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NMR2 > Adult SOM's > Flashcards

Adult SOM's Flashcards

be comfortable with the general usage of each test and need to know cut offs

1
Q

What is the gold standard test for static balance?

A

BERG

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2
Q

what does the BERG measure/test for? likw what kinda pts would need this

A

gold standard for static balance and assessing fall risk
- Does not include gait
assessment
- reaching, turning,
looking around

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3
Q

What does a BERG score of 21 mean? what is the cut off?

A

21 is a high fall risk. anything under a 45 indicates a fall risk.

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4
Q

What does the Functional Gait assessment (FGA) test for?

A

dynamic balance stability and mobility
while walking

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5
Q

What is the fall risk cut off score for the FGA?

A

<22/30 = risk of falls

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6
Q

Who is the FGA appropriate for??

A

stroke pts
(acute→chronic)
- community dwellers
- includes head turns, eyes
closed, backwards,
obstacles

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7
Q

What does the ABC measure?

A

Balance confidence (%)think of questionnaire you did with Wally

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8
Q

What is they fall risk cut off % for the ABC?

A

Less than or equal to 67%

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9
Q

What is the gold standard test for gait speed?

A

10 meter walk test

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10
Q

Who can the 10 meter walk test (10MWT) be administer to?

A

Fall risk pts

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11
Q

What does the 10mwt test for.

A

Predict community and household ambulation

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12
Q

What are the 4 cut offs for the 10MWT?

A

** startsat 0.4 and there are 4 categories**
Household ambulator: - <0.4 m/sec

Limited community ambulator- 0.4 - 0.8 m/sec

Community ambulator: - 0.8 - 1.2 m/sec (normal speed)

Able to safely cross streets: greater than 1.2 m/sec

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13
Q

What does the 6 minute walk test assess?

A

Walking endurance and aerobic capacity

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14
Q

What does the 5xSTS test assess?

A

Fall risk and LE strength predictor

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15
Q

What is the fall risk cut off for the 5xSTS test?

A

Greater than 15 seconds = fall risk

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16
Q

What does the 30 second sts test assess?

A

LE strength. No need to memorize values for this one

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17
Q

What does the TUG assess?

A

Screen for mobility and balance

18
Q

What are the cutoff for the TUG? (4 total)

A

independent = <10 secs
Increased risk for falling >20 secs
High risk for falling >30 secs
Community-dwelling amb >13.5 secs

19
Q

Dynamic Gait index has what characteristics to it?

A

head turns and stepping over obstacles

20
Q

What is the fall risk cut off for the DGI?

A

<19/24

21
Q

What does the MiniBEST comprise of that the DGI doesnt?

A

miniBEST has eyes open/closed component and an incline balance component

22
Q

What is the fall risk cut off for the minibest??

A

less than equal to 17.5

23
Q

What aspects of balance does the Tinetti (POMA) measure?

A

static, anticipatory, and reactive balance

24
Q

What is the advantage and disadvantage of the tinetti (POMA) test?

A

Adv= quick and easy
dis= subjective scoring

25
Q

What is the fall risk cut off scores for the tinetti (POMA) test?

A

Cut off Score for Older Adults:
high fall risk:
<19

26
Q

What is the 2 min step test?

A

march in place for 2 mins. think of the test you did wrong in lab wit buchholz!

27
Q

What does the four square step test (FSST) assess?

A

dynamic balance and coordination

28
Q

What is the fall risk cut off for the four square step test?

A

> 15 secs for the geriatric population

29
Q

What does the functional reach test assess?

A

Standing balance

30
Q

What are the age-related norms for the functional reach test?

A

Age Related Norm Values

20-40 years: 14.5 in. - 17 in.
41-69 years: 13.5 in. - 15 in.
70-87 years: 10.5 in. - 13.5 in.

31
Q

what does the modified falls efficacy scale (MFES) measure?

A

assess fear of falling in community dwelling adults

32
Q

What does a higher score mean on the MFES?

A

a higher score means that the pt is more confident and less fearful of falling.
a lower score means that the pt is less confident and more fearful of falling.

33
Q

What does the medical putcomes study short form (SF-36) assess?

A

QOL for the pt.

34
Q

Whats the mean score on the SF-36?

A

mean score = 50

35
Q

what does the Mini-mental state examination (MMSE) assess?

A

screening tool for cognition

36
Q

What are the 3 levels of cognitive impairment according to the MMSE?

A

None: 24 - 30
Mild: 18 - 23
Severe: 0 - 17

37
Q

What does the Montreal cognitive assessment (MOCA) score normal cognition at? (out of 30)

A

normal = 26-30
<25 = mild cognitive impairment

38
Q

what are the scoring criteria of the Saint Louis MentalStatus Exam (SLUMS)?

A

Normal: 27 - 30
Mild Neurocognitive Disorder: 21 - 26
Dementia: 1 - 20

39
Q

According to the geriatric depression scale, what score is indicative of depression?

A

answer yes to >5 questions

40
Q

What is the mdc for 10MWT??

A

gain of 0.1m/s is good for goals

41
Q

what is the fall risk cut off score for the BERG?

A

<45 = risk for falls

NMR2 (7 decks)

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