Symptomatic asymmetry in very young infants: A Delphi study on the development of a screening instrument
| العنوان: | Symptomatic asymmetry in very young infants: A Delphi study on the development of a screening instrument |
|---|---|
| المؤلفون: | Jacqueline Nuysink, I. C. van Haastert, Tim Takken, Paul J. M. Helders |
| المصدر: | Physiotherapy Theory and Practice. 27:194-212 |
| بيانات النشر: | Informa UK Limited, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Pediatrics, medicine.medical_specialty, Consensus, Delphi Technique, Asymmetric head, Posture, Delphi method, Physical Therapy, Sports Therapy and Rehabilitation, Young infants, Diagnosis, Differential, Neonatal Screening, Predictive Value of Tests, Nominal group technique, medicine, Health Status Indicators, Humans, Musculoskeletal Diseases, Medical diagnosis, Screening instrument, Physical Therapy Modalities, health care economics and organizations, Netherlands, Evidence-Based Medicine, business.industry, Infant, Newborn, Infant, Reproducibility of Results, Physical therapy, business, Head, Clinical evaluation, Red flags |
| الوصف: | The objective of this study was to develop a screening instrument for pediatric physiotherapists to distinguish a symptomatic asymmetry in the clinical evaluation of young infants (age6 months) with an asymmetric head posture. We chose two consensus methods, a two-round Delphi design and an expert meeting using nominal group technique, for reaching agreement about classification of diagnoses and clinical diagnostic criteria (CDC). Seventeen diagnoses with an expression of asymmetry with 69 matching CDC were assessed. In two Delphi rounds, six medical specialists and seven pediatric physiotherapists were polled anonymously on the classification, completeness, and relevance of the diagnoses and the CDC. Panel consistency in round 2, expressed as Cronbach's-α, was 0.89. In round 3, a face-to-face meeting with eight therapists, the previously selected diagnoses and CDC were prioritised, reduced to 10 diagnoses and 21 CDC, and completed with eight hard clinical signs (red flags). Finally, a differential diagnostic screening instrument, containing a classification scheme, the CDC for differential diagnostics, and a list of "red flags" was established on the basis of literature search and expert consensus. Cross-validity and reliability of the instrument will be investigated in future research. |
| تدمد: | 1532-5040 0959-3985 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a574508bec1fc299d3d1b4eb6ce09fab https://doi.org/10.3109/09593985.2010.487146 |
| رقم الأكسشن: | edsair.doi.dedup.....a574508bec1fc299d3d1b4eb6ce09fab |
| قاعدة البيانات: | OpenAIRE |
PDF full text from Publisher | تدمد: | 15325040 09593985 |
|---|