Coordination/Balance/Functional Assessments and Normative Values Flashcards
what directions can functional reach test be performed
sitting forward, sitting lateral, standing
how to explain functional reach tests
- hold arm out in front at 90deg
- do not touch the wall
- lean as far forward as possible without taking a step or falling off chair
how to score functional reach
- 5 trials and take average of last 3 trials
- use 3rd MTC to measure
sitting forward reach norms
21-39 y/o: 44.9cm
40-59 y/o: 42.3cm
65-93 y/o: 32.9cm
sitting lateral reach norms
21-39 y/o: 29.5cm
40-59 y/o: 26.7cm
65-93 y/o: 20.3cm
standing forward reach norms for gender
- 20-40y/o - M: 16.7, F: 14.6
- 41-69 y/o - M: 14.9, F: 13.8
- 70-87 y/o - M: 13.2, F: 13.2
TUG results indicating fall risk
> 13.5 seconds
TUG community dwelling with neuro deficits;
< 10 seconds
< 20 seconds
20-29 seconds
30+ seconds
- normal
- independent mobility, go outside alone
- modified independent mobility, likely need AD
- needs assistance, cannot go outside alone
describe the berg balance scale
- measure fall risk
- assess static balance
- gold standard
- has ceiling effect in high level functioning individuals
CVA cutoff score for fall risk on BERG
< 45/56
Geri scores of what on berg indicate 100% fall risk
< 40
what does functional gait assessment look at
FGI
- measure falls risk
- assess postural stability during various walking tests
- developed to correct ceiling effect with DGI
what is the cut off score for fall risk on FGI for pts over 65 y/o
<= 22/30
what does the dynamic gait index assess
DGI
- measures fall risk
- assesses gait with external demands
- originally developed for assessing pts with vestibular disorders
what is the traditional cutoff score for DGI
< 20 indicated high fall risk
- <= 19/24 predictive of fall risks in community dwelling elderly
what do pts need to be for both DGI and FGA and can they use AD
- pt needs to be independent ambulatory
- can use AD
what is the total score of DGI
24
cut off scores for fall risk on mini-best and what is the max score
Ages 65+: < 25
PD: <20
Stroke: <18
max: 28
what does the 6 MWT assess
- sub-max exercise test used to assess walking endurance and aerobic capacity
what does 10 MWT assess
- assess walking speed
what can gait speed be used to predict
fall risk and functional ability
what does 5xSTS measure
functional strength to assist quantifying functional change with transitional movements
fall risk cut off score for PD in 5xSTS
> 16 seconds
- inability to perfom 5xsts in less than ____ associated with increased disability and morbidity
- cut off of ____ in predicting recurrent fallers
- 13.6 sec
- 15 sec
age norms for 5xSTS
60-69: 11.4 sec
70-79: 12.6 sec
80-89: 14.8 sec
scores of what on functional reach indicate greater fall risks and less risk for falls
greater fall risk: < 6-7 cm
less fall risk: >10 cm
what are the 3 categories assessed on AMPAC 6 clicks
basic mobility
daily activity
applied cognitive
what is AMPAC 6 clicks used for and what can it assist with
- used to quantify pt’s functional status in acute care
- assists with discharge disposition
what is the gold standard for quantifying function in inpatient rehab, but is no longer used
functional independence measure (FIM)
what does FIM assess
ADLs
mobility
basic cognitive function
what is section GG
- section required by Medicare and Medicad to quantify pt function
- replace FIM in inpatient rehab
- built into multidimensional measures to function tool dependent on setting
- determine discharge disposition, outcomes, quality of care, and level of reimbursement
- includes admission and discharge self-care and mobility performance
where can section GG be used
inpatient rehab
LTACH
SNF
home health settings
describe the barthel index
- Commonly used in stroke patients (sometimes geriatrics)
- Used to record what a pt does, NOT what they could do
- Establishes degree of independence from any help, physical or verbal
- Feeding, bathing, grooming, dressing, bowels, bladder, toilet use, transfers, mobility, stairs
- used to replace FIM, much faster
