Fingertips to Floor Distance - Special Test: Difference between revisions
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== | == Objective == | ||
To assess the total mobility of the lumbo-pelvic region in clients presenting with lumbo-pelvic pain.<br> | |||
== | == Intended Population == | ||
Musculoskeletal conditions of the lumbar-pelvic region eg | |||
* Chronic Low Back Pain | |||
* Ankylosing Spondylitis | |||
* Radiculopathic Low Back Pain | |||
* Osteoarthritis of the Lumbo-pelvic region | |||
== Reference | === Method of Use === | ||
The patient is asked to bend forward and attempt to reach for the floor with their fingertips. The physical therapist then measures the distance between the patient’s right long finger and the floor using a standard measuring tape. | |||
== Reference == | |||
== Evidence == | == Evidence == | ||
=== Reliability === | === Reliability === | ||
The intra- and interobserver reliability were excellent (ICC (intraclass correlation coefficient) = .99)<ref name=":0">Perret C, Poiraudeau S, Fermanian J, Colau MM, Benhamou MA, Revel M. [https://www.archives-pmr.org/article/S0003-9993(01)07692-4/pdf Validity, reliability, and responsiveness of the fingertip-to-floor test]. Archives of physical medicine and rehabilitation. 2001 Nov 1;82(11):1566-70. Available from: https://www.archives-pmr.org/article/S0003-9993(01)07692-4/pdf (last accessed 22.10.2019)</ref>. | |||
=== Validity === | === Validity === | ||
The Spearman’s correlation coefficient for trunk flexion assessed by the test and the radiologic measure are excellent (rs =.96).<ref name=":0" /> | |||
=== Responsiveness === | === Responsiveness === | ||
.97 for SRM ( standardized response mean) and .87 for effect size. | |||
=== Miscellaneous === | |||
FTF test has been criticized for not measuring isolated lumbar flexion ROM, as forward bending range involves pelvic, hip, thoracic spine, dural and shoulder mobility. However pure lumbar flexion active ROM measures should not be used as outcome measure to monitor patient progress, as they have been shown to be weakly correlated to the patients’ level of disability .<ref>Sullivan MS, Shoaf LD, Riddle DL. [https://www.ncbi.nlm.nih.gov/pubmed/10696151 The relationship of lumbar flexion to disability in patients with low back pain.] Physical therapy. 2000 Mar 1;80(3):240-50. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10696151 (last accessed 22.10.2019)</ref> | |||
Rainville J et al also found total lumbosacral flexion may be as equally relevant as true lumbar flexion in the measurement of trunk mobility in the clinical examination of patients with chronic low back pain. In regards to their relationship to self-reported disability, total flexion seemed to be more relevant to outcome following intensive rehabilitation<ref>Rainville J, Sobel JB, Hartigan C. [https://www.ncbi.nlm.nih.gov/pubmed/7899966 Comparison of total lumbosacral flexion and true lumbar flexion measured by a dual inclinometer technique]. Spine. 1994 Dec;19(23):2698-701. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7899966 (last accessed 22.10.2019)</ref>.<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span><br> | |||
== Links == | == Links == | ||
Revision as of 07:59, 22 October 2019
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - Lucinda hampton, Uchechukwu Chukwuemeka, Kim Jackson and Vidya Acharya
Objective[edit | edit source]
To assess the total mobility of the lumbo-pelvic region in clients presenting with lumbo-pelvic pain.
Intended Population[edit | edit source]
Musculoskeletal conditions of the lumbar-pelvic region eg
- Chronic Low Back Pain
- Ankylosing Spondylitis
- Radiculopathic Low Back Pain
- Osteoarthritis of the Lumbo-pelvic region
Method of Use[edit | edit source]
The patient is asked to bend forward and attempt to reach for the floor with their fingertips. The physical therapist then measures the distance between the patient’s right long finger and the floor using a standard measuring tape.
Reference[edit | edit source]
Evidence[edit | edit source]
Reliability[edit | edit source]
The intra- and interobserver reliability were excellent (ICC (intraclass correlation coefficient) = .99)[1].
Validity[edit | edit source]
The Spearman’s correlation coefficient for trunk flexion assessed by the test and the radiologic measure are excellent (rs =.96).[1]
Responsiveness[edit | edit source]
.97 for SRM ( standardized response mean) and .87 for effect size.
Miscellaneous[edit | edit source]
FTF test has been criticized for not measuring isolated lumbar flexion ROM, as forward bending range involves pelvic, hip, thoracic spine, dural and shoulder mobility. However pure lumbar flexion active ROM measures should not be used as outcome measure to monitor patient progress, as they have been shown to be weakly correlated to the patients’ level of disability .[2]
Rainville J et al also found total lumbosacral flexion may be as equally relevant as true lumbar flexion in the measurement of trunk mobility in the clinical examination of patients with chronic low back pain. In regards to their relationship to self-reported disability, total flexion seemed to be more relevant to outcome following intensive rehabilitation[3].
Links[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 Perret C, Poiraudeau S, Fermanian J, Colau MM, Benhamou MA, Revel M. Validity, reliability, and responsiveness of the fingertip-to-floor test. Archives of physical medicine and rehabilitation. 2001 Nov 1;82(11):1566-70. Available from: https://www.archives-pmr.org/article/S0003-9993(01)07692-4/pdf (last accessed 22.10.2019)
- ↑ Sullivan MS, Shoaf LD, Riddle DL. The relationship of lumbar flexion to disability in patients with low back pain. Physical therapy. 2000 Mar 1;80(3):240-50. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10696151 (last accessed 22.10.2019)
- ↑ Rainville J, Sobel JB, Hartigan C. Comparison of total lumbosacral flexion and true lumbar flexion measured by a dual inclinometer technique. Spine. 1994 Dec;19(23):2698-701. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7899966 (last accessed 22.10.2019)
