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PT 642 DDxI Adult Neuro > Coordination/Balance/Functional Assessments and Normative Values > Flashcards

Coordination/Balance/Functional Assessments and Normative Values Flashcards

1
Q

what directions can functional reach test be performed

A

sitting forward, sitting lateral, standing

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2
Q

how to explain functional reach tests

A
  • 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
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3
Q

how to score functional reach

A
  • 5 trials and take average of last 3 trials
  • use 3rd MTC to measure
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4
Q

sitting forward reach norms

A

21-39 y/o: 44.9cm
40-59 y/o: 42.3cm
65-93 y/o: 32.9cm

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5
Q

sitting lateral reach norms

A

21-39 y/o: 29.5cm
40-59 y/o: 26.7cm
65-93 y/o: 20.3cm

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6
Q

standing forward reach norms for gender

A
  • 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
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7
Q

TUG results indicating fall risk

A

> 13.5 seconds

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8
Q

TUG community dwelling with neuro deficits;
< 10 seconds
< 20 seconds
20-29 seconds
30+ seconds

A
  • normal
  • independent mobility, go outside alone
  • modified independent mobility, likely need AD
  • needs assistance, cannot go outside alone
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9
Q

describe the berg balance scale

A
  • measure fall risk
  • assess static balance
  • gold standard
  • has ceiling effect in high level functioning individuals
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10
Q

CVA cutoff score for fall risk on BERG

A

< 45/56

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11
Q

Geri scores of what on berg indicate 100% fall risk

A

< 40

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12
Q

what does functional gait assessment look at

A

FGI
- measure falls risk
- assess postural stability during various walking tests
- developed to correct ceiling effect with DGI

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13
Q

what is the cut off score for fall risk on FGI for pts over 65 y/o

A

<= 22/30

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14
Q

what does the dynamic gait index assess

A

DGI
- measures fall risk
- assesses gait with external demands
- originally developed for assessing pts with vestibular disorders

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15
Q

what is the traditional cutoff score for DGI

A

< 20 indicated high fall risk
- <= 19/24 predictive of fall risks in community dwelling elderly

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16
Q

what do pts need to be for both DGI and FGA and can they use AD

A
  • pt needs to be independent ambulatory
  • can use AD
17
Q

what is the total score of DGI

A

24

18
Q

cut off scores for fall risk on mini-best and what is the max score

A

Ages 65+: < 25
PD: <20
Stroke: <18

max: 28

19
Q

what does the 6 MWT assess

A
  • sub-max exercise test used to assess walking endurance and aerobic capacity
20
Q

what does 10 MWT assess

A
  • assess walking speed
21
Q

what can gait speed be used to predict

A

fall risk and functional ability

22
Q

what does 5xSTS measure

A

functional strength to assist quantifying functional change with transitional movements

23
Q

fall risk cut off score for PD in 5xSTS

A

> 16 seconds

24
Q
  • inability to perfom 5xsts in less than ____ associated with increased disability and morbidity
  • cut off of ____ in predicting recurrent fallers
A
  • 13.6 sec
  • 15 sec
25
Q

age norms for 5xSTS

A

60-69: 11.4 sec
70-79: 12.6 sec
80-89: 14.8 sec

26
Q

scores of what on functional reach indicate greater fall risks and less risk for falls

A

greater fall risk: < 6-7 cm
less fall risk: >10 cm

27
Q

what are the 3 categories assessed on AMPAC 6 clicks

A

basic mobility
daily activity
applied cognitive

28
Q

what is AMPAC 6 clicks used for and what can it assist with

A
  • used to quantify pt’s functional status in acute care
  • assists with discharge disposition
29
Q

what is the gold standard for quantifying function in inpatient rehab, but is no longer used

A

functional independence measure (FIM)

30
Q

what does FIM assess

A

ADLs
mobility
basic cognitive function

31
Q

what is section GG

A
  • 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
32
Q

where can section GG be used

A

inpatient rehab
LTACH
SNF
home health settings

33
Q

describe the barthel index

A
  • 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

PT 642 DDxI Adult Neuro (15 decks)

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