Clinical Trial: Clinical Reasoning Process of Physiotherapists When Observing Hemiplegic Gait

Study Status: Active, not recruiting
Recruit Status: Active, not recruiting
Study Type: Observational

Official Title: Clinical Reasoning Process of Physiotherapists When Observing Hemiplegic Gait

Brief Summary: The goal of this study is to find out what clinical reasoning process physiotherapists undergo when observing hemiplegic patients gait.

Detailed Summary:

Physiotherapists don't usually use any assessments to evaluate gait but observe it without an instrument. The questions in this study are:

  • what abnormalities can physiotherapists detect when observing a patient walking?
  • what do they consider the main problem that has a negative effect on the patient's walking?
  • what hypothesis do they generate?
  • how is the inter-rater reliability for the "main problem" and the hypothesis?

Sponsor: Technical University of Bern

Current Primary Outcome: Questionnaire [ Time Frame: up to 2 months ]

The questionnaire will be the basis of this study as it will be the basis for open coding. It is handed out to 54 observers (=physiotherapists) and will be filled in 6 times (for 6 patient videos).

The questionnaire consists of 5 questions:

  1. what gait abnormalities do you see?
  2. What do you consider the main problem (1 sentence)
  3. what is your hypothesis (max. 3)
  4. what would be your next steps if you could examine the patient?
  5. how severely impaired do you consider the patient? mild, moderate, severe?


Original Primary Outcome: Same as current

Current Secondary Outcome: Functional ambulation categories (FAC) [ Time Frame: up to 2 months ]

The FAC is used as a tool to compare the results of question number 5 above


Original Secondary Outcome: Same as current

Information By: Technical University of Bern

Dates:
Date Received: July 15, 2015
Date Started: March 2015
Date Completion: October 2015
Last Updated: July 17, 2015
Last Verified: July 2015