Assessments Flashcards
Jebson-Taylor Hand Function Test
Standardized
- assesses variety of hand functions used in ADL
Features:
- seven timed sub tests to simulate functional hand tests
- ages 6+
Nine Hole Peg test
Standardized, timed
- assesses finger dexterity
Features
- picking up & placing pegs into holes one at a time
- Ages 18+
Box & Blocks test
Standardized test
- assess unilateral gross manual dexterity
Features:
- moving blocks from one side of box to the other
- ages 6+
DASH (Disabilities of the Arm, Shoulder, and Hand)
Standardized, self report questionnaire
- assess physical function & symptoms in upper limb musculoskeletal disorders
- commonly used to collect outcomes information
Features
- 30 items related to UE function
- ages 18+
Pediatric Outcomes Data Collection Instrument (PODCI)
Standardized measure
- for children with musculoskeletal disorders
- assesses several domains of function and QoL
Features:
- 0-100 rating scale
- Ages 19 and under
Pediatric Quality of Life Inventory (PedsQL)
Standardized pediatric measure for children
- acute & chronic health conditions
- healthy children to assess health related QoL
Features
- ages 2-18
Faces Pain Scale- Revised (FPS-R)
Self-report pain analog measure
- uses pictures of facial expressions across a rating scale
- ages 4-16
Visual Analogue Pain Scale
Self report pain measure
- uses 0-10 scale with 0 as no pain and 10 as worst pain
Numeric Rating Pain Scale
Self report pain measure
- client verbalizes a number to correspond with a perceived level of pain from no pain to most severe pain
Wrinkle test
Objective measure of sympathetic responses to test peripheral nerve function
- immerse client’s hand in warm water for approx 5-15 minutes
Semmes Weinstein Monofilament Test
Tactile sensory test
- assess thresholds of protective sensation
- pressing or touching filaments on specific areas of the body
Interest checklist
Client-centered instrument for advocational pursuits to determine
- current level of participation in leisure activities
- level of desire to perform leisure activities
Canadian Occupational Performance Measure
Occupational performance evaluation & outcome measurement tool
- measures perceived capacity & satisfaction in self care, productivity, leisure
Functional capacity Evaluation (FCE)
Objective evaluation process
- referred to as work capacity evaluation/assessment
- determines functional & physical abilities related to essential job tasks
Job analysis
Systematic evaluation of cognitive, psychological, physical, and social aspects of job demands to
- facilitate client return to work
- match rehabilitated worker to a job
- identify musculoskeletal risk factors
Rancho Los Amigos Level of Cognitive Functioning
Descriptive 10 level behavioral scale of cognitive function
- typically used with a client after a TBI
- guides behavioral interventions
Model of Human Occupation Screening Tool (MoHOST)
Evaluation tool based of MOHO to
- assess client’s occupational functioning in areas of volition, skills, habituation, and environment
Craig Handicap Assessment & Reporting Technique (CHART)
Questionnaire to
- determine extent client’s disability impacts levels of participation in everyday life activities
School Function Assessment
Questionnaire
- students K-6
- evaluate performance in functional tasks that support social & academic performance at school
Assessment of Motor & Process Skills (AMPS)
Observation-based rating scale
- measures client’s motor & processing skills when performing ADL & IADL
Features
- specialized training required to administer/interpret results
- client selects/performs familiar activity
- examiner rates effort, efficiency, safety, independence
Barthel Index of ADL
ADL rating scale based on client’s current level of function
Features
- ability to rate 10 activities in areas of ADL and mobility
- can be completed through self report or interview of caregiver
- receiving higher score indicates greater level of ability
Performance Assessment of Self-Care Skills (PASS)
Observation-based rating scale
- measures assistance needed in daily living tasks
Features
- contains clinic & home versions
- criterion-referenced
- examiner rates independence, safety, & adequacy
Transition Planning Inventory
Vocational inventory & rating scale
- understands the transition needs for students preparing for life after graduating from high school
Bayley Scales of Infant & Toddler Development, 3rd Edition (BSID-III)
Observation-based rating scale
- assess developmental functioning
Features
- performance-based tasks & questionnaires for caregivers
- assesses cognitive, language, & motor delays
Community Integration Measure (CIM)
Self-report measurement tool that assesses level/quality of community integration for adults with disabilities where higher score indicates better community integration
Sensory Processing Measure (SPM)
Pediatric observation-based rating scale
- measures sensory processing
Features
- norm-referenced
- contains 3 forms: home, classroom, school environments
Hawaii Early Learning Profile (HELP)
Curriculum based pediatric assessment
- screens growth & development
- assists in establishing intervention plan
Features
- non-standardized
- criterion-referenced
- family-centered
Miller Function & Participation Scales (M-FUN)
Observation & performance based pediatric evaluation tool
- assess impact of motor abilities on social participation at home or at school
Peabody Developmental Motor Scales (PDMS)
Pediatric assessment
- evaluate fine and gross motor skills
Features
- norm-referenced
- results provide percentile rank, standard score, and age equivalents
Bruininks-Oseretsky Test of Motor Proficiency (BOT)
Standardized, norm-referenced pediatric assessment of motor proficiency
Features
- gross motor & fine motor sub tests
- short form can be used as screening tool
Sensory Profile (SP)
Questionnaire
- determine patterns of sensory responses during daily life activities
Bay Area Functional Performance Evaluation (BaFPE)
Standardized assessment tool
- administered to adults who have mental health conditions, neurological impairment, intellectual disability
Features
- measures affective, cognitive, and performance ability
- contains 2 sub tests: Task Oriented Assessment (TOA) & Social Interaction Scale (SIS)
Contextual Memory Test (CMT)
Standardized screening tool & questionnaire
- evaluate self-awareness & use of cognitive compensatory strategies
Features
- based on dynamic interactional model of cognition
- used with adults who have memory impairment
Executive Function Performance Test (EFPT)
Performance-based assessment
- evaluates executive functions & amount of cueing required during functional activities
Features
- administered to adult population
- observation of 4 independent living tasks: preparing oatmeal, managing medications, paying bills, using the telephone
Montreal Cognitive Assessment (MoCA)
Screening tool administered to adult populations to identify mild cognitive impairment
Features
- pencil-and-paper tasks & verbal tasks
- scores range from 0-30; 26 or greater is generally considered normal
Beck Depression Inventory (BDI)
Self-report questionnaire
- screen for depression
Features
- ages 13-80
-higher scores indicate greater severity of depression
Caregiver Strain Index (CSI)
Questionnaire administered to caregivers
- identity potential concerns related to caregiver role
Features
- given to caregivers who provide assistance to an older adult
- score of 7 + indicates need for further assessment
Home Environment Assessment Protocol (HEAP)
Observation & interview-based assessment
- identify need for home modifications
Features
- given to caregivers of clients who have dementia
- scored on safety hazards, functional adaptations, clutter, and comfort
Modified Ashworth Scale
Scale to measure degree of spasticity during passive stretching
Berg Balance Scale
Objective functional balance test
- assesses static & dynamic balance abilities
Features
- valid for older adults
- interpreted scores indicate risk for falls
Evaluation Tool of Children’s Handwriting (ETCH)
Performance-based assessment of legibility & speed of handwriting
Features
- criterion-referenced
- different versions to evaluate cursive & manuscript handwriting
Motor-Free Visual Perception test (MVPT)
Assessment to measure visual perceptual skills
Features
- valid for peds and adults
- task performance does not require motor ability
Allen Cognitive Level Screen (ACLS-5)
Standardized
- cognitive screening test of cognitive function
- includes completing leather-lacing task
Goal Attainment Scaling
Outcome measurement system
- used in peds
- weights goals by level of importance
- measures effectiveness of intervention
- utilizes input from family, intervention team, and child
Tinel’s Test
Screening test used to
- dictate distal irritation or area of re-innervation of a nerve
- performed by tapping directly over path of a nerve to elicit a paresthesia in affected nerve distribution
Common screening for
- carpal tunnel syndrome
- cubital tunnel syndrome
Two-Point Discrimination Test
Sensory screening test
- applying pressure to fingertips with client vision occluded
- using commercially available disk or caliper with two tips spaced from 1-10 millimeter intervals
- responses to pressure indicate functional sensation as follows
* 1-5mm = normal
* 6-10mm = fair
* 11-15mm = poor
* one point perceived = protective sensation only
* no points perceived = absent protective sensation
Finklestein’s Test
Screening test
- to detect deQuervain’s tenosynovitis
- performed by having client grasp the thumb with the fingers into the palm of the hand then UDing the wrist
Positive test elicits exquisite pain along radial aspect of the wrist
Phalen’s test
Screening test
- detect irritation of median nerve at the wrist
- resting both elbows on the table & allowing the wrists to passively drop into complete flexion for one minute
Positive test: paresthesia/tingling in median nerve distribution
Common screening for carpal tunnel syndrome
Froment’s sign
Screening test
- detect an ulnar nerve lesion
- client forcefully hold a piece of paper between thumb & radial side of proximal phalanx
Positive test: flexion of IP joint of the thumb to substitute for absence of abductor pollicis
Volumetric Displacement
Method to measure/monitor UE edema
- uses commercially-available water tank
- comparisons made between two hands
Steps:
- fill tank with water
- immerse hand & distal forearm into tank
- measure amount of water displaced after immersion
- not used with open wounds, external fixators, percutaneous pins, casts
Nonstandardized sensory screening
Process to obtain general understanding of client’s ability to perceive sensory input
Screens for
- touch awareness
- pain awareness
- temperature awareness
- proprioception
- kinesthesia
Lacks inherent reliability & validity
Nonstandardized sensory screening: touch awareness
Swiping a fingertip with a cotton ball, pencil eraser, or other small object
Client responds with yes/no
Nonstandardized sensory screening: temperature awareness
Procedure to screen discrimination of warm & cold stimuli, including touching skin in an alternative manner with tubes filled with warm & cold water
Client responds with “warm” or “cold”
Nonstandardized sensory screening: vibration
Procedure involves touching activated tuning fork (e.g. 30 cycles per second, 256 cycles per second) to the fingertip to screen awareness of rapidly adapting sensory fibers
Nonstandardized sensory screening: pain
Procedure used to screen protective sensation, includes using a safety pin to apply sharp/blunt stimuli to end of a pin to the fingertip
Client responds with “sharp” or “dull”
Nonstandardized sensory screening: stereognosis
Procedure to determine ability to identify small objects
- includes occluding client’s vision & placing a common object in the hand (e.g. coin, block, safety pin, screw, sponge) & asking client to identify object one at a time
Nonstandardized sensory screening: proprioception
Procedure to determine ability to sense joint position
- includes moving joint in a specific position
- ask client to replicate position with contralateral extremity
Nonstandardized sensory screening: kinesthesia
Procedure to determine ability to sense joint position in space
- involves moving a joint in a specific direction & asking client to identify which direction joint is being moved
Nonstandardized sensory screening: Modified Moberg pick-up test
Procedure to determine general functional sensibility of the hand
- involves picking up small common objects one at a time & placing objects in a cup with and without vision occluded
Requires client to be able to identify/name objects in advance of screening
