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Supporting Research by Topic

 

Measure Development

Orthopedic:

General

  • Hart DL, Wright BD. Development of an index of physical functional health status. Arch Phys Med Rehabil. 2002;83(5):655-665.
  • Hart DL. Assessment of unidimensionality of physical functioning in patients receiving therapy in acute, orthopedic outpatient centers. J Outcome Meas. 2000;4(1):413-430.

Cervical

  • Deutscher D, Cook KF, Kallen M, Werneke MW, Hayes D, Mioduski JE, Woodhouse LJ, Stratford P. Clinical interpretation of the neck functional status computer adaptive test. JOSPT 2019 (accepted)
  • Wang YC, Cook K, Deutscher D, Werneke MW, Hayes D, Mioduski J. The Development and Psychometric Properties of the Patient Self-Report Neck Functional Status Questionnaire (NFSQ). JOSPT 2015,45:683-692.

Lumbar

  • Werneke M. Correspondence: A proposed set of metrics for standardized outcome reporting in the management of low back pain. Acta Orthopaedica 2016;87(1):88-90.
  • Hart DL, Mioduski JE, Werneke MW, Stratford PW. Simulated computerized adaptive test for patients with lumbar spine impairments was efficient and produced valid measures of function. J Clin Epidemiol. 2006;59(9):947-956.

Hand / Wrist

  • Hart DL, Tepper S, Lieberman D. Changes in health status for persons with wrist or hand impairments receiving occupational or physical therapy. Am J Occup Ther. 2001;55:68-74.

Hip

  • Hart DL, Mioduski JE, Stratford PW. Simulated computerized adaptive tests for measuring functional status were efficient with good discriminant validity in patients with hip, knee, or foot/ankle impairments. J Clin Epidemiol. 2005;58(6):629-638.

Knee

  • Hart DL, Mioduski JE, Stratford PW. Simulated computerized adaptive tests for measuring functional status were efficient with good discriminant validity in patients with hip, knee, or foot/ankle impairments. J Clin Epidemiol. 2005;58(6):629-638.

Ankle / Foot

  • Tidhar D, Deutscher D, Armer JM. Construct validity of functional status scores of patients with lymphedema. Lymphology 2018;51:160-173.

  • Saban B, Masharawi Y.  Pain threshold tests in patients with heel pain syndrome. Foot Ankle Int. April 4th 2016; pages 1-7: DOI: 10.1177/1071100716642038
  • Hart DL, Mioduski JE, Stratford PW. Simulated computerized adaptive tests for measuring functional status were efficient with good discriminant validity in patients with hip, knee, or foot/ankle impairments. J Clin Epidemiol. 2005;58(6):629-638.

Shoulder

  • Tidhar D, Deutscher D, Armer JM. Construct validity of functional status scores of patients with lymphedema. Lymphology 2018;51:160-173.

  • Crane, P. K., D. L. Hart, L. E. Gibbons and K. F. Cook. A 37-item shoulder functional status item pool had negligible differential item functioning. J Clin Epidemiol 2006 59(5): 478-484.
  • Cook, K. F., T. S. Roddey, G. M. Gartsman and S. L. Olson. Development and psychometric evaluation of the Flexilevel Scale of Shoulder Function. Med Care 2003 41: 823-835.
  • Cook, K. F., T. S. Roddey, K. J. O'Malley and G. M. Gartsman. Development of a Flexilevel Scale for use with computer-adaptive testing for assessing shoulder function. J Shoulder Elbow Surg 2005 14; (1 Suppl S) 90S-94S.
  • Hart DL, Cook KF, Mioduski JE, Teal CR, Crane PK. Simulated computerized adaptive test for patients with shoulder impairments was efficient and produced valid measures of function. J Clin Epidemiol. 2006;59(3):290-298.

Neurological:

Neurological

Lyphedema:

  • Tidhar D, Deutscher D, Armer JM. Construct validity of functional status scores of patients with lymphedema. Lymphology 2018;51:160-173.

Pelvic Floor:

  • Wang Y, Hart D, Deutscher D, Yen S, Mioduski J.   Psychometric Properties and Practicability of the Self-Report Urinary Incontinence Questionnaire in Patients With Pelvic-Floor Dysfunction Seeking Outpatient Rehabilitation   Physical Therapy 2013 Aug;93(8):1116-29.
  • Wang YC, Hart DL, Mioduski JE. Characteristics of patients seeking outpatient rehabilitation for pelvic floor dysfunction. Phys Ther. 2012;92(9):1160-74.
  • Wang YC, Hart DL, Deutscher D, Yen SC, Mioduski JE. Psychometric properties and practicability of the self-report Urinary Incontinence Questionnaire (UIQ) in patients with Pelvic Floor Dysfunction (PFD) seeking outpatient rehabilitation. Phys Ther. 2013; 93(8):1116-29.

Psychometric Evaluation of FOTO Measures

Validity:

Lumbar

Hip

  • Hart DL, Wang YC, Stratford PW, Mioduski JE. Computerized adaptive test for patients with hip impairments produced valid and sensitive measures of function. Arch Phys Med Rehabil. 2008;89:2129-2139.

Shoulder

  • Hart, DL, Cook K, Mioduski JE, Teal CR, Crane PK. Simulated computerized adaptive test for patients with shoulder impairments was efficient and produced valid measures of function. J Clin Epidemiol 2006 59(3): 290-298.
  • Hart DL, Wang YC, Cook KF, Mioduski JE. A computerized adaptive test for patients with shoulder impairments produced responsive measures of function. Phys Ther. 2010;90(6):928-938.

Foot / Ankle

  • Hart DL, Wang YC, Stratford PW, Mioduski JE. Computerized adaptive test for patients with foot or ankle impairments produced valid and sensitive measures of function. Qual Life Res. 2008;17(8):1081-1091.

Knee

  • Hart DL, Wang YC, Stratford PW, Mioduski JE. Computerized adaptive test for patients with knee impairments produced valid and sensitive measures of function. J Clin Epidemiol. 2008;61(11):1113-1124.
  • Deutscher D, Hart DL, Stratford PW, Dickstein. Construct validation of a knee-specific functional status measure: a comparative study between the United States and Israel. Phys Ther. 2011;91(7):1072-1084.

Reliability

  • Hart DL. Test-retest reliability of an abbreviated self-report overall health status measure. JOSPT. 2003;33(12):734-742.
  • Hart DL. Orthotics and Prosthetics National Office Outcomes Tool (OPOT): Initial reliability and validity assessment for lower extremity prosthetics. J Prosthetics and Orthotics. 1999;11(4):101-111.

Differential Item Function (DIF)

  • Crane PK, Hart DL, Gibbons LE, Cook KF. A 37-item shoulder functional status item pool had negligible differential item functioning. J Clin Epidemiol. 2006; 59(5):478-484.
  • Deutscher D, Hart DL, Crane PK, Dickstein R. Cross-cultural differences in knee functional status outcomes in a polyglot society represented true disparities not biased by differential item functioning. Phys Ther. 2010;90(12):1730-1742.
  • Hart DL, Deutscher D, Crane PK, Wang YC. Differential item functioning was negligible in an adaptive test of functional status for patients with knee impairments who spoke English or Hebrew. Qual Life Res. 2009;18(8):1067-1083.
  • Sindhu BS, Wang YC, Lehman LA, Hart DL. Differential item functioning in a computerized adaptive test of functional status for patients with shoulder impairments is negligible across pain intensity, gender, and age groups. Occup Ther J Res. 2013; 33(2):86-99.

Statistical Methods for Analyzing FOTO Observational Data:

Why Computer Adaptive Testing (CAT)

  • Hart DL, Deutscher D, Werneke MW, Holder J, Wang YC. Implementing computerized adaptive tests in routine clinical practice: experience implementing CATs. Applied Meas. 2010;11(3):288-303.

Internal Validity

  • Resnik L, Liu D, Hart DL, Mor V. Benchmarking physical therapy clinic performance: statistical methods to enhance internal validity when using observational data. Phys Ther. 2008;88(9):1078-1087.

Single Item Screening Measures

  • Hart DL, Werneke MW, George SZ, Deutscher D. Single-item screens identified patients with elevated levels of depressive and somatization symptoms in outpatient physical therapy. Qual Life Res. 2011, online first 6/10/11 http://www.springerlink.com/content/4m14515w2877n106/
  • Hart DL, Werneke MW, George SZ, Matheson JW, Wang YC, Cook KF,  Mioduski JE, Choi SW. Screening for elevated levels of fear-avoidance beliefs regarding work or physical activities in patients receiving outpatient therapy. Phys Ther. 2009;89(8):770-785.

Global Rating of Change or Important Improvement

  • Schmitt, J. Abbot, J. Global Ratings of Change Do Not Accurately Reflect Functional Change Over Time in Clinical Practice JOSPT, 2015; 45(2).
  • Wang YC, Hart DL, Stratford PW, Mioduski JE. Baseline dependency of minimal clinically important improvement. Phys Ther, 2011;91(5):675-688.

Risk Adjustment


Clinical Application

Functional Staging:

Functional Staging

  • Wang YC, Hart DL, Stratford PW, Mioduski JE. Clinical interpretation of computerized adaptive test outcomes measures in patients with foot/ankle impairments. JOSPT. 2009;39(10:753-764.
  • Wang YC, Hart DL, Stratford PW, Mioduski JE. Clinical interpretation of a lower-extremity functional scale-derived computerized adaptive test. Phys Ther. 2009;89(9):957-968.
  • Wang YC, Hart DL, Stratford PW, Mioduski JE. Clinical interpretation of computerized adaptive test-generated outcome measures in patients with knee impairments. Arch Phys Med Rehabil. 2009;90(8):1340-8.
  • Wang YC, Hart DL, Cook KF, Mioduski JE. Translating shoulder computerized adaptive testing generated outcome measures into clinical practice. J Hand Therapy. 2010;23(4):372-83.
  • Wang YC, Hart DL, Werneke MW, Stratford PW, Mioduski JE. Clinical interpretation of outcomes measures generated from a lumbar computerized adaptive test. Phys Ther. 2010;90(9):1323-1335.

Clinical Expertise:

Clinical Expertise

  • Hart DL, Dobrzykowski EA. Influence of orthopaedic clinical specialist certification on clinical outcomes. JOSPT. 2000;30(4):183-193.
  • Marino MJ. Outcomes management: a new paradigm for leadership. J Rehabil Outcomes Meas. 1997;1(3):58-62.
  • Resnik L, Hart DL. Using clinical outcomes to identify expert physical therapists. Phys Ther. 2003;83(11):990-1002.
  • Resnik L, Hart DL. Influence of advanced orthopaedic certification on clinical outcomes of patients with low back pain. J Manual Manipulative Ther. 2004;12(1):32-43. 
  • Resnik L, Jensen GM. Use of clinical outcomes to explore the theory of expert practice in physical therapy. Phys Ther. 2003;83(12):1090-1106.
  • Rodeghero J et al. The impact of physical therapy residency or fellowship education on clinical outcomes for patients with musculoskeletal conditions. JOSPT 2015;45:86-96.
  • Rone-Adams S, Nof L, Hart DL, Sandro C, Wang YC. Investigating physiotherapy and occupational therapy students’ outcome effectiveness. Inter J Ther Rehabil. 2009;16(3):167-173.
  • Saban B, Masharawi Y.  Pain threshold tests in patients with heel pain syndrome. Foot Ankle Int. April 4th 2016; pages 1-7.

Classification:

Mechanical Diagnosis & Therapy

  • Schenk R, Lawrence H, Lorenzetti J, Markshall W, Whelan G, Zeiss R.  The relationship between Quebec Task Force Classification and outcome in patients with low back pain treated through mechanical diagnosis and therapy. JMMT 2016 Feb:24(1):21-5.
  • Elenburg JL, Foley BS, Roberts K, Bayliss AJ. Utilization of mechanical diagnosis and therapy (MDT) for the treatment of lumbar pain in the presence of known lumbar transverse process fractures: a case studyJMMT 2016;24:74-79.
  • Elenburg JL, Foley BS, Roberts K, Bayliss AJ. Utilization of mechanical diagnosis and therapy (MDT) for the treatment of lumbar pain in the presence of known lumbar transverse process fractures: a case study. JMMT 2016;24:74-79.
  • Deutscher D, Werneke M, Gottlieb D, Fritz J, Resnik L.  Physical Therapists' Level of McKenzie Education, Functional Outcomes, and Utilization in Patients with Low Back Pain  JOSPT, 2014 Dec:44(12): 925-935.
  • Edmond S, Cutrone G, Werneke MW et al. Association between Directional Preference and Centralization; and Pain and Functional Outcomes in Patients with Neck Pain. JOSPT 2014;44:68-75.
  • Schenk R, Lawrence H, Lorenzetti J, Markshall W, Whelan G, Zeiss R.The relationship between Quebec Task Force Classification and outcome in patients with low back pain treated through mechanical diagnosis and therapy.JMMT 2016;24::21-25
  • Werneke MW, Hart DL, Resnik L, Stratford PW, Reyes A. Centralization: prevalence and effect on treatment outcomes using a standardized operational definition and measurement method. JOSPT. 2008;38(3):116-125.
  • Werneke MW, Hart DL, George SZ, Stratford PW, Matheson JW, Keyes A. Clinical outcomes for patients classified by fear-avoidance beliefs and centralization phenomenon. Arch Phys Med Rehabil. 2009;90:768-777.
  • Werneke MW, Hart DL, Oliver D, McGill T, Grigsby D, Ward J, Weinberg J, Oswald W, Cutrone G. Prevalence of classification methods for patients with lumbar impairments using the McKenzie Syndromes, Pain Pattern, Manipulation and Stabilization Clinical Prediction Rules. J Manipulation Manual Treatment. 2010;18(4):197-204.
  • Werneke MW, Hart DL, Cutrone G, Oliver D, McGill T, Grigsby D, Ward J, Weinberg J, Oswald W. Association between directional preference and centralization in patients with low back pain. JOSPT. 2011;41(1):22-31.
  • Werneke MW, Hart DL, Deutscher D, Stratford PW. Clinician’s ability to identify neck and low back interventions: an inter-rater chance-corrected agreement study. JMMT. 2011;19(3):172-181.
  • Werneke, MW, Deutscher, D, Hart DL, Stratford, PW et al. McKenzie Lumbar Classification: Inter-Rater Agreement by Physical Therapists with Different Levels of Formal McKenzie Post-graduate Training. Spine 2014;39:E182-E190.
  • Werneke MW, Edmond S, Young M, Grigsby D, McClenahan B, McGill T. Directional Preference and Functional Outcomes Among Subjects Classified at High Psychosocial Risk using STarT. Physiotherapy Research International 2018 (in press).
  • Childs D, Harman J, Rodeghero J, Horn M, George S.  Implications of Practice Setting on Clinical Outcomes and Efficiency of Care in the Delivery of Physical Therapy Services JOSPT, 2014: 44(12):955-963.
  • Werneke MW, Edmond S, Young M, Grigsby D, McClenahan B, McGill T. Association Between Changes in Function Among Patients with Lumbar Impairments Classified According to the STarT Back Screening Tool and Managed by McKenzie Credentialed Physiotherapists. Physiotherapy Theory & Practice 2018 https://doi.org/10.1080/09593985.2018.1490839.
  • Werneke MW, Edmond S, Young M, Grigsby D, McClenahan B, McGill T. Directional Preference and Functional Outcomes Among Subjects Classified at High Psychosocial Risk using STarT. Physiotherapy Research International 2018; e1711.https://doi.org/10.1002/pri.

Psychosocial

  • George SZ, Coronado RA, Beneciuk JM, Valencia C, Werneke MW, Hart DL. Depressive symptoms, anatomical region, and clinical outcomes for patients seeking outpatient physical therapy for musculoskeletal pain. Phys Ther. 2011;91(3):358-372.
  • Hart DL, Werneke MW, Deutscher D, George SZ, Stratford PW. Using intake and change in multiple psychosocial measures to predict functional status outcomes in people with lumbar spine syndromes: a preliminary analysis. Phys Ther. 2011:91(12):1-14.
  • Werneke MW, Hart DL, George SZ, Deutscher D, Stratford PW. Change in somatization or depressive symptoms affects functional status change in patients with lumbar impairments. JOSPT. 2011;41(12):969-980.
  • Werneke MW, Edmond S, Young M, Grigsby D, McClenahan B, McGill T. Association Between Changes in Function Among Patients with Lumbar Impairments Classified According to the STarT Back Screening Tool and Managed by McKenzie Credentialed Physiotherapists. Physiotherapy Theory & Practice 2018 https://doi.org/10.1080/09593985.2018.1490839. 
  • Werneke MW, Edmond S, Young M, Grigsby D, McClenahan B, McGill T. Directional Preference and Functional Outcomes Among Subjects Classified at High Psychosocial Risk using STarT. Physiotherapy Research International 2018; e1711.https://doi.org/10.1002/pri. 

Treatment Intervention:

Treatment Intervention

  • Deutscher D, Horn SD, Dickstein R, Hart DL, Smout RJ, Gutvirtz M, Ariel I. Associations between treatment processes, patient characteristics, and outcomes in outpatient physical therapy practice. Arch Phys Med Rehabil. 2009;90(8):1349-1363.
  • Di Fabio RP. Physical therapy for patients with TMD: a descriptive study of treatment, disability, and health status. J Orofacial Pain. 1998;12:124-135.
  • Di Fabio RP, Boissonnault W. Physical therapy and health-related outcomes for patients with common orthopaedic diagnoses. JOSPT. 1998;27(3):219-230.
  • Jette AM, Delitto A. Physical therapy treatment choices for musculoskeletal impairments. Phys Ther. 1997;77(2):145-154.
  • Jette DU, Jette AM. Physical therapy and health outcomes in patients with knee impairments. Phys Ther. 1996;76(11):1178-1187.
  • Jette DU, Jette AM. Physical therapy and health outcomes in patients with spinal impairments. Phys Ther. 1996;76(9):930-945.
  • Jette DU, Jette AM. Professional uncertainty and treatment choices by physical therapists. Arch Phys Med Rehabil. 1997;78:1346-1351.
  • Jewell DV, Riddle DL. Interventions that increase or decrease the likelihood of a meaningful improvement in physical health in patients with sciatica. Phys Ther. 2005;85(11):1139-1150.
  • Jewell DV, Riddle DL, Thacker LR. Interventions associated with an increased or decreased likelihood of pain reduction and improved function in patients with adhesive capsulitis: a retrospective cohort study. Phys Ther. 2009;89(5):419-429.
  • Linz DH, Shepherd CD, Ford LF, Ringley LL, Klekamp J, Duncan JM. Effectiveness of occupational medicine center-based physical therapy. J Occup Environ Med. 2002;44:48-53.
  • Saban, B, Deutscher D, Ziv T. Deep massage to posterior calf muscles in combination with neural mobilization exercises as a treatment for heel pain: A pilot randomized clinical trial.  Manual Therapy (2013),http://dx.doi.org/10.1016/j.math.2013.08.001
  • Saban B, Masharawi Y.Pain threshold tests in patients with heel pain syndromeFoot Ankle Int. April 4th 2016; pages 1-7
  • Saban B, Masharawi Y.  Pain threshold tests in patients with heel pain syndrome. Foot Ankle Int. April 4th 2016; pages 1-7.
  • Katzap Y, Haidukov M, Berland OM. Additive Effect of Therapeutic Ultrasound in the Treatment of Plantar Fasciitis: A Randomized Controlled Trial. JOSPT 2018;48:847-855. 

Pay For Performance (P4P):

P4P

  • Gozalo PL, Resnik LJ, Silver B. Benchmarking Outpatient Rehabilitation Clinics Using Functional Status Outcomes. HSR 2016;51:768-789.
  • Hart DL, Connolly JB. Pay-for-Performance for Physical Therapy and Occupational Therapy: Medicare Part B Services. Final Report. Grant #18-P-93066/9-01: Health & Human Services/Centers for Medicare & Medicaid Services; 2006. http://www.cms.hhs.gov/TherapyServices/downloads/P4PFinalReport06-01-06.pdf

FOTO Outcomes & Electronic Medical Records:

FOTO Outcomes & Electronic Medical Records

  • Deutscher D, Hart DL, Horn SD, Dickstein R, Gutvirtz M. Implementing an integrated electronic outcomes and electronic health record process to create a foundation for clinical practice improvement. Phys Ther. 2008;88(2):270-285.
  • Dobrzykowski EA, Nance T. The Focus On Therapeutic Outcomes (FOTO) outpatient orthopedic rehabilitation database: results of 1994-1996. J Rehabil Outcomes Meas. 1997;1(1):56-60.
  • Hart DL. The power of outcomes: FOTO Industrial Outcomes Tool – Initial assessment. Work. 2001;16:39-51.
  • Swinkels ICS, van den Ende CHM, de Bakker D, van der Wees J, Hart DL, Deutscher D, van den Bosch WJH, Dekker J. Clinical databases in physical therapy. Physiotherapy Theory and Practice. 2007;23(3):153-167.
  • Swinkels ICS, Hart DL, Deutscher D, van den Bosch WJH, Dekker J, de Bakker DH, van den Ende CHM. Comparing patient characteristics and treatment processes in patients receiving physical therapy in the United States, Israel and the Netherlands. Cross sectional analyses of data from three clinical databases. BMC Health Services Research 2008;8:163.

Other:

Other

  • Amato AL, Dobrzykowski EA, Nance T. The effect of timely onset of rehabilitation on outcomes in outpatient orthopedic practice: a preliminary report. J Rehabil Outcomes Meas. 1997;1(3):32-38.
  • Lehman LA, Sindhu BS, Johnson J, Velozo CA. Creating a clinically useful data collection form for the DASH questionnaire. Am J Occup Ther. 2011;65(1):45-54.
  • Lehman LA, Sindhu BS, Shechtman O, Romero S, Velozo CA. A comparison of the ability of two upper extremity assessments to measure change in function. J Hand Ther. 2010;23:31-40.
  • Lehman LA, Woodbury M, Velozo CA. Examination of the factor structure of the Disabilities of the Arm, Shoulder, and Hand Questionnaire. Am J Occup Ther, 2011;65(2):169-178.
  • Stratford PW, Hart DL, Binkley JM, Kennedy DM, Alcock GK, Hanna SE. Interpreting lower extremity functional status scores. Physiother Can. 2005;57:154-162.
  • White LJ, Velozo CA. The use of Rasch measurement to improve the Oswestry classification scheme. Arch Phys Med Rehabil. 2002;83(6):822-833.
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