Document Detail

The Dougados Functional Index with the 5-point Likert scale is sensitive to change due to intensive physiotherapy and exercise in spondyloarthropathy.
MedLine Citation:
PMID:  12412201     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The aim of the present study was to evaluate whether the Dougados Functional Index (DFI) with 5-point Likert scale is sensitive enough to demonstrate the efficacy of intensive physiotherapy and exercise. METHODS: Eight-one consecutive patients with spondyloarthropathy (SpA) completed self-administered questionnaires on functional analysis, the Bath Ankylosing Spondylitis Functional Index (BASFI) and the DFI with 5-point Likert scale, at the beginning and end of a 3-week in-patient course based on intensive physiotherapy and exercise. The objective effect of the course was measured with 10 ranges of movement. After a 6-month follow-up the patients completed the questionnaires by mail for analysis of the lasting impact of rehabilitation on function. RESULTS: The in-patient course was highly effective: all ranges of movement and both functional indices including the DFI with 5-point Likert scale improved to a highly significant degree. Six months later functional ability as measured by the DFI remained significantly better than at baseline before the in-patient course, but the BASFI had returned to the baseline level. CONCLUSION: The DFI with 5-point Likert scale is sensitive enough to demonstrate the effect of intensive physiotherapy and exercise.
S Heikkilä
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Clinical and experimental rheumatology     Volume:  20     ISSN:  0392-856X     ISO Abbreviation:  Clin. Exp. Rheumatol.     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-11-04     Completed Date:  2003-04-02     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  8308521     Medline TA:  Clin Exp Rheumatol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  689-92     Citation Subset:  IM    
Rehabilitation Institute of the Finnish Rheumatism Association, Kangasala, Finland.
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MeSH Terms
Disability Evaluation
Exercise Therapy*
Middle Aged
Physical Therapy Modalities
Range of Motion, Articular
Severity of Illness Index*
Spondylarthropathies / classification,  rehabilitation*
Treatment Outcome

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