding and measuring non-disease outcomes
common language
allows data to be compared across settings, countries, and cultures
IFC model: body structure and function
Impairment: significant deviation or loss of function
ligamentous integrity
strength
ROM
IFC model: activities
execution of a task or action
mobility ie changing body position
self care
IFC participation
involvement in a life situation
disability: limitation in activity and/or participation
Clinical outcomes must be…
validated by research
Only analyses of differences can be
experimental
retrospective
data already recorded
inquire about past events
prospective
data collected after research is initiated
only prospective data collection can be…
experimental
experimental research
variables are subject to manipulation by the investigator, Involves assignment to treatment status
observational research
investigators observe what occurs naturally
ie in real world settings
treatment status is based on pt/system factors, not assigned
Randomized controlled trials
most rigorous experimental research design
useful only for intervention research
subjects randomly assigned (exposed to intervention or nah)
blinding of intervention
timing always prospective
cohort studies
most rigorous observational research design
naturally occuring groups
subjects classified by exposure status and then followed over time for outcome
timing may be prospective or retrospective
case-control studies
used when outcome is rare or unusual
subjects initially classified by outcome status’
not used for intervention or diagnosis research
useul for research about prognosis/etiology
always retrospective
cross sectional studies
exposure and outcome measured at same time
useful for prevalance studies
used in dx research
timing neither prospective or retrospective
systematic reviews
examine multiple primary studies addressing a specific clinical issue
powerful combined summary findings
intervention research
establishes efficacy or effectiveness as well as safety of an intervention
diagnosis research
validates a clinical diagnostic test against an establish “gold standard” for that dx
prognosis research
assesses demographic, behavioral, and clinical characteristics that predict disease or other outcomes of interest
