Sensitivity and predictive value of occupational and physical therapy assessments in the functional evaluation of patients with suspected normal pressure hydrocephalus

David Feick, Jennifer Sickmond, Li Liu, Philippe Metellus, Michael Williams, Daniele Rigamonti, Felicia Hill-Briggs

Research output: Contribution to journalArticle

Abstract

Objective: To examine effectiveness of standardized occupational therapy and physical therapy assessments in detecting functional changes and predicting clinical improvement in patients with suspected normal pressure hydrocephalus undergoing cerebrospinal fluid drainage. Design: Cohort study. Patients: Eighty-seven patients admitted to an inpatient neurology unit for elective cerebrospinal fluid drainage for suspected normal pressure hydrocephalus. Methods: Before and after a protocol of continuous cerebrospinal fluid drainage via spinal catheter, patients were administered the Functional Independence Measure (FIM™), Timed Up and Go (TUG), Tinetti Assessment Tool of Gait and Balance, 9-hole peg test, and Cognitive Assessment of Minnesota (CAM). Following cerebrospinal fluid drainage, changes in functional performance were compared for responders to cerebrospinal fluid drainage and non-responders to cerebrospinal fluid drainage. Results: At baseline, CAM was more sensitive than the Mini Mental State Exam in predicting responders. Post-drainage: responders improved on 52% of tests while non-responders improved on only 11%. Assessments that differentiated magnitude of improvement in responders vs non-responders were: TUG (p <0.05), Tinetti total (p <0.001), Tinetti balance (p

Original languageEnglish (US)
Pages (from-to)715-720
Number of pages6
JournalJournal of Rehabilitation Medicine
Volume40
Issue number9
DOIs
StatePublished - Oct 2008

Fingerprint

Normal Pressure Hydrocephalus
Occupational Therapy
Neurology
Gait
Cerebrospinal Fluid Leak
Inpatients
Drainage
Cohort Studies
Catheters

Keywords

  • Assessment
  • Cognition
  • Functional status
  • Normal pressure hydrocephalus
  • Occupational therapy
  • Outcome measurement
  • Physical therapy
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

Cite this

Sensitivity and predictive value of occupational and physical therapy assessments in the functional evaluation of patients with suspected normal pressure hydrocephalus. / Feick, David; Sickmond, Jennifer; Liu, Li; Metellus, Philippe; Williams, Michael; Rigamonti, Daniele; Hill-Briggs, Felicia.

In: Journal of Rehabilitation Medicine, Vol. 40, No. 9, 10.2008, p. 715-720.

Research output: Contribution to journalArticle

@article{95fdb93868804f7d9d680ec42c9c39cf,
title = "Sensitivity and predictive value of occupational and physical therapy assessments in the functional evaluation of patients with suspected normal pressure hydrocephalus",
abstract = "Objective: To examine effectiveness of standardized occupational therapy and physical therapy assessments in detecting functional changes and predicting clinical improvement in patients with suspected normal pressure hydrocephalus undergoing cerebrospinal fluid drainage. Design: Cohort study. Patients: Eighty-seven patients admitted to an inpatient neurology unit for elective cerebrospinal fluid drainage for suspected normal pressure hydrocephalus. Methods: Before and after a protocol of continuous cerebrospinal fluid drainage via spinal catheter, patients were administered the Functional Independence Measure (FIM™), Timed Up and Go (TUG), Tinetti Assessment Tool of Gait and Balance, 9-hole peg test, and Cognitive Assessment of Minnesota (CAM). Following cerebrospinal fluid drainage, changes in functional performance were compared for responders to cerebrospinal fluid drainage and non-responders to cerebrospinal fluid drainage. Results: At baseline, CAM was more sensitive than the Mini Mental State Exam in predicting responders. Post-drainage: responders improved on 52{\%} of tests while non-responders improved on only 11{\%}. Assessments that differentiated magnitude of improvement in responders vs non-responders were: TUG (p <0.05), Tinetti total (p <0.001), Tinetti balance (p",
keywords = "Assessment, Cognition, Functional status, Normal pressure hydrocephalus, Occupational therapy, Outcome measurement, Physical therapy, Rehabilitation",
author = "David Feick and Jennifer Sickmond and Li Liu and Philippe Metellus and Michael Williams and Daniele Rigamonti and Felicia Hill-Briggs",
year = "2008",
month = "10",
doi = "10.2340/16501977-0241",
language = "English (US)",
volume = "40",
pages = "715--720",
journal = "Journal of Rehabilitation Medicine",
issn = "1650-1977",
publisher = "Foundation for Rehabilitation Information",
number = "9",

}

TY - JOUR

T1 - Sensitivity and predictive value of occupational and physical therapy assessments in the functional evaluation of patients with suspected normal pressure hydrocephalus

AU - Feick, David

AU - Sickmond, Jennifer

AU - Liu, Li

AU - Metellus, Philippe

AU - Williams, Michael

AU - Rigamonti, Daniele

AU - Hill-Briggs, Felicia

PY - 2008/10

Y1 - 2008/10

N2 - Objective: To examine effectiveness of standardized occupational therapy and physical therapy assessments in detecting functional changes and predicting clinical improvement in patients with suspected normal pressure hydrocephalus undergoing cerebrospinal fluid drainage. Design: Cohort study. Patients: Eighty-seven patients admitted to an inpatient neurology unit for elective cerebrospinal fluid drainage for suspected normal pressure hydrocephalus. Methods: Before and after a protocol of continuous cerebrospinal fluid drainage via spinal catheter, patients were administered the Functional Independence Measure (FIM™), Timed Up and Go (TUG), Tinetti Assessment Tool of Gait and Balance, 9-hole peg test, and Cognitive Assessment of Minnesota (CAM). Following cerebrospinal fluid drainage, changes in functional performance were compared for responders to cerebrospinal fluid drainage and non-responders to cerebrospinal fluid drainage. Results: At baseline, CAM was more sensitive than the Mini Mental State Exam in predicting responders. Post-drainage: responders improved on 52% of tests while non-responders improved on only 11%. Assessments that differentiated magnitude of improvement in responders vs non-responders were: TUG (p <0.05), Tinetti total (p <0.001), Tinetti balance (p

AB - Objective: To examine effectiveness of standardized occupational therapy and physical therapy assessments in detecting functional changes and predicting clinical improvement in patients with suspected normal pressure hydrocephalus undergoing cerebrospinal fluid drainage. Design: Cohort study. Patients: Eighty-seven patients admitted to an inpatient neurology unit for elective cerebrospinal fluid drainage for suspected normal pressure hydrocephalus. Methods: Before and after a protocol of continuous cerebrospinal fluid drainage via spinal catheter, patients were administered the Functional Independence Measure (FIM™), Timed Up and Go (TUG), Tinetti Assessment Tool of Gait and Balance, 9-hole peg test, and Cognitive Assessment of Minnesota (CAM). Following cerebrospinal fluid drainage, changes in functional performance were compared for responders to cerebrospinal fluid drainage and non-responders to cerebrospinal fluid drainage. Results: At baseline, CAM was more sensitive than the Mini Mental State Exam in predicting responders. Post-drainage: responders improved on 52% of tests while non-responders improved on only 11%. Assessments that differentiated magnitude of improvement in responders vs non-responders were: TUG (p <0.05), Tinetti total (p <0.001), Tinetti balance (p

KW - Assessment

KW - Cognition

KW - Functional status

KW - Normal pressure hydrocephalus

KW - Occupational therapy

KW - Outcome measurement

KW - Physical therapy

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=54049132201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=54049132201&partnerID=8YFLogxK

U2 - 10.2340/16501977-0241

DO - 10.2340/16501977-0241

M3 - Article

C2 - 18843422

AN - SCOPUS:54049132201

VL - 40

SP - 715

EP - 720

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

SN - 1650-1977

IS - 9

ER -