Archives of Physiotherapy

Introduction: The modified shuttle test-15 (MST-15) is a valid alternative for assessing exercise capacity when a cardiopulmonary exercise testing is not feasible. This study aims to describe the percentage of healthy and cystic fibrosis (CF) children and adolescents reaching the MST-15 ceiling. Additionally, it examines associations between MST-15 distance and demographic, anthropometric, and lung function data. Methods: This retrospective cross-sectional study involved 286 healthy volunteers (11.5 ± 3.3 years) and 70 CF patients (11.9 ± 4.4 years). Data on age, gender, weight, height, body mass index, lung function, and MST-15 were collected. The ceiling effect was determined by the absolute and relative number of participants reaching the 15th level. Univariate linear regression and correlation analyses were conducted to explore associations with MST-15 distance. Results: A ceiling effect for the MST-15 was found in 19 healthy participants (6.6%) and 1 CF patient (1.4%). The ceiling effect was correlated with age (r = 0.777 for healthy; r = 0.538 for CF), with no cases under 10 years and reaching 25% in healthy participants aged 17-19. Regression analysis showed significant associations between age and MST-15 distance in healthy participants (β = 53.6) and CF patients (β = 32.1). Additionally, sex was significantly associated with MST-15 distance in healthy participants (β = 107.0), and FEV1 with MST-15 distance in CF patients (β = 31.0). Conclusions: The ceiling effect on the MST-15 is age-dependent, with no occurrences observed in children under 10 years and a gradual increase in incidence as participants age.

Marta Amor-Barbosa

Fernanda Salazar-Pérez

Fernanda Maria Vendrusculo

Maria Amélia Bagatini

Evanirso da Silva Aquino

Márcio Vinícius Fagundes Donadio

Does the modified shuttle test exhibit a ceiling effect in healthy and cystic fibrosis children and adolescents?

改良型穿梭测试在健康及囊性纤维化儿童和青少年中是否存在天花板效应？

Introduction: We conducted a systematic review of clinical practice guidelines to identify red flags for serious pathologies in neck pain mentioned in clinical practice guidelines, to evaluate agreement in red flag recommendations across guidelines, and to investigate the level of evidence including what study type the recommendations are based on. Methods: We searched for guidelines focusing on specific and nonspecific neck pain in MEDLINE, EMBASE, and PEDro up to June 9, 2023. Additionally, we searched for guidelines through citation tracking strategies, by consulting experts in the field, and by checking guideline organization databases. Results: We included 29 guidelines, 12 of which provided a total of 114 red flags for fracture (n = 17), cancer (n = 21), spinal infection (n = 14), myelopathy (n = 15), injury to the spinal cord (n = 1), artery dissection (n = 7), intracranial pathology (n = 3), inflammatory arthritis (n = 2), other systemic disease (n = 6), or unrelated to a specific condition (n = 19). Overall, there is very little agreement (median Fleiss’ kappa of 0) between guidelines on the red flags to screen for serious pathologies. Conclusion: Red flags were mainly supported by expert opinions. We also observed a general lack of consensus among guidelines regarding which red flags to endorse. Considering the current limitations of the evidence, specific recommendations on which red flags to use cannot be provided, except for using the Canadian C-Spine rule for screening posttraumatic fractures.

Daniel Feller

Alessandro Chiarotto

Bart Koes

Filippo Maselli

Firas Mourad

Red flags for potential serious pathologies in people with neck pain: a systematic review of clinical practice guidelines

颈部疼痛患者潜在严重病理的警示信号：临床实践指南的系统回顾

Frozen shoulder (FS) is a musculoskeletal disorder affecting the glenohumeral joint. This condition leads to disability and a worsening in quality of life. Despite its considerable impact on patients and its economic burden, research on the psychological and social implications of FS-as well as patients' perspectives and needs-is limited. This study aims to explore the perspectives, perceptions, and expectations of individuals suffering from FS, providing a comprehensive understanding of their experiences and needs.

Fabrizio Brindisino

Fabiola Garzonio

Andrea Turolla

Arianna Andriesse

Fabrizio Pulina

Davide Cucchi

Filip Struyf

Davide Venturin

Perspectives, perceptions, and expectations of subjects with frozen shoulder: a web-based Italian survey

冻结肩患者的观点、认知和期望：一项基于意大利的网络调查

Introduction: The Postural Assessment Scale for Stroke Patients (PASS) is commonly used by health professionals in Italy in several different translations. This study aimed to provide a validated version in Italian. The main focus is on the evaluator, to guarantee a uniform application and interpretation of the statements and scoring for each item in the Italian context. Methods: A standardized protocol was used for the translation and cross-cultural adaptation. A pilot study conducted using the first draft of the scale led to a revised version, PASS-IT. A principal component analysis (PCA) was performed. The correlation with the Trunk Control Test (TCT) was examined for concurrent validity. In addition, the relationship with the Barthel Index (BI) and the Functional Ambulation Categories (FAC) was tested. Patients with recent stroke were tested for intra-rater (N = 49) and inter-rater agreement (N = 30). Cronbach’s alpha, item-to-total correlation, corrected inter-item correlation, the intraclass correlation coefficient (ICC), and measurement error were used to evaluate internal consistency and intra-/inter-rater reliability. Results: The PCA showed a two-dimensional structure, with high reliability in both subsections (“non-weight-bearing” α = 0.865; “weight-bearing” α = 0.949). A strong correlation (ρ &gt; 0.80) was found with the TCT, the BI, and the FAC. The PASS-IT showed high internal consistency, intra-rater (ICC = 0.942) and inter-rater reliability (ICC = 0.940). Conclusions: The PASS-IT is a recommended scale, suitable for clinical practice and research in the acute and subacute stage. The introduction of operating instructions resulted in the uniform application. A different order of the items allows faster administration, reducing changes of posture.

Elena Lora

Noemi Gaudenzi

Ada Buriani

Antonietta Bacciocchi

Lea Godino

Mattia Ricco

Domenica Gazineo

The Italian version of the Postural Assessment Scale for Stroke Patients (PASS): transcultural translation and validation

卒中患者姿势评估量表的意大利版（PASS）：跨文化翻译与验证

Introduction: The 10-Meter Walk Test (10MWT) and Timed Up and Go (TUG) are valid tools for gait performance and mobility assessment after total hip arthroplasty (THA). The study aimed to assess test-retest reliability of 10MWT and TUG in indoor and outdoor environments in patients in acute phase after THA and compare their indoor vs. outdoor performance during these tests. Methods: Thirty-five inpatients performed 10MWT and TUG in indoor and outdoor settings on the second postoperative day. An additional evaluation session was performed after 1 hour under the supervision of the same operator. Test-retest reliability was assessed using Intraclass Correlation Coefficient (ICC: 2.1) and Minimal Detectable Change (MDC95), while paired t-tests were used to compare indoor vs. outdoor performance. Results: Indoor (ICC: 0.94, MDC95: 0.13 m/s) and outdoor (ICC: 0.91, MDC95: 0.16 m/s) 10MWT at maximum speed and indoor (ICC: 0.92, MDC95: 2.5 s) and outdoor (ICC: 0.93, MDC95: 2.4 s) TUG revealed excellent reliability. Indoor (ICC: 0.86, MDC95: 0.16 m/s) and outdoor (ICC: 0.89, MDC95: 0.16 m/s) 10MWT at spontaneous speed revealed good reliability. Spontaneous (mean difference [MD]: 0.05 m/s, 95% confidence interval [CI95]: 0.03, 0.07, p &lt; 0.001) and maximum (MD: 0.02 m/s, CI95: 0.01, 0.04, p &lt; 0.001) 10MWT revealed higher gait speed when performed outdoors compared to indoors. Conclusions: Indoor and outdoor 10MWT and TUG are reliable tests in acute phase after THA. Higher gait speed during outdoor 10MWT may depend on test score variability, due to MDs being lower than MDC95.

Federico Temporiti

Chiara Casirati

Paola Adamo

Davide De Leo

Giorgia Marino

Guido Grappiolo

Roberto Gatti

Indoor and outdoor 10-Meter Walk Test and Timed Up and Go in patients after total hip arthroplasty: a reliability and comparative study

全髋关节置换术后患者的室内外10米步行测试与计时起立行走测试：一项信度与比较研究

Abbreviation	Arch. Physiother.
Journal Impact	2.21
Quartiles(Global)	REHABILITATION(Q1)

ISSN	2057-0082
h-index	17

Publication Information	Publisher: AboutScience Srl，Publishing cycle: ，Journal Type: journal，Open Access Journals: Yes
Basic data	Year of publication: 2015，Proportion of original research papers: 0.00%，Self Citation Rate:0.00%， Gold OA Rate: 100.00%
Average review cycle	网友分享经验：10 Weeks

Archives of Physiotherapy

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Does the modified shuttle test exhibit a ceiling effect in healthy and cystic fibrosis children and adolescents?

Red flags for potential serious pathologies in people with neck pain: a systematic review of clinical practice guidelines

Perspectives, perceptions, and expectations of subjects with frozen shoulder: a web-based Italian survey

The Italian version of the Postural Assessment Scale for Stroke Patients (PASS): transcultural translation and validation

Indoor and outdoor 10-Meter Walk Test and Timed Up and Go in patients after total hip arthroplasty: a reliability and comparative study

Does the modified shuttle test exhibit a ceiling effect in healthy and cystic fibrosis children and adolescents?

Perspectives, perceptions, and expectations of subjects with frozen shoulder: a web-based Italian survey

Red flags for potential serious pathologies in people with neck pain: a systematic review of clinical practice guidelines

The Italian version of the Postural Assessment Scale for Stroke Patients (PASS): transcultural translation and validation

Indoor and outdoor 10-Meter Walk Test and Timed Up and Go in patients after total hip arthroplasty: a reliability and comparative study