Understanding your score
at
Orthoscore Low Back Assessment, also known as Oswestry low back pain disability questionnaire
This is a commonly used questionnaire by health care professionals designed to give information on how your low back is affecting your everyday life. Though most individuals participating with the Desire Wellness program may not score high, the general population may have disorders that would warrant scoring on this model. Scoring is measured anywhere from 0-100% disability. The lower the score, the lower the dysfunction. The higher the score, the higher the dysfunction. Optimally, you would like to be at or working toward 0%.
Hip and Knee Assessment, also known as Lower Extremity Functional Scale (LEFS)
This is a commonly used questionnaire by health care professionals to objectify lower extremity disability with everyday tasks. Though most individuals participating with the Desire Wellness program may not score high, the general population may have disorders that would warrant scoring on this model. Scoring is measured anywhere from 0-100%. The lower the score, the lower the dysfunction. The higher the score, the higher the dysfunction. Optimally, you would like to be at or working towards 0%. This is a great tool to use with someone that has a problem with one or both sides. It is a great tool to use over time, such as measuring progress during participation with the Desire Wellness program.
Shoulder Assessment, also known as the Disabilities of the Arm, Shoulder and Hand Score (QuickDASH)
This is a widely used questionnaire by health care professionals to objectify upper extremity disability with common daily tasks. Though most individuals participating with the Desire Wellness program may not score high, the general population may have disorders that would warrant scoring on this model. Scoring is measured anywhere from 0-100%. The lower the score, the lower the dysfunction. The higher the score, the higher the dysfunction. Optimally, you would like to be at or working towards 0%. This is a great tool to use with someone that has a problem with either one or both sides. It is a great tool to use over time, such as measuring progress during participation with the Desire Wellness program.
Please do not focus so much on your first score, most importantly is that your score trends downward during participation of the Desire Wellness Program. Of note, you may never attain 0% score, more importantly is that you are able to maximize function and minimize your region’s disability.
RECOMMENDED RESOURCES
These links are meant to provide a greater understanding to the process of improving wellness
Thomas L. DeLorme and the Science of Progressive Resistance Exercise.
In the latter years of the Second World War, the number of American servicemen who had sustained orthopedic injuries was overwhelming the nation's military hospitals. The backlog of patients was partly because of the sheer number of soldiers involved in the war effort, but it was exacerbated by rehabilitation protocols that required lengthy recovery times.
In 1945, an army physician, Dr. Thomas L. DeLorme experimented with a new rehabilitation technique. DeLorme had used strength training to recover from a childhood illness and reasoned that such heavy training would prove beneficial for the injured servicemen. DeLorme's new protocol consisted of multiple sets of resistance exercises in which patients lifted their 10-repetition maximum. DeLorme refined the system by 1948 to include 3 progressively heavier sets of 10 repetitions, and he referred to the program as “Progressive Resistance Exercise.” The high-intensity program was markedly more successful than older protocols and was quickly adopted as the standard in both military and civilian physical therapy programs.
In 1951, DeLorme published the text Progressive Resistance Exercise: Technic and Medical Application, which was widely read by other physicians and medical professionals. The book, and DeLorme's academic publications on progressive resistance exercise, helped legitimize strength training and played a key role in laying the foundation for the science of resistance exercise.
Physical Activity and Exercise Therapy Benefit More Than Just Symptoms and Impairments in People With Hip and Knee Osteoarthritis
Osteoarthritis (OA) of the hip and knee is among the leading causes of global disability, highlighting the need for early, targeted, and effective treatment. The benefits of exercise therapy in people with hip and knee OA are substantial and supported by high-quality evidence, underlining that it should be part of first-line treatment in clinical practice. Furthermore, unlike other treatments for OA, such as analgesia and surgery, exercise therapy is not associated with risk of serious harm.
Helping people with OA become more physically active, along with structured exercise therapy targeting symptoms and impairments, is crucial, considering that the majority of people with hip and knee OA do not meet physical activity recommendations. Osteoarthritis is associated with a range of chronic comorbidities, including type 2 diabetes, cardiovascular disease, and dementia, all of which are associated with chronic low-grade inflammation.
Physical activity and exercise therapy not only improve symptoms and impairments of OA, but are also effective in preventing at least 35 chronic conditions and treating at least 26 chronic conditions, with one of the potential working mechanisms being exercise-induced anti-inflammatory effects. Patient education may be crucial to ensure long-term adherence and sustained positive effects on symptoms, impairments, physical activity levels, and comorbidities. J Orthop Sports Phys Ther 2018;48(6):439–447. Epub 18 Apr 2018. doi:10.2519/jospt.2018.7877
https://www.jospt.org/doi/10.2519/jospt.2018.7877
U.S. Department of Health and Human Services- Physical Activity Guidelines
https://health.gov/sites/default/files/2019-09/Physical_Activity_Guidelines_2nd_edition.pdf
Quadricep Strengthening with the DAPRE Technique: Case Studies with Neurological Implications.
https://www.jospt.org/doi/pdf/10.2519/jospt.1990.12.2.66
Resistance Training Promotes Cognitive and Functional Brain Plasticity in Seniors with Probable Mild Cognitive Impairment.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514552/
Resistance Exercise Preserves Function of Older Adults-Implications for Strength and Conditioning Professionals
Acute High Intensity Interval Exercise Reduces Colon Cancer Cell Growth
https://physoc.onlinelibrary.wiley.com/doi/full/10.1113/JP277648
Long-Term Effects of Exercise on the Range of Motion of Aging Women
https://www.jospt.org/doi/pdf/10.2519/jospt.1992.16.1.37
Adaptation of Skeletal Muscle to Resistance Training
https://www.jospt.org/doi/pdf/10.2519/jospt.1990.12.6.248
Maintaining, Restoring and Improving the Health of Our Nation
https://www.jospt.org/doi/pdf/10.2519/jospt.2014.0108
Health and Wellness-Making the Healthy Choice the Easy Choice
https://www.jospt.org/doi/pdf/10.2519/jospt.2014.0504
Resistance Training Adaptations: Skeletal Changes
Resistance Training for the Aging Adult: An Evidence Based Approach (Video)
Resistance Training for Oder Adults: Position Statement From the National Strength and Conditioning Association
The Daily Adjustable Progressive Resistance Exercise System: Getting Reacquainted With an Old Friend
The Mechanisms of Muscle Hypertrophy and Their Application to Resistance Training
The Course of Resistance Training-Induced Muscle Hypertrophy in the Elderly
https://pubmed.ncbi.nlm.nih.gov/26110345/
Reliability, Validity, and Responsiveness of the Lower Extremity Functional Scale for Inpatients of an Orthopaedic Ward
https://www.jospt.org/doi/pdf/10.2519/jospt.2009.2971
