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Related Concept Videos

Assessing Body Temperature - Tympanic membrane01:14

Assessing Body Temperature - Tympanic membrane

Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...
Assessing Body Temperature - Oral01:14

Assessing Body Temperature - Oral

Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Assessing Body Temperature - Rectal01:27

Assessing Body Temperature - Rectal

Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
Assessing Body Temperature - Axilla01:14

Assessing Body Temperature - Axilla

Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
Assessing Body Temperature - Temporal Artery01:19

Assessing Body Temperature - Temporal Artery

Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.  
Step 3: Assess the patient's forehead...
Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...

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A Novel Method for Assessing Proximal and Distal Forelimb Function in the Rat: the Irvine, Beatties and Bresnahan IBB Forelimb Scale
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Measurement properties of the Inclusion Body Myositis Functional Rating Scale.

Sharfaraz Salam1, Tara Symonds2, Helen Doll2

  • 1Department of Neuromuscular Diseases, University College London, London, UK.

Journal of Neurology, Neurosurgery, and Psychiatry
|July 3, 2024
PubMed
Summary

The Inclusion Body Myositis Functional Rating Scale (IBMFRS) is a reliable and valid tool for assessing physical function in IBM patients. A 2-point decrease on the IBMFRS indicates a meaningful decline in function.

Keywords:
INCL BODY MYOSITISMUSCLE DISEASENEUROMUSCULARRANDOMISED TRIALSRHEUMATOLOGY

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Area of Science:

  • Neurology
  • Clinical Assessment
  • Rheumatology

Background:

  • Inclusion Body Myositis (IBM) is a rare, progressive neuromuscular disease.
  • Assessing physical function is crucial for managing IBM and evaluating treatment efficacy.
  • The Inclusion Body Myositis Functional Rating Scale (IBMFRS) is a potential tool for this assessment.

Purpose of the Study:

  • To evaluate the validity, reliability, and responsiveness of the Inclusion Body Myositis Functional Rating Scale (IBMFRS).
  • To determine the threshold for a clinically meaningful change in IBMFRS scores.

Main Methods:

  • Utilized data from a 20-month multicenter, randomized, double-blind, placebo-controlled trial in IBM patients.
  • Assessed validity (convergent and discriminant), internal consistency (Cronbach's alpha), and reliability (ICC, Bland-Altman plots).
  • Determined responsiveness using standardized response mean (SRM) and identified meaningful change via ROC curve analysis.

Main Results:

  • The IBMFRS demonstrated good convergent and discriminant validity (Spearman r: 0.42-0.79; SES: 0.51-1.59).
  • Internal consistency (Cronbach's alpha: 0.79) and test-retest reliability (ICC: 0.84-0.87) were excellent.
  • The scale was responsive to change (SRM: -0.76 to -1.57), with a 2-point drop signifying meaningful functional decline.

Conclusions:

  • The IBMFRS is a reliable, valid, and responsive instrument for evaluating physical function in IBM.
  • Trained raters can effectively administer the IBMFRS, including via telephone.
  • A 2-point reduction in IBMFRS score represents a clinically meaningful decline in physical function for IBM patients.