Evidence-Based Clinical Algorithm for Hypotonia Assessment: To Pardon the Errs.

Despite the many advances in diagnostics, the clinical assessment of children with hypotonia presents a diagnostic challenge for clinicians due to the current subjectivity of the initial clinical assessment. The aim of this paper is to report on an evidence-based clinical algorithm (EBCA) that was d...

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Publicado en:Occupational Therapy International pp. 1 - 8
Autores principales: Govender, Pragashnie, Joubert, Robin Wendy Elizabeth
Formato: algorithm tables/charts Journal Article
Publicado: Wiley-Blackwell 4/24/2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/24/2018
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      pub: Wiley-Blackwell
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        10.1155/2018/8967572
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        atl: Evidence-Based Clinical Algorithm for Hypotonia Assessment: To Pardon the Errs.
      aug:
        au:
          Govender, Pragashnie
          Joubert, Robin Wendy Elizabeth
        affil: School of Health Sciences, University of KwaZulu-Natal, Westville Campus, Private Bag X54001, Durban 4000, South Africa
      sug:
        subj:
          Medical Practice, Evidence-Based
          Muscle Hypotonia Diagnosis
          Patient Assessment
          Muscle Hypotonia Therapy
          Qualitative Studies
          Quantitative Studies
          Data Analysis Software
      ab: Despite the many advances in diagnostics, the clinical assessment of children with hypotonia presents a diagnostic challenge for clinicians due to the current subjectivity of the initial clinical assessment. The aim of this paper is to report on an evidence-based clinical algorithm (EBCA) that was developed for the clinical assessment of hypotonia in children as part of the output of a multiphased study towards assisting clinicians in more accurate assessments. This study formed part of a larger advanced mixed methods design. The preceding phases of the study included a systematic review, a survey amongst clinicians, a consensus process (Delphi technique), and a qualitative critique with multiple focus groups. Samples were drawn from three professional groups (occupational therapists, physiotherapists, and paediatricians). Data were analysed at each stage and merged in the development of the EBCA. The EBCA followed a rigorous process of development and critique. The methods for formulating changes in the revision and development of the EBCA are presented together with a description and presentation of the final algorithm for practice. The overarching concepts that guided the development and refinement of the EBCA are described, taking into consideration knowledge translation, evidence-based practice, and the value of EBCAs in addition to recommendations for stakeholder uptake. The EBCA is envisaged to be useful in practice for clinicians who are faced with the assessment of a child that is suspected as having hypotonia via a systematic process in identifying specific characteristics that are associated with low muscle tone.
      pubtype: Academic Journal
      doctype:
        algorithm
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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