Clinical measures

Question 1

clinical measurement

Answer 1

way of understanding, evaluating and differentiating characteristics of a client’s presentat

Question 2

objective

Answer 2

not influnced by personal biasis in representing facts

Question 3

subjective

Answer 3

personal influence/ opinions

Question 4

why measure

Answer 4

Establishing a baseline of function for clients i.e. how were they when you first saw them?
Identifying the problem (diagnosis)
Planning intervention – What will I do to help their problem?
Evaluating intervention – Did the treatment make them better or worse?
Effectively documenting assessment findings and reassessment findings
Effectively communicating with client (can be motivational as the client can “see” change)
Effectively communicating with other team members
Establishing a database for typical ‘behaviour’ of different diagnoses
Research.

Question 5

impairment measures

Answer 5

goniometry measure joint angle and ROM- objective

VAS- subjective pain scale 1-10

Question 6

muscle dynamotry test

Answer 6

test muscle strength

Question 7

spirometry

Answer 7

test lung function amount and speed of air inhaled and exhaled by the lungs

Question 8

timed up and go test

Answer 8

assess mobility/ functional perfromance in older adults and individuals with mobility impairments

Question 9

purdue pegboard test

Answer 9

measures fine motor skills and hand eye coordination

Question 10

ACTIVITY SPECIFIC BALLANCE CONFIDENCE

Answer 10

measure their own confidence when doing activity

Question 11

disability rating index

Answer 11

assess person ability to do ADL

Question 12

fundamental independence measures

Answer 12

persons level of independence

Question 13

what makes a good measurement

Answer 13

valid
reliable
objective
practical
sensitive
specific

Question 14

valid

Answer 14

extent to which instrument measure what it intends to measures

represents client population-
does this test give right measure

Question 15

reliable

Answer 15

agree to which assessmnt tool or assessor produces consistent results

inter-rater- different persons

intra-rater- same person

need to standardise test
landmarks/ position
equiptment
instructions

ICC closer to 1 the better

Question 16

objective

Answer 16

findings are reported without distortion without personal biasis influenced

Question 17

practical

Answer 17

capable or suitability to be put into effect

Question 18

sensitive

Answer 18

the ability to detect change

Question 19

specific

Answer 19

ability to detect paitients who do not have the disorder

SPIN
SPECICFITY
POSITIVELY RULES RESULTS IN
THAT THEY DON;T HAVE DISEASE

Question 20

random error

Answer 20

diviation from true result as a result of chance

Question 21

systematic error

Answer 21

consistent diviation from true result

Question 22

errors

Answer 22

paitent liability
human error
instrument error

Question 23

acuracy of diagonstic test (senstivitiy)

Answer 23

the ability to detect those who actually have the disorder

high senstivity- then those who have positive have it

SENSTIVTY TEST has negative results ruled out
rules out that someone has disease