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Performance testing in rehabilitation: influence of context and cognitive function on mobility

Physiotherapy Department, Harrow Hospital

GA Atkinson

Physiotherapy Department, Harrow Hospital

JP Royston

Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow

Cja O'Neill

Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow

MJ Denham

Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow

SM Dobbs

Division of Medical Statistics and Therapeutics in the Elderly Research Group, Northwick Park Hospital and Clinical Research Centre, Harrow

The accuracy of routine information on the response of a patient to rehabilitation was questioned. At the multidisciplinary ward round there may be on the one hand an inhibitory effect on the patient's performance due to the presence of a large team, but on the other reluctance of nurses and therapists to concede that all their efforts may only have maintained status quo. We present a randomised, controlled, crossover study of the effect of the ward round on a test of the ability to stand, walk a fixed distance, turn and sit down. Surprisingly, performance was not inhibited by the round: the 20 patients studied performed the test with equal skill, but greater speed, on the round than in a more private context. Cognitive function had a greater influence on the amount of help needed in standing and sitting safely, than on ability to walk and turn independently.

Clinical Rehabilitation, Vol. 1, No. 3, 193-196 (1987)
DOI: 10.1177/026921558700100305


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