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?

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
What is the fall risk cut off scores for the tinetti (POMA) test?
Cut off Score for Older Adults: high fall risk: <19
26
What is the 2 min step test?
march in place for 2 mins. think of the test you did wrong in lab wit buchholz!
27
What does the four square step test (FSST) assess?
dynamic balance and coordination
28
What is the fall risk cut off for the four square step test?
>15 secs for the geriatric population
29
What does the functional reach test assess?
Standing balance
30
What are the age-related norms for the functional reach test?
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
what does the modified falls efficacy scale (MFES) measure?
assess fear of falling in community dwelling adults
32
What does a higher score mean on the MFES?
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
What does the medical putcomes study short form (SF-36) assess?
QOL for the pt.
34
Whats the mean score on the SF-36?
mean score = 50
35
what does the Mini-mental state examination (MMSE) assess?
screening tool for cognition
36
What are the 3 levels of cognitive impairment according to the MMSE?
None: 24 - 30 Mild: 18 - 23 Severe: 0 - 17
37
What does the Montreal cognitive assessment (MOCA) score normal cognition at? (out of 30)
normal = 26-30 <25 = mild cognitive impairment
38
what are the scoring criteria of the Saint Louis MentalStatus Exam (SLUMS)?
Normal: 27 - 30 Mild Neurocognitive Disorder: 21 - 26 Dementia: 1 - 20
39
According to the geriatric depression scale, what score is indicative of depression?
answer yes to >5 questions
40
What is the mdc for 10MWT??
gain of 0.1m/s is good for goals
41
what is the fall risk cut off score for the BERG?
<45 = risk for falls