Fingertips to Floor Distance - Special Test: Difference between revisions
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'''Original Editor '''- | '''Original Editor '''- [[User:Lucinda hampton|Lucinda hampton]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | |||
</div> | |||
== Objective == | |||
[[File:Low Back Pain Guy.jpg|right|frameless]] | |||
== Objective<br> | To assess the total mobility of the [[Lumbosacral Biomechanics|lumbo-pelvic]] region in clients presenting with lumbo-pelvic pain. It is a test that is simple to administer with excellent inter and intra-rater reliability, validity, and responsiveness. <br> | ||
== Intended Population | == Intended Population == | ||
Musculoskeletal conditions of the lumbar-pelvic region eg | |||
* [[Chronic Low Back Pain]] | |||
* [[Ankylosing Spondylitis (Axial Spondyloarthritis)]] | |||
* [[Radiculopathy|Radiculopathic]] [[Low Back Pain]] | |||
* Osteoarthritis of the Lumbo-pelvic region | |||
== Method of Use | === 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 | |||
* Ask the client whether pain, stiffness or both limit the movement(Fingertips to floor (FTF) test). | |||
* If the FTF test is limited by [[Pain Mechanisms|'''pain''']], the '''location and pain score out of 10''' should be documented. | |||
* If the FTF test is 0cm or the patient is able to place their palms to the floor with no pain, a different outcome measure should be considered. | |||
== | As forward bending flexibility is highly variable even in the asymptomatic population no normative values exist. Note- Patients with LBP with or without neural symptoms often present with FTF test measures of greater than 20cm. | ||
{{#ev:youtube|https://www.youtube.com/watch?v=8_f9FpyRSsU|width}}<ref>G Gellerman Finger to Floor Test- Lumbo-Pelvic Mobility Available from: https://www.youtube.com/watch?v=8_f9FpyRSsU (last accessed 22 October 2019)</ref> | |||
=== | == 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;82(11):1566-70. </ref>. | |||
=== Validity === | === Validity === | ||
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< | === Miscellaneous === | ||
FTF test has been ''criticized for not measuring isolated lumbar flexion ROM'', <u>as forward bending range involves pelvic, [[hip]], [[Thoracic Spine Fracture|thoracic spine]], dural and shoulder mobility</u>. However pure lumbar flexion active ROM measures should not be used as an 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;80(3):240-50. </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 a 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 (accessed 22 October 2019)</ref>.<br> | |||
== References == | == References == | ||
<references /> | <references /> | ||
[[Category:Assessment]] | |||
[[Category:Lumbar Spine]] | |||
[[Category:Lumbar Spine - Assessment and Examination]] | |||
[[Category:Lumbar Spine - Outcome Measures]] | |||
Latest revision as of 07:49, 24 November 2022
Original Editor - Lucinda hampton
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. It is a test that is simple to administer with excellent inter and intra-rater reliability, validity, and responsiveness.
Intended Population[edit | edit source]
Musculoskeletal conditions of the lumbar-pelvic region eg
- Chronic Low Back Pain
- Ankylosing Spondylitis (Axial Spondyloarthritis)
- 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
- Ask the client whether pain, stiffness or both limit the movement(Fingertips to floor (FTF) test).
- If the FTF test is limited by pain, the location and pain score out of 10 should be documented.
- If the FTF test is 0cm or the patient is able to place their palms to the floor with no pain, a different outcome measure should be considered.
As forward bending flexibility is highly variable even in the asymptomatic population no normative values exist. Note- Patients with LBP with or without neural symptoms often present with FTF test measures of greater than 20cm.
Reliability[edit | edit source]
The intra- and interobserver reliability were excellent ICC (intraclass correlation coefficient) = .99)[2].
Validity[edit | edit source]
Spearman’s correlation coefficient for trunk flexion assessed by the test and the radiologic measure are excellent (rs =.96).[2]
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 an outcome measure to monitor patient progress, as they have been shown to be weakly correlated to the patients’ level of disability.[3]
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 a self-reported disability, total flexion seemed to be more relevant to outcome following intensive rehabilitation[4].
References[edit | edit source]
- ↑ G Gellerman Finger to Floor Test- Lumbo-Pelvic Mobility Available from: https://www.youtube.com/watch?v=8_f9FpyRSsU (last accessed 22 October 2019)
- ↑ 2.0 2.1 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;82(11):1566-70.
- ↑ Sullivan MS, Shoaf LD, Riddle DL. The relationship of lumbar flexion to disability in patients with low back pain. Physical therapy. 2000;80(3):240-50.
- ↑ 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 (accessed 22 October 2019)
