title: The assessment of function. Part II: clinical perspective of a javelin thrower with low back and groin pain.
abstract: Assessment of an individual's functional ability can be complex. This assessment should also be individualized and adaptable to changes in functional status. In the first article of this series, we operationally defined function, discussed the construct of function, examined the evidence as it relates to assessment methods of various aspects of function, and explored the multi-dimensional nature of the concept of function. In this case report, we aim to demonstrate the utilization of a multi-dimensional assessment method (functional performance testing) as it relates to a high-level athlete presenting with pain in the low back and groin. It is our intent to demonstrate how the clinician should continually adapt their assessment dependent on the current functional abilities of the patients.
authors: Community and Family Medicine, Duke University, Durham, NC, USA.
authors: Michael P
authors: MP
authors: Reiman
authors: Robert C
authors: RC
authors: Manske
keywords: Functional testing; Physical performance tests; Physical therapy
references: Arthritis Rheum. 2009 Oct;60(10):3072-80
references: 19790051
references: Eur J Appl Physiol. 2007 Jan;99(1):47-55
references: 17047981
references: J Strength Cond Res. 2011 Mar;25(3):712-8
references: 20581697
references: J Clin Epidemiol. 2007 Oct;60(10):981-9
references: 17884591
references: Clin Rehabil. 2006 Nov;20(11):989-97
references: 17065542
references: BMC Health Serv Res. 2003 Mar 24;3(1):8
references: 12659640
references: Pain. 2000 Apr;85(3):317-332
references: 10781906
references: J Strength Cond Res. 2010 Feb;24(2):375-81
references: 20072063
references: Man Ther. 2005 Nov;10(4):256-69
references: 15994114
references: Spine (Phila Pa 1976). 1983 Apr;8(3):316-21
references: 6623198
references: JAMA. 2005 Jun 1;293(21):2609-17
references: 15928282
references: Man Ther. 2005 Aug;10(3):207-18
references: 16038856
references: Am J Sports Med. 2011 Apr;39(4):866-73
references: 21335344
references: Spine (Phila Pa 1976). 2006 Oct 15;31(22):2541-9
references: 17047542
references: Med J Aust. 1988 Mar 7;148(5):233-6
references: 3343953
references: Phys Med Rehabil Clin N Am. 2010 Nov;21(4):725-66
references: 20977958
references: Spine (Phila Pa 1976). 1999 Dec 1;24(23):2484-91
references: 10626311
references: Int J Qual Health Care. 1998 Apr;10(2):83-91
references: 9690881
references: J Bone Joint Surg Am. 2007 Feb;89(2):358-66
references: 17272451
references: Health Aff (Millwood). 2010 Sep;29(9):1585-92
references: 20820012
references: Rheumatology (Oxford). 2001 May;40(5):506-12
references: 11371658
references: Best Pract Res Clin Rheumatol. 2005 Aug;19(4):557-75
references: 15949776
references: N Engl J Med. 1994 Jul 14;331(2):69-73
references: 8208267
references: J Strength Cond Res. 2003 Nov;17(4):768-74
references: 14636108
references: Man Ther. 2011 Feb;16(1):21-5
references: 20685150
references: J Bone Joint Surg Am. 2001 Sep;83(9):1306-11
references: 11568190
references: Spine (Phila Pa 1976). 2009 Jan 1;34(1):E27-32
references: 19127145
references: J Pediatr Orthop. 2008 Dec;28(8):806-11
references: 19034169
references: Clin J Sport Med. 2003 May;13(3):152-6
references: 12792209
references: Clin Biomech (Bristol, Avon). 2002 Jun;17(5):345-52
references: 12084538
references: Spine (Phila Pa 1976). 2006 Sep 1;31(19):2250-7
references: 16946663
references: Spine (Phila Pa 1976). 2005 Sep 1;30(17):1998-2004
references: 16135992
references: Spine J. 2003 May-Jun;3(3):238-41
references: 14589205
references: AJR Am J Roentgenol. 1992 May;158(5):1135-44
references: 1533084
references: Ann Emerg Med. 2005 Dec;46(6):525-33
references: 16308068
references: Radiol Clin North Am. 2000 Nov;38(6):1255-66, vi
references: 11131631
references: Can Assoc Radiol J. 1999 Oct;50(5):321-3
references: 10555507
references: Joint Bone Spine. 2007 Jul;74(4):319-23
references: 17572129
references: Spine (Phila Pa 1976). 2007 Apr 1;32(7):E211-9
references: 17414896
references: Spine (Phila Pa 1976). 2005 Dec 1;30(23):E697-702
references: 16319739
references: J Orthop Sports Phys Ther. 2003 Nov;33(11):639-46
references: 14669959
references: Spine (Phila Pa 1976). 2006 May 1;31(10):1168-76
references: 16648755
references: J Orthop Sports Phys Ther. 2007 Nov;37(11):658-60
references: 18057674
references: Radiology. 2010 Oct;257(1):240-5
references: 20736333
references: Phys Ther. 2007 Jan;87(1):9-23
references: 17142640
references: Spine J. 2006 Nov-Dec;6(6):624-35
references: 17088193
references: Man Ther. 2009 Aug;14(4):375-80
references: 18703377
references: J Bone Joint Surg Am. 1990 Mar;72(3):403-8
references: 2312537
references: J Man Manip Ther. 2011 May;19(2):91-9
references: 22547919
references: Pain. 2001 Oct;94(1):7-15
references: 11576740
references: Spine (Phila Pa 1976). 1992 Jun;17(6):617-28
references: 1308095
references: J Sports Sci. 2010 Nov;28(13):1459-67
references: 20981608
references: J Orthop Sports Phys Ther. 2005 Sep;35(9):556-8
references: 16268241
references: Spine (Phila Pa 1976). 1995 Jan 1;20(1):31-7
references: 7709277
references: Spine (Phila Pa 1976). 2002 Nov 15;27(22):2538-45; discussion 2546
references: 12435989
references: J Clin Epidemiol. 2002 Dec;55(12):1178-82
references: 12547446
references: Spine J. 2005 Jul-Aug;5(4):370-80
references: 15996606
references: Med Decis Making. 1998 Jan-Mar;18(1):19-28
references: 9456202
references: Phys Ther. 1998 Mar;78(3):289-300
references: 9520974
references: Am J Med. 2007 Apr;120(4):374-8
references: 17398236
references: Am J Emerg Med. 2011 Jul;29(6):656-64
references: 20630679
references: Ann Intern Med. 2002 Oct 1;137(7):586-97
references: 12353946
references: Spine (Phila Pa 1976). 1995 Apr 1;20(7):791-5
references: 7701392
references: Aust J Physiother. 1994;40(3):159-65
references: 25025431
references: Clin Orthop Relat Res. 2004 Feb;(419):280-4
references: 15021166
references: Radiology. 2005 Nov;237(2):597-604
references: 16244269
references: Pain. 1993 Feb;52(2):157-168
references: 8455963
references: J Physiother. 2010;56(4):223-35
references: 21091412
references: Cochrane Database Syst Rev. 2010 Feb 17;(2):CD007431
references: 20166095