CVA Outcome Measures Flashcards
what 3 areas of consciousness does the Glasgow Coma Scale (GCS) measure?
- eye opening
- motor response
- verbal response
what is severe on the GCS?
< 8
what is moderate on the GCS?
9-12
what is mild on the GCS?
13-15
what score on the Orpington Prognostic Scale (OPS) indicates that a pt has a high likelihood of returning home?
< 3.2
what OPS score indicates that a pt will respond better to rehab?
3.2-5.2
what OPS score indicates that a pt will be dependent w increased risk of institutionalism?
> 5.2
what is the Berg cut-off for community-level ambulation?
29/56
what is the Berg cut-off for unassisted ambulation?
12/56
what does a Tulia score of < 9 mean?
pt has apraxia
what does a Tulia score of < 5 mean?
pt has severe apraxia
what is the Rivermead Motor Assessment?
Mobility assessment of: gross motor, leg and trunk, and arm
what is the MCID for the Rivermead?
3 points
what 4 things does the Fugl-Meyer Assessment of of Physical Performance (FMA) look at?
- motor and sensory function
- balance
- ROM
- jt pain
what is included in the motor domain of the FMA?
movement, coordination, reflexes
what is the MDC for the UE portion of the FMA?
5.4 points
what is the MDC for the LE portion of the FMA?
5 points
what is the MCID for the UE portion of the FMA?
10 points
what is the MCID for the LE portion of the FMA?
10 points
what is the National Institutes of Health Stroke Scale (NIHSS)?
Quantitative measure of sx assoc with cerebral infarcts
when is the NIHSS most commonly used?
in the acute phases of CVA
what are the cut-off scores for the NIHSS?
> 25 very severe → long-term skilled care
15-24 severe → long-term skilled care
5-14 mild-moderate → typically require IP rehab
1-5 mild → 80% DC home from acute hospital
what 3 positions does the Postural Assessment Scale for Stroke Patients (PASS) evaluate balance in?
Sitting w/o support, standing with support, standing w/o support
what does the Trunk Impairment Scale (TIS) evaluate?
static/dynamic sitting balance, upper/lower trunk coordination
if a patient cannot perform the first item on the TIS, they will get a score of ____ for the whole test
0
which outcome measure challenges the paretic limb vs non-paretic limb directly in tasks?
TIS
what 5 items does the Function In Sitting Test (FIST) evaluate? (RAMSS)
- reactionary
- anticipatory
- motor
- sensory
- steady state
