Addison Williams Andrews

Elon University · Physical Therapy

The purposes of this study were to: 1) describe the level of functional independence of patients with Guillain-Barré Syndrome (GBS) before and after inpatient rehabilitation (IPR), 2) determine whether the level of functional independence increased in each functional domain during IPR, and 3) determine whether independence at the end of IPR differe...

Questions: What are comfortable gait speed values for apparently healthy adults? How do these differ by age group, sex and geographical region? Design: Systematic review of observational studies with meta-analysis. Participants: Apparently healthy, community-dwelling adults who have undergone measurement of comfortable gait speed. Search meth...

Background: Functional domain predictors of discharge destination following inpatient rehabilitation for stroke have not been thoroughly identified. Objectives: 1) Determine the relationships between intrinsic variables (demographic; comorbidities; functional independence at admission to and at discharge from an inpatient rehabilitation facility...

Background: The clinimetric properties of the Wheelchair Propulsion Test (WPT) have not been developed thoroughly. Objective: To determine inter-rater reliability and reference values for the Wheelchair Propulsion Test (WPT) for active wheelchair users and to compare WPT performance between various types of manual wheelchairs at different paces....

Background and Purpose Gliosarcoma is a highly malignant brain cancer with an exceptionally poor medical prognosis. Despite poor prognostic indicators, rehabilitation may improve quality of life and restore independence. Little research is available to guide physical rehabilitation in this population. Medical and rehabilitation prognoses are interd...

Background: Normative data for the equivalent of gait speed via the Wheelchair Propulsion Test (WPT) do not exist for wheelchair users. Objective: The purposes of the current study were to: 1) determine the reliability of the WPT, 2) propose and compare normative values for the WPT for young adult males and females utilizing three different prop...

Background and purpose: Inpatient rehabilitation facilities play an integral role in patient progress post-stroke. Cerebellar hemorrhages are an infrequent type of stroke and are therefore less discussed in the literature; however, inpatient rehabilitation continues to be an integral part of patient recovery. The purpose of this case report is to...

Background and purpose: Nocturnal lower limb cramps are sudden, intensely painful, and can decrease sleep, increase anxiety, and reduce quality of life. The purpose of this case report is to describe the effectiveness of an evidence-based physical therapy intervention for a person with lower limb cramps. Case description: The patient was a 34-ye...

Little is known about the use of rehabilitation in the acute care setting and its impact on hospital readmissions. The objective of our study was to examine the association between the intensity of rehabilitation services received during the acute care stay for stroke and the risk of 30-day and 90-day hospital readmission. A retrospective cohort an...

[Purpose] The purpose of this retrospective study was to determine the minimal clinically important difference for comfortable gait speed for patients with stroke. [Subjects] Data were analyzed from 35 patients undergoing inpatient rehabilitation. [Methods] Two characteristics of gait were measured, assistance required and comfortable gait speed. P...

BACKGROUND: The responsiveness of measurements obtained by hand-held dynamometry (HHD) is largely unexplored. OBJECTIVE: A secondary analysis of data from a clinical cohort of patients (N=55) admitted for inpatient rehabilitation following acute stroke was completed to determine the responsiveness of measures of lower extremity muscle strength. MET...

Self-report measures of mobility provide important insight into patients' perception of difficulties that they have in performing mobility activities. The purposes of this article are to systematically identify the most commonly cited self-report measures of mobility in the literature and to discuss their clinimetric properties. The most common mea...

Walking speed has implications for community functioning and is predictive of important outcomes. Determining whether an individual's walking speed is limited requires normal values for comparison. To use meta-analysis to describe normal gait speed for healthy individuals within age and gender strata. PubMed, the Cumulative Index of Nursing and All...

Physical therapists working in neurological practice must make choices about which standardized outcome measures are most appropriate for each patient. Significant time constraints in the clinic limit the number of measures that one can reasonably administer. Therapists must choose measures that will provide results that guide the selection of appr...

The purposes of this study were to provide an update to the ambulatory distance requirements for community ambulation and to update gait speed performance and requirements at intersections. Distances were measured at 9 types of sites using a rolling measuring device in accordance with the protocol set forth by Lerner-Frankiel and associates. The 9...

Examination procedures preferred by physical therapists have not been documented either specifically or comprehensively. The purpose of this study was to determine which tests and measures are used most frequently by specialists in the examination of adults with stroke. Physical therapy specialists were identified as having geriatric or neurologic...

To document, by using norm-referenced strength measures, the recovery of limb muscle strength of patients undergoing stroke rehabilitation and to examine the relation between comorbidities and the recovery of strength after stroke. Retrospective analysis of data from a consecutive convenience sample of patients examined clinically between 1994 and...

Objective: The purpose of this study was to investigate the adequacy of timed large amplitude rapid alternating movement patterns (RAMPs) as a measure of motor status following stroke. We were specifically interested in the reliability (internal consistency), responsiveness, and validity of timed large amplitude RAMPs. Design: A retrospective, desc...

We sought to determine the relative value of lower extremity muscle strength as a predictor of discharge function and length of stay of patients with stroke. We studied 72 patients undergoing inpatient rehabilitation after a stroke and documented their outcome using length of stay and function [as measured by the Functional Independence Measure (FI...

The purpose of this study was to quantify the distribution of strength impairments soon after stroke. We were specifically interested in differences in impairments between proximal and distal actions, flexion and extension actions, and upper and lower limb actions. We conducted a retrospective chart review of strength scores of patients with acute...

A secondary analysis of a data base of isometric strength measures from 136 asymptomatic adults (50-79 years) was conducted to estimate the normal difference between dominant and nondominant side strengths. Measures of strength obtained by hand-held dynamometry from 13 muscle actions were expressed as a ratio, dominant side strength:nondominant sid...

Overall muscle strength of extremities is often characterized by measurements from one or more selected actions. This study evaluated the legitimacy of that procedure. Measurements obtained by handheld dynamometry from 13 muscle actions of 156 apparently healthy individuals (50-79 years) were subjected to correlational analysis, principal-component...

To examine the relationships between impairments in limb muscle strength soon after stroke, a secondary analysis of a data base of 48 patients with stroke was undertaken. Measurements of isometric muscle strength obtained bilaterally from eight muscle actions and recorded in the data base were retrieved for analysis. Most of the strength measures c...

Speed is established as an important aspect of gait. This research was performed to establish reference values for comfortable and maximal gait speed and to describe the relationship of selected variables with speed. Apparently healthy men (N = 77) and women (N = 79), age 50-79 years, participated. Their gait speeds were determined using a stopwatc...

The extent of a patient's impairment can be established by comparing measurements of that patient's performance with normative values obtained from apparently unimpaired individuals. Only a few studies have described normative values for muscle strength measured by hand-held dynamometry. The purpose of this study of older adults, therefore, was to...

This review was undertaken to describe the relationship between clinical measures of impairment and gait performance in patients with stroke. Twenty-four studies were analysed. Four major gait variables and five major impairments were identified. Strength of the paretic lower extremity and standing balance were found consistently to be correlated w...

The purpose of this study was to describe the nature and implications of strength deficits on the sides ipsilateral and contralateral to stroke. Subjects consisted of 16 patients who experienced a first stroke (2-40 days before testing) with hemiparesis (7 left, 9 right). The strengths of proximal (shoulder abduction, hip flexion), middle (elbow fl...

Twenty-four patients with stroke were studied (a) to determine the interrater reliability of a clinical measurement of shoulder subluxation, (b) to confirm the interrater reliability of the Ritchie Articular Index (Bohannon & LeFort, 1986) for measuring shoulder pain, (c) to establish the relationship between the Ritchie index scores and shoulder l...

The purpose of this investigation was to determine in 17 stroke patients the correlation between two independent variables (knee extensor muscle torque [KET] and spasticity on the paretic side) and one dependent variable (gait speed). The patients had a mean age of 59 years; time since onset of first stroke was 51 days. Each variable was measured t...

To the Editor We would like to respond to the commentary by Rothstein, Riddle, and Finucane on Bohannon's special communication entitled “Is the Measurement of Muscle Strength Appropriate in Patients with Brain Lesions?” (Physical Therapy, March 1989, pages 225–236). We commend the authors for their thorough critique of studies cited by Bohannon re...

The purposes of this investigation of patients with stroke were to 1) determine and compare shoulder lateral rotation range of motion (SLRROM) measured at the threshold of pain on the paretic and nonparetic sides; 2) establish the intrarater and interrater reliability of the measurements; and 3) determine the relationship between SLRROM measurement...

The purpose of this investigation was to examine the influence of bead and neck (HN) position in the transverse plane on the static production of elbow flexion force in the involved (paretic) upper extremity of patients with hemiparesis. Thirty-one patients who had experienced a cerebrovascular accident a mean of 44 days before testing participated...

The accuracy of two spring gauge and two strain gauge hand-held dynamometers was determined using certified weights. Each dynamometer, which had extensive prior use, was vertically loaded with the certified weights in 5 lb increments from 5-55 lbs. Analysis of variance was used to compare the actual certified weights with the weights measured by ea...

This study was undertaken to determine whether or not some upper extremity muscle groups are affected more than others after a stroke, and subsequently to identify which muscle group was impaired the most in each of three pairs of opposing muscle groups. The static force production (strength) of seven upper extremity muscle groups was assessed bila...

Two raters performed hand-held dynamometer testing of six muscle groups of 30 patients to determine the interrater reliability of the procedure. The six muscle groups tested were the shoulder external rotators, elbow flexors, wrist extensors, hip flexors, knee extensors, and ankle dorsiflexors. The patients were of eight different diagnostic groups...

Keywords: education, undergraduate quality, physical therapy, attrition. Thesis (Ed.D.)--North Carolina State University. Includes bibliographical references (p. 117-121). Includes vita.