Medicine and Health Sciences Commons^™

Exploring The Validity Of Script Concordance Testing To Assess The Clinical Reasoning Of Medical Students, Micahel Sh Wan

Theses

Assessment of clinical reasoning is often challenging, as it is a complex process of thinking and decision making. Script Concordance Testing (SCT), using authentic clinical scenarios with diagnostic or management uncertainties, has been developed to assess clinical reasoning. As SCT is a relatively new assessment modality, more empirical evidence is needed to support the validity of SCT scores.

This thesis examines key aspects of the validity of SCT scores in the assessment of the clinical reasoning ability of medical undergraduates. A review of the current literature informs the use, design and standard setting of SCT, as well as evidence for …

Validity And Reliability Of The Clinician Rated Drop Vertical Jump Scale In Patients Following Anterior Cruciate Ligament Reconstruction, Morgan Jennings

Electronic Thesis and Dissertation Repository

The purpose of this study was to evaluate the validity and reliability of the Clinician Rated Drop Vertical Jump Scale (CR-DVJS) in a population of patients following anterior cruciate ligament reconstruction (ACLR). Patients completed two drop vertical jump tasks at 6 and/or 12-months post-operative. One task was recorded using a motion capture system. Four individuals of varying clinical experience served as raters for the CR-DVJS. Rater scores of valgus collapse did not correlate strongly with motion capture measures of knee abduction moment or angle. However, CR-DVJS scores of trunk and knee flexion did demonstrate an association with 3D measures of …

Reliability And Validity Of The Star Excursion Balance Test For Patients With Chronic Patellar Instability, Andrew D. Firth

Electronic Thesis and Dissertation Repository

The Star Excursion Balance Test (SEBT) is an eight-direction, maximal-reach balance test whose measurement properties are unknown in participants with chronic patellar instability. We designed an observational study with repeated measures to evaluate the test-retest reliability, cross-sectional and longitudinal construct validity, sensitivity to change and responsiveness of the SEBT in this population. Fifteen patients completed the SEBT and reported outcomes at baseline and two weeks and four patients completed testing three months later at the Fowler Kennedy Sports Medicine Clinic.

Intra-class correlation coefficients (ICC) for the SEBT were fair to good, ranging from 0.66-0.84. The SEBT demonstrates good cross-sectional construct …

Validation Of A Smartphone Application For Measuring Shoulder Internal Rotation And External Rotation Range Of Motion With Intra-Rater Reliability, Allison B. Smith 2551323

Masters Theses/Capstone Projects

Assessing range of motion of the shoulder girdle is a critical skill needed by athletic trainers due to the complexity of the motions allowed at the joint. The process can be subjective with the majority of accepted techniques utilizing the clinician’s ability to determine bony landmarks of the patient. In recent years, tools have been created to make determining range of motion of the body valid and consistent. One of the most common tools used in the clinic setting to measure shoulder range of motion is the inclinometer. With the current technical age, there have been many smartphone applications created …

Development And Initial Validation Of Novel Multi-Planar Neck Strength Assessment And Neuromuscular Training Protocols, Theo H. Versteegh

Electronic Thesis and Dissertation Repository

Concussions are a serious health concern in today’s active society. There are many contributing factors to concussions but one that is starting to draw significant attention is the potential role the neck muscles play in mitigating concussive forces. There is evidence that stronger neck muscles may decrease an individual’s concussion risk. In order to fully define this role, an appropriate outcome measure for assessing neck strength is required. Once this is established, methods of training to improve neck strength can be evaluated for their effect on neck strength and subsequently effect on concussion risk. This thesis included three studies. Chapter …

Psychometric Evaluation Of Self-Report Pain And Disability Measures For Elbow Disorders, Joshua Vincent

Electronic Thesis and Dissertation Repository

Elbow disorders are one of the commonest musculoskeletal problems with a prevalence of 9% in men and 8.1% in women. Patient centered care is the goal of current healthcare delivery models; but optimizing treatment outcome and clinical research is hampered by a lack of outcome measures. Since pain and disability resulting from elbow disorders are experienced differently across individuals, they are best captured by patient reported outcome measures (PROM).

PROMs like the Patient-rated Elbow Evaluation (PREE); American Shoulder and Elbow surgeons – Elbow form (pASES-e) have been developed for use in elbow disorders, but important questions remain about their measurement …