{"id":415,"date":"2017-10-24T09:00:24","date_gmt":"2017-10-24T13:00:24","guid":{"rendered":"https:\/\/elearning.wfh.org\/resource\/puntaje-de-la-fmh-para-examen-fisico-puntaje-gilbert\/"},"modified":"2022-09-21T14:57:07","modified_gmt":"2022-09-21T18:57:07","slug":"puntaje-de-la-fmh-para-examen-fisico-puntaje-gilbert","status":"publish","type":"resource","link":"https:\/\/elearning.wfh.org\/es\/resource\/puntaje-de-la-fmh-para-examen-fisico-puntaje-gilbert\/","title":{"rendered":"Puntaje de la FMH para examen f\u00edsico (puntaje Gilbert)"},"content":{"rendered":"<h3>World Federation of Hemophilia Physical Examination Score (also called the Gilbert Score)<\/h3>\n<p class=\"\"><strong>Authors\/developers<\/strong><br class=\"\" \/>Gilbert M, and the Orthopedic Advisory Committee of WFH.<\/p>\n<p class=\"\"><a href=\"https:\/\/www1.wfh.org\/docs\/en\/Publications\/Assessment_Tools\/Gilbert_Score.pdf\" target=\"blank\" rel=\"noopener\">Questionnaire<\/a><\/p>\n<h6><em>N.B. These scores are posted with the permission of the developers.<\/em><\/h6>\n\t\t<div data-elementor-type=\"section\" data-elementor-id=\"7616\" class=\"elementor elementor-7616\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-aceceeb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"aceceeb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f2c9b68\" data-id=\"f2c9b68\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ea1b37 elementor-widget elementor-widget-spacer\" data-id=\"3ea1b37\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-21214cf elementor-widget elementor-widget-html\" data-id=\"21214cf\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\r\n\r\n\/* Style the tab *\/\r\n.popTab {\r\n  float: left;\r\n  border: 1px solid #ccc;\r\n  background-color: #f1f1f1;\r\n  width: 35%;\r\n  height: 500px;\r\n}\r\n\r\n\/* Style the buttons inside the tab *\/\r\n.popTab button {\r\n  display: block;\r\n  background-color: inherit;\r\n  color: black;\r\n  padding: 15px 10px;\r\n  width: 100%;\r\n  border: none;\r\n  border-radius: 0;\r\n  outline: none;\r\n  text-align: left;\r\n  cursor: pointer;\r\n  transition: 0.3s;\r\n  font-size: 1.3em;\r\n}\r\n\r\n\/* Change background color of buttons on hover *\/\r\n.popTab button:hover {\r\n  background-color: #ddd;\r\n}\r\n\r\n\/* Create an active\/current tablink class *\/\r\n.popTab button.active {\r\n  background-color: #ccc;\r\n  border: none!important;\r\n}\r\n\r\n\/* Style the tab content *\/\r\n.popContent {\r\n  float: left;\r\n  padding: 0px 1em;\r\n  border: 1px solid #ccc;\r\n  width: 65%;\r\n  border-left: none;\r\n  height: 500px;\r\n  overflow-y:auto;\r\n}\r\n\r\n.popContent table tr {\r\n    \/*pointer-events: none;*\/\r\n\r\n}\r\n\r\n.popContent table td {\r\n    border-top: none;\r\n    border-left: none;\r\n    border-right: none;\r\n    border-bottom: 1px solid #eee;\r\n    background-color: white!important;\r\n    padding-left: 0;\r\n}\r\n\r\n<\/style>\r\n\r\n\r\n<div class=\"popTab\">\r\n   <button class=\"popLinks active\" onclick=\"openTab(event, 'description')\">Description<\/button>    \r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'utility')\">Utility<\/button>\r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'administration')\">Administration<\/button>\r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'psychometrics')\">Psychometrics<\/button>\r\n   <button class=\"popLinks\" onclick=\"openTab(event, 'references')\">References<\/button>\r\n \r\n  \r\n<\/div>\r\n\r\n<div id=\"description\" class=\"popContent\">\r\n  <h3>Description<\/h3>\r\n  <p class=\"\">This tool measures joint health, in the domain of body structure and function (i.e. impairment), of the joints most commonly affected by bleeding in hemophilia \u2013 knees, ankles, elbows.<\/p>\r\n\r\n  <p class=\"\">It is primarily designed for adults and children with established arthropathy. It may be used when there is a need for orthopedic intervention, or as an outcome measure of physiotherapy interventions.<\/p>\r\n\r\n  <p class=\"\"><strong>Date of this review: <\/strong><br class=\"\">March 7, 2011<\/p>\r\n<\/div>\r\n\r\n\r\n<div id=\"utility\" class=\"popContent\" style=\"display:none\">\r\n  <h3>Utility<\/h3>\r\n  \r\n  <p><strong>Overall utility:<\/strong><br>\r\n   Until recently, the WFH Physical Examination Score was the main tool used to assess joint health. Although somewhat less sensitive than the <a href=\"https:\/\/elearning.wfh.org\/resource\/hemophilia-joint-health-score-hjhs\/\" target=\"_blank\" rel=\"noopener\">Hemophilia Joint Health Score<\/a>, it distinguishes between different groups of patients (e.g. mild, moderate, severe disease; prophylaxis vs. on-demand). It is probably best used for older children and adults, and in severely affected populations such as patients with uncontrolled inhibitors, or little access to factor replacement.<\/p>\r\n  \r\n  <p><strong>Limitations:<\/strong><br>\r\n   The WFH Physical Examination Score takes a long time to administer.<\/p>\r\n\r\n  <p>It may not be appropriate for younger children as normal development axial alignment changes may be scored as abnormal. It may not be appropriate for persons with mild arthropathy, such as those treated with lifelong prophylaxis, as it is insensitive to mild joint changes.<\/p>\r\n<\/div>\r\n\r\n\r\n<div id=\"administration\" class=\"popContent\" style=\"display:none\">\r\n  <h3>Administration<\/h3>        \r\n  <ol>\r\n    <li><strong>Time to complete:<\/strong> 30-45 minutes, plus computing and recording score.<\/li>\r\n \t<li><strong>Equipment\/space required:<\/strong>\r\n      <ul>\r\n \t    <li>plinth\/bed<\/li>\r\n \t    <li>goniometer<\/li>\r\n \t    <li>tape measure<\/li>\r\n      <\/ul>\r\n    <\/li>\r\n \t<li><strong>Training required:<\/strong>\r\n      <ul>\r\n \t    <li>use of goniometer to measure joint range of motion and\u00a0axial deformity<\/li>\r\n \t    <li>familiarity with ligament (instability) testing and other examination techniques to assess joint crepitus and swelling.<\/li>\r\n      <\/ul>\r\n    <\/li>      \r\n \t<li><strong>Cost:<\/strong> None<\/li>\r\n \t<li><strong>Scoring\/scaling\/interpretation of results:<\/strong> The WFH Physical Examination Score provides a total score (higher score is worse) and joint specific scores.<\/li>\r\n  <\/ol>\r\n<\/div>\t\r\n\r\n<div id=\"psychometrics\" class=\"popContent\" style=\"display:none\">\r\n  <h3>Psychometrics<\/h3>        \r\n  \r\n  <p><strong>Psychometric properties:<\/strong><\/p>\r\n\r\n <ol style=\"margin-bottom:1em\">\r\n    <li>Construct validity: The WFH Physical Examination Score shows adequate ability to discriminate between known groups of patients, for example:\r\n\r\n      <ul>\r\n \t    <li>severe vs. moderate vs. mild hemophilia<\/li>\r\n \t    <li>treated with prophylaxis vs. not treated with prophylaxis<\/li>\r\n      <\/ul>\r\n      <p style=\"padding-left: 30px;\">It correlates appropriately with bleeding rates (r<sub>s<\/sub>=0.43) and physician global assessment of joint health (r<sub>s<\/sub>=0.47).<\/p>\r\n    <\/li>\r\n \t<li>Criterion validity: The WFH Physical Examination Score compares less favourably with the <a href=\"\/resource\/hemophilia-joint-health-score-hjhs\/\" target=\"_blank\" rel=\"noopener\">Hemophilia Joint Health Score 1.0<\/a> when discriminating known groups (63% to 97% less efficient).<\/li>\r\n \t<li>Reliability has not been tested.<\/li>\r\n \t<li>Responsiveness\/sensitivity has not been tested longitudinally.<\/li>\r\n  <\/ol>\r\n  \r\n  <p><strong>Languages studied:<\/strong><br>Swedish, English, Dutch<\/p>\r\n\r\n  <p><strong>Groups tested with this measure:<\/strong><br>\r\nNorth American and European children with well-treated hemophilia A and B (mild, moderate and severe factor deficiency).<\/p>\r\n\r\n  <p><a href=\"\/resource\/glossary-of-psychometric-properties\/\" target=\"_blank\" rel=\"noopener\"><button>Glossary of Psychometric Properties<\/button><\/a><\/p>\r\n\r\n<\/div>\r\n\r\n\r\n<div id=\"references\" class=\"popContent\" style=\"display:none\">\r\n   <h3>References<\/h3>        \r\n   <ol>\r\n \t<li>Gilbert MS. Prophylaxis: musculoskeletal evaluation. <em>Semin Hematol<\/em> 1993 Jul; 30(3 Suppl 2):3-6.<\/li>\r\n \t<li>Gilbert MS, Weidel JD. The Treatment of Hemophilia: Current Orthopedic Management; National Hemophilia Foundation 1995.<\/li>\r\n<\/ol>\r\n\r\n<\/div>\r\n\r\n\r\n\r\n\r\n\r\n\r\n<script>\r\nfunction openTab(evt, country) {\r\n  var i, popContent, popLinks;\r\n  popContent = document.getElementsByClassName(\"popContent\");\r\n  for (i = 0; i < popContent.length; i++) {\r\n    popContent[i].style.display = \"none\";\r\n  }\r\n  popLinks = document.getElementsByClassName(\"popLinks\");\r\n  for (i = 0; i < popLinks.length; i++) {\r\n    popLinks[i].className = popLinks[i].className.replace(\" active\", \"\");\r\n  }\r\n  document.getElementById(country).style.display = \"block\";\r\n  evt.currentTarget.className += \" active\";\r\n}\r\n<\/script>\r\n   \t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea89265 elementor-widget elementor-widget-spacer\" data-id=\"ea89265\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t\n","protected":false},"featured_media":23080,"template":"","format":[],"old-keyword":[],"topic":[3977],"serie":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Puntaje de la FMH para examen f\u00edsico (puntaje Gilbert) - eLearning Platform<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/elearning.wfh.org\/es\/resource\/puntaje-de-la-fmh-para-examen-fisico-puntaje-gilbert\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Puntaje de la FMH para examen f\u00edsico (puntaje Gilbert) - eLearning Platform\" \/>\n<meta property=\"og:description\" content=\"World Federation of Hemophilia Physical Examination Score (also called the Gilbert Score) Authors\/developersGilbert M, and the Orthopedic Advisory Committee of WFH. 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