Activity Level Neuro PT Exam: Functional Mobility and Task Analysis Flashcards

1
Q

HCF

A

hypothetical contributing factor

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2
Q

what is the process of an activity-oriented exam (6)

A

movement analysis
- examine functional activities

formulate list of HCFs for activity limitations

select T&M for those HCFs

perform T&M

HCFs confirmed?
- POC, interventions, goals

unable to confirm HCFs?
- start over

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3
Q

what are the 3 categories of functional mobility for PT activity eval

A

bed mobility
transfer
locomotion

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4
Q

what activities of bed mobility are eval

A

rolling
bridging
scooting
supine <> sit

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5
Q

what activities of transfers are eval

A

wc/chair <> bed
sit <> stand

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6
Q

what activities of locomotion are eval

A

gait
wc management
stairs
community mobility

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7
Q

functional task exam procedure (3)

A
  1. safety
  2. ask pt to attempt task first, observe native strategies, hands on safety & assist if needed
  3. observe how much can do on own & how they achieve the task
    - determine level of independence
    - analyze quality of movement
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8
Q

assist needed should be graded based on what

A

how much they can perform
- depends on pt wt, size, strength

not necessarily how hard you are working

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9
Q

for the quality of movement, what 3 parts of the initial conditions are you looking at

A

posture
ability to interact w environment
environmental context

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10
Q

what are the stages to be assessing quality of movement throughout

A

initial conditions
preparation
initiation
execution
termination
outcome

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11
Q

what should be included in documentation (8)

A

specific activity attempted
to which side
level of surface
environmental factors
device
precautions?
level of assist
quality of movements, control

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12
Q

what are adult T&M for functional mobility

A

barthel index
functional independence measure (FIM)

outcome and assessment info set (OASIS)

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13
Q

what are pediatric T&M for functional mobility

A

pediatric evaluation of disability inventory (PEDI)

weeFIM

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14
Q

what is the barthel index a widely used measure of

A

functional disability

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15
Q

what does the barthel index measure

A

extent to which someone can independently complete ADLs

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16
Q

the barthel index was developed for what patient population

A

use in rehab patients w stroke or other NM or MSK disorders
- can also be used for oncology pts

17
Q

what setting is the FIM used in

A

inpatient rehab only!
- in pts w neurological conditions

18
Q

what does the FIM capture

A

what the person does, not what the person could do

19
Q

what is are 2 considerations of the FIM

A

requires training to administer
ceiling effect present

20
Q

what components are included in the FIM

A

physical
psychological
social

ex: memory, social interaction, locomotion, ADLs