The importance of quantitative functional testing is very well established in the literature. This page lists just some of the studies available to demonstrate its value.

The importance of assessing function

Measuring patient function (as done by Vitrue EVVA) in addition to physiological assessment has been shown to be crucial to patient outcomes across multiple studies. Some of our favourite papers on the subject are included below:

  1. Reiman, M.P. and Manske, R.C., 2011. The assessment of function: How is it measured? A clinical perspective. Journal of Manual & Manipulative Therapy, 19(2), pp.91-99.

  2. Thonnard JL, Penta M, 2007. Functional assessment in physiotherapy. A literature review. Eura Medicophys. Dec;43(4):525-41. PMID: 18084177.

  3. Carol M. Frattali,1992. Functional assessment of communication: Merging public policy with clinical views, Aphasiology, 6:1, 63-83, DOI: 10.1080/02687039208248577

Predictive power of functional tests

Return to sports

  1. Abrams GD, Harris JD, Gupta AK, McCormick FM, Bush-Joseph CA, Verma NN, Cole BJ, Bach BR Jr. Functional Performance Testing After Anterior Cruciate Ligament Reconstruction: A Systematic Review. Orthop J Sports Med. 2014 Jan 21;2(1):2325967113518305. doi: 10.1177/2325967113518305. PMID: 26535266; PMCID: PMC4555525.

  2. Culvenor, A.G., Collins, N.J., Guermazi, A., Cook, J.L., Vicenzino, B., Whitehead, T.S., Morris, H.G. and Crossley, K.M. (2016), Early Patellofemoral Osteoarthritis Features One Year After Anterior Cruciate Ligament Reconstruction: Symptoms and Quality of Life at Three Years. Arthritis Care & Research, 68: 784-792. https://doi.org/10.1002/acr.22761

  3. Culvenor, A.G., Collins, N.J., Guermazi, A., Cook, J.L., Vicenzino, B., Whitehead, T.S., Morris, H.G. and Crossley, K.M. (2016), Early Patellofemoral Osteoarthritis Features One Year After Anterior Cruciate Ligament Reconstruction: Symptoms and Quality of Life at Three Years. Arthritis Care & Research, 68: 784-792. https://doi.org/10.1002/acr.22761

Falls

  1. Phelan EA, Mahoney JE, Voit JC, Stevens JA. Assessment and management of fall risk in primary care settings. Med Clin North Am. 2015 Mar;99(2):281-93. doi: 10.1016/j.mcna.2014.11.004. PMID: 25700584; PMCID: PMC4707663.

  2. Rogers, A. T., Bai, G., Lavin, R. A., & Anderson, G. F. (2017). Higher Hospital Spending on Occupational Therapy Is Associated With Lower Readmission Rates. Medical Care Research and Review, 74(6), 668–686.

Outcomes from surgery

  1. Goodman, S.M., Mehta, B., Mirza, S.Z. et al. Patients’ perspectives of outcomes after total knee and total hip arthroplasty: a nominal group study. BMC Rheumatol 4, 3 (2020). https://doi.org/10.1186/s41927-019-0101-8

  2. Timmers T, Janssen L, van der Weegen W, Das D, Marijnissen WJ, Hannink G, van der Zwaard BC, Plat A, Thomassen B, Swen JW, Kool RB, Lambers Heerspink FO. The Effect of an App for Day-to-Day Postoperative Care Education on Patients With Total Knee Replacement: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2019 Oct 21;7(10):e15323. doi: 10.2196/15323. PMID: 31638594; PMCID: PMC6914303.

Difficulties in measuring function manually
  1.  Reiman MP, Manske RC. The assessment of function: How is it measured? A clinical perspective. J Man Manip Ther. 2011;19(2):91-99. doi:10.1179/106698111X12973307659546

Improving patient engagement
  1. Grando M, Rozenblum R, Bates DW, eds. Information Technology for Patient Empowerment in Healthcare.Berlin, Germany: Walter de Gruyter Inc.; 2015. ISBN: 9781614515920.

  2. Yee KC, Bettiol S, Nash R et al, 2018. How Can Information and Communication Technology Improve Healthcare Inequalities and Healthcare Inequity? The Concept of Context Driven Care. Stud Health Technol Inform. ;247:591-595.