Cognitive Outcome Measures Flashcards
the Agitated Behavior Scale (ABS) is used daily for what Rancho level?
IV
what does an ABS score of 21 or below mean?
WNL
what does an ABS score of 22-28 mean?
- mild agitation
- pt will need lots of redirecting during sessions
what does an ABS score of 29-35 mean?
moderate agitation
what does an ABS score > 35 mean?
- severe agitation
- pt is not appropriate for PT
pts who score 22-35+ on the ABS have a hard time with what?
structure
what is the scoring of the ABS?
1 = absent 2 = present to a slight degree 3 = present to a moderate degree 4 = present to an extreme degree
what does the Galveston Orientation and Amnesia Test (GOAT) look at?
- orientation
- state of PTA
what does a GOAT score of 76-100 mean?
normal
what does a GOAT score of 66-75 mean?
borderline
what does a GOAT score < 66 mean?
impaired
what does the Orientation (O-Log) look at?
place, time, situation
there is excellent correlation bw GOAT and O-Log scores and estimation of ____
PTA
what scores does a pt need on the GOAT and O-Log to be out of PTA?
> 75/100 on GOAT, >25/30 on O-Log
which outcome measure is better at predicting rehab outcomes: O-Log or GOAT?
O-Log
what does the Moss Attention Rating Scale (MARS) measure?
behavioral responses that affect attention
what does the MARS help guide?
intervention
what is unique about the MARS?
scoring of certain items has to be flipped
what does a higher score on the MARS indicate?
better attention
what 3 major factors does the MARS rate?
- Irritability
- Initiation
- Sustained attention
the JFK Coma Recovery Scale (CRS-R) has excellent ____ reliability
interrater
the CRS-R is the ONLY scale that directly incorporates existing ____ criteria for coma, VS, and MCS
diagnostic
the CRS-R aims to detect the subtle but potentially meaningful changes in ____ function as pts recover from comatose through confusional states
neurobehavioral
the CRS-R is a(n) ____ outcome measure
interdisciplinary
what are the 6 function scales on the CRS-R? (AV MOCA)
- auditory
- visual
- motor
- oromotor
- communication
- arousal
what are the 6 CRS-R levels of responsiveness?
- No response
- Tonic posture
- Reflexive/Automatic
- Generalized
- Localized
- Purposeful
what condition does the CRS-R have a high sensitivity for diagnosing?
MCS
what function in acute VS patients is really important for outcome prediction?
visual tracking
CRS-R change scores obtained over the initial 4 wks of IP rehab are correlated more strongly with functional outcome at 1 yr than what other outcome measure?
GCS
Levl of functional disability on the Disability Rating Scale was sig. lower at 12 mos postinjury in pts dx with ____ on admission to rehab relative to ____
MCS, VS
what 3 things does the CRS-R help determine?
- survival
- functional dependence
- recovery of consciousness
what does the Disorders of Consciousness Scale (DOCS) help with?
eval tx
DOCS takes a deeper dive into other aspects of ____ and ____
awareness, response
DOCS is a bedside test measuring neurobehavioral functioning during ____ recovery
coma
what are the 4 main modalities that DOCS evaluates? (FSPT)
- Facial recognition
- Social knowledge
- Proprioceptive/vestibular
- Tactile
what are 6 other modalities that DOCS evaluates? (VA FOOT)
- visual
- auditory
- facial tracking
- olfaction
- object recognition and tracking
- taste and swallowing
