Clinical Reasoning Process of Physiotherapists When Observing Hemiplegic Gait

NCT02504073 | Completed Results

• 1 other identifier: EKNZ08/12/14
• Study Type: observational
• Target: 54
• Locations: 0 countries
• Sites: N/A

Brief Summary

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

Conditions

Stroke

Keywords

Clinical Reasoning; Physiotherapists

Outcome Measures

Primary Outcomes (3)

• Number of Gait Abnormalities Observed

  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 3 main 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) The question one delivers different items (each new observation is a new item) that were determined patient by patient and rater by rater by three independent researchers. They were then listed and categorised by consensus. Finally, the frequency of each item was analysed globally and for each patient.

  up to 2 months

• Number of Main Problems Observed

  This outcome is a result of the second part of the Questionnaire: 1) What Gait Abnormalities do You See? 2) What do You Consider the Main Problem (1 Sentence) 3) What is Your Hypothesis (Max. 3) By consensus the three independent researchers identified the main statements from the sentences written. Items were afterwards categorised. Finally the frequency of each item was analysed globally and for each patient.

  up to 2 months

• Number of Hypotheses Observed

  This outcome is a result of the third part of the questionnaire: 1) What Gait Abnormalities do You See? 2) What do You Consider the Main Problem (1 Sentence) 3) What is Your Hypothesis (Max. 3) By consensus the three independent researchers identified and categorised all the listed hypotheses from question number three of the questionnaire. After that the use frequency of each item was analysed globally and for each patient.

  up to 2 months

Study Arms (1)

PT's working in stroke in NW-Switzerland

54 Physiotherapists (PT's) working in north-west Switzerland (at Bruderholzspital, RehaB Basel, Klinik Tschugg, Reha Rheinfelden, RehaClinic Zurzach) are asked to analyse videos of 6 hemiplegic patients when walking. They are asked to write down their main observations, the major problem and hypotheses about how this major problem is produced. There is no intervention.

Other: No intervention

Interventions

No intervention OTHER

No intervention

PT's working in stroke in NW-Switzerland

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

physiotherapists working with stroke patients

You may qualify if:

• chartered physiotherapists
• physiotherapists in training
• working with stroke patients

You may not qualify if:

• \- other languages than German

Sponsors & Collaborators

• Technical University of Bern: lead

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Results Point of Contact

• Title: Alexandra Bellwald
• Organization: Kantonsspital Baselland Standort Bruderholz

alexandra.bellwald@ksbl.ch

0041797429755

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MPTSc (cand) PhD

Study Record Dates

• First Submitted: July 15, 2015
• First Posted: July 21, 2015
• Study Start: March 1, 2015
• Primary Completion: June 1, 2015
• Study Completion: December 1, 2015
• Last Updated: August 2, 2017
• Results First Posted: August 2, 2017

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will share