05-01a: Why Tests and Measures

Question 1

Why Tests and Measures

Answer 1

• Gather data about patient
• Confirm or reject hypothesis about factors that contribute to pt’s current functional level not being optimal
• Support PT/PTA clinical judgment about appropriate interventions, goals, expected outcomes

Question 2

Purpose of Tests and Measures

Answer 2

• Provide objective data to determine degree of function and/or dysfunction
• Focuses the POC on task-specific (pt goal-oriented) interventions and goals
• Provides objective data that justifies need for PT

Question 3

Reasons for proper training

Answer 3

• Ensures reliability and validity of tests
• Improves reliability and validity in extrapolating results
• Errors in performance can lead to inaccurate data, inappropriate POC
• PTs must select tests and measures and avoid extraneous/excessive data

Question 4

Outcome measures

Answer 4

• Qualitatively describes end result of a particular intervention (often questionnaires)
• Must be valid and reliable - need evidence of functionality (research data), not fabricated
• Important for 1) reassessment of interventions, 2) postiive feedback for pt and staff
• Most require specialized knowledge, skills and training

Question 5

Outcome measures - Influences

Answer 5

• Primary Dx
• Co-morbidities
• Medical stability
• Prior physical status (determines goals)
• Current physical status
• Age
• Gender
• Beliefs
• Attitudes

Question 6

Categories of Tests and Measures #1

Answer 6

• Aerobic capacity/Endurance
• Anthropometric characteristics
• Arousal, attention, cognition
• Assistive and adaptive devices
• Circulation (arterial, venous, lymphatic)
• Cranial and peripheral nerve integrity
• Environmental, home, work barriers

Question 7

Categories of Tests and Measures #2

Answer 7

• Ergonomic and body mechanics
• Gait, locomotion, balance
• Integumentary integrity
• Joint integrity and mobility
• Motor function (motor control, motor learning)
• Muscle performance (strength, power, endurance)
• Neuromotor development and sensory integration

Question 8

Categories of Tests and Measures #3

Answer 8

• Orthotic, protective, supportive devices
• Pain
• Posture
• Prosthetic requirements
• ROM (including muscle length)
• Reflex integrity

Question 9

Categories of Tests and Measures #4

Answer 9

• Self-care and home management (ADLs)
• Sensory integrity
• Ventilation and respiratory/gas exchange
• Work, community, and leisure integration/reintegration

Question 10

Future of outcome measures

Answer 10

• Reimbursement based on 1) outcomes, 2) not fee-for-service