CVA Outcome Measures

Question 1

what 3 areas of consciousness does the Glasgow Coma Scale (GCS) measure?

Answer 1

• eye opening
• motor response
• verbal response

Question 2

what is severe on the GCS?

Answer 2

< 8

Question 3

what is moderate on the GCS?

Answer 3

9-12

Question 4

what is mild on the GCS?

Answer 4

13-15

Question 5

what score on the Orpington Prognostic Scale (OPS) indicates that a pt has a high likelihood of returning home?

Answer 5

< 3.2

Question 6

what OPS score indicates that a pt will respond better to rehab?

Answer 6

3.2-5.2

Question 7

what OPS score indicates that a pt will be dependent w increased risk of institutionalism?

Answer 7

> 5.2

Question 8

what is the Berg cut-off for community-level ambulation?

Answer 8

29/56

Question 9

what is the Berg cut-off for unassisted ambulation?

Answer 9

12/56

Question 10

what does a Tulia score of < 9 mean?

Answer 10

pt has apraxia

Question 11

what does a Tulia score of < 5 mean?

Answer 11

pt has severe apraxia

Question 12

what is the Rivermead Motor Assessment?

Answer 12

Mobility assessment of: gross motor, leg and trunk, and arm

Question 13

what is the MCID for the Rivermead?

Answer 13

3 points

Question 14

what 4 things does the Fugl-Meyer Assessment of of Physical Performance (FMA) look at?

Answer 14

• motor and sensory function
• balance
• ROM
• jt pain

Question 15

what is included in the motor domain of the FMA?

Answer 15

movement, coordination, reflexes

Question 16

what is the MDC for the UE portion of the FMA?

Answer 16

5.4 points

Question 17

what is the MDC for the LE portion of the FMA?

Answer 17

5 points

Question 18

what is the MCID for the UE portion of the FMA?

Answer 18

10 points

Question 19

what is the MCID for the LE portion of the FMA?

Answer 19

10 points

Question 20

what is the National Institutes of Health Stroke Scale (NIHSS)?

Answer 20

Quantitative measure of sx assoc with cerebral infarcts

Question 21

when is the NIHSS most commonly used?

Answer 21

in the acute phases of CVA

Question 22

what are the cut-off scores for the NIHSS?

Answer 22

> 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

Question 23

what 3 positions does the Postural Assessment Scale for Stroke Patients (PASS) evaluate balance in?

Answer 23

Sitting w/o support, standing with support, standing w/o support

Question 24

what does the Trunk Impairment Scale (TIS) evaluate?

Answer 24

static/dynamic sitting balance, upper/lower trunk coordination

Question 25

if a patient cannot perform the first item on the TIS, they will get a score of ____ for the whole test

Answer 25

0

Question 26

which outcome measure challenges the paretic limb vs non-paretic limb directly in tasks?

Answer 26

TIS

Question 27

what 5 items does the Function In Sitting Test (FIST) evaluate? (RAMSS)

Answer 27

- reactionary - anticipatory - motor - sensory - steady state