Part of the book: Chronic Obstructive Pulmonary Disease
Clinical benefits of rehabilitation are very difficult to present because of various factors such as very small sample sizes, no control comparison, or short period of intervention. However, clinical improvement can be presented with a single case study research design that is very interesting and challenging technique. Basic and advanced single-research designs can be performed in various patterns, for example, baseline (A) and intervention (B) phases [A-B], A-B-withdrawal (A’) phases [A-B-A’], A-B-A’- new intervention (B’) phases [A-B-A’-B], etc. In each phase, a line graph must be presented for changes using a trend line or split-middle method or mean and the standard deviation is shown. A trend or celebration line of data in the baseline period (A) should be drawn through the intervention phase (B). Then, the serial dependence or autocorrelation coefficient in each phase must be calculated by Barletta test, and the transformation of autocorrelation data should be performed when serial dependence occurs. Finally, clinically statistical improvement during intervention can be analyzed with the Bloom table, two-standard deviation band, paired t-test, binomial statistic, or C-statistical analysis. Therefore, single case study or cases of research design can be used to present the effectiveness of any intervention in the clinic.
Part of the book: Physical Therapy Effectiveness