CVA Outcome Measures Flashcards

1
Q

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

A
  • eye opening
  • motor response
  • verbal response
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2
Q

what is severe on the GCS?

A

< 8

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3
Q

what is moderate on the GCS?

A

9-12

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4
Q

what is mild on the GCS?

A

13-15

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5
Q

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

A

< 3.2

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6
Q

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

A

3.2-5.2

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7
Q

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

A

> 5.2

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8
Q

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

A

29/56

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9
Q

what is the Berg cut-off for unassisted ambulation?

A

12/56

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10
Q

what does a Tulia score of < 9 mean?

A

pt has apraxia

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11
Q

what does a Tulia score of < 5 mean?

A

pt has severe apraxia

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12
Q

what is the Rivermead Motor Assessment?

A

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

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13
Q

what is the MCID for the Rivermead?

A

3 points

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14
Q

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

A
  • motor and sensory function
  • balance
  • ROM
  • jt pain
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15
Q

what is included in the motor domain of the FMA?

A

movement, coordination, reflexes

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16
Q

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

A

5.4 points

17
Q

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

A

5 points

18
Q

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

A

10 points

19
Q

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

A

10 points

20
Q

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

A

Quantitative measure of sx assoc with cerebral infarcts

21
Q

when is the NIHSS most commonly used?

A

in the acute phases of CVA

22
Q

what are the cut-off scores for the NIHSS?

A

> 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

23
Q

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

A

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

24
Q

what does the Trunk Impairment Scale (TIS) evaluate?

A

static/dynamic sitting balance, upper/lower trunk coordination

25
Q

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

A

0

26
Q

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

A

TIS

27
Q

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

A
  • reactionary
  • anticipatory
  • motor
  • sensory
  • steady state