EEO Practical

Question 1

Written outcome measure for a pt with shoulder/elbow/wrist/hand pain?

Answer 1

DASH

-Includes pain while UEFS does not

Question 2

Written outcome measure for an UE patient who is focused on regaining function in ADLs

Answer 2

UEFS

Measures actual ability to perform tasks, more about function than DASH is.

Question 3

What is a written outcome measure specific to shoulders

Answer 3

SPADI

Includes pain and ADLs

Question 4

Preformance test for elderly shoulder/elbow patient?

Answer 4

arm curl test

Male patients will curl 8lb weight, and females will curl 5lb weight. Pt starts with the hand in neutral position and then supinates as they curl the weight up. Arm is to stay at their side. TIme how many they can do in 30 seconds.

Question 5

UE preformance test for athletes who need more stability or endurance?

Answer 5

UECKC - Endurance + Stability

UE Y Balance Test

Question 6

Preformance Measure for a pt with hand/wrist weakness?

Answer 6

Hand Grip Dynomometry

3 trials each hand, take average

Question 7

How to preform the UE Y balance test

Answer 7

Medial, Superolateral, Inferolateral directions.

3 trials in each direction on each hand are performed.

The maximum reach distances are divided by the subject’s upper limb length to normalize each reach distance.

(MEASURE FROM C7 SPINOUS PROCESS TO THE MIDDLE FINGER WITH ARM ABDUCTED)

The composite reach distance was calculated by averaging the greatest trial in each of the 3 normalized reach distances for an analysis of overall performance on the test.

Question 8

Implication test for all UE patients?

Answer 8

Clear the C Spine

Question 9

Implication test for a patient lacking shoulder mobility?

Answer 9

Apley Scratch test

Question 10

Implication test for a patient experiencing shoulder pain?

Answer 10

Examining scapulohumeral rhythm

Have them take off shirt and raise arm multiple times while you examine

Question 11

Written outcome measure for hand pain?

Answer 11

Michigan Hand Outcome Questionarre

-Asks about pain, work, sleep, hand appearance, fine motor (pick up coin, turn door knob, tie laces, etc.)

Question 12

Written outcome measure for a patient who is lacking hand function?

Answer 12

Alderson-McGall Hand Function Questionnaire - Only asks about ability to perform different activities (drawing, holding the phone, vacuuming, cutting meat, etc.); measures function

Question 13

Preformance measure for a patient lacking hand dexterity?

Answer 13

Box and Block Test - Test of manual dexterity; use dominant hand to move blocks from one side of the partition to the other; repeat with nondominant hand. 60 second time limit, count number of blocks moved

Note: Can also use hand grip dynomometry to measure strength

Question 14

Pt has swollen wrist, what implication test to use?

Answer 14

Figure 8 - Use to measure wrist swelling
Radial styloid process → volarly to ulnar styloid process → head of 2nd metacarpal → 5th metacarpal palmarly → dorsally back to radial styloid

Question 15

Implication test if you suspect carpal tunnel?

Answer 15

Phalen’s test

Press hands in flexion for 60s, positive if pain reproduced in median nerve distribution

Question 16

Written outcome measure for a patient w/ LE pain that affects their ADLs?

Answer 16

LEAP Lower Extremity Activity Profile

– All about how LE affects ADLs and impacts the patient’s life, does mention pain.

Question 17

LE written outcome measure for a patient who plays sports, or is more active/younger, focused on function

Answer 17

LEFS- Mentions higher level activities, running, climbing stairs, all about function. Also captures relevant measures for older people like getting in and out of cars, putting on socks and shoes.

Question 18

Written Outcome measure for a hip patient who is experiencing trouble with ADLs, Hip Popping, trouble with stairs, lower quality of life

Answer 18

HOOS

-Includes ADLs, Pain, Stairs, QOL, Includes A LOT OF QUESTIONS

Question 19

Written Outcome measure for a hip problem for someone who also uses an assistive device?

Answer 19

HHS Harris Hip Score (Mentions assistive device) Also focused on a lot of functional measurements

Question 20

Written outcome measure for a Knee patient who plays sports or is in pain?

Answer 20

KOOS (Knee Osteoarthritis outcome measure) - Includes Sports, Pain, Quality of life, mentions pain.

Question 21

Preformance test for an older patient w/ hip or knee pain who is struggling with ADLs

Answer 21

30 second sit to stand

Question 22

Functional test for athletic patient w/ hip problems, knee problems, or anke problems, potentially late stage ACL?

Answer 22

8 inch step down test- Best for ACL or high functioning knee patient’s
PT first screens that the patient can successfully complete one rep of the step down test. Once cleared, you count how many successful reps they can do in 30 seconds. No trunk lean, twisting, or other compensations.

Question 23

LE Preformance Test for patient who needs improved stability and is high functioning?

Answer 23

Y Balance Test

The YBT composite score is calculated by summing the 3 reach directions and normalizing the results to the lower limb length( Divide by leg length ASIS to Medial Mal).

Question 24

Implication test for every LE patient?

Answer 24

Clear the lumbar spine

Question 25

Implication test for labral problem at hip?

Answer 25

FADIR

Question 26

Implication test for SI/hip pathology?

Answer 26

FABER

Question 27

Other hip implication tests to be aware of:

Ober
Thomas
SI Provacation test

we dont need a card for all of these.

Question 28

Foot written outcome measure that includes pain, sleep, ADLs, and sports?

Answer 28

FADI

Foot and ankle disability index

Question 29

Preformance measure for a knee or ankle/foot patient who is athletic/young?

Answer 29

4 single leg hop tests

Single Hop for distance
3 hops for distance
3 cross over hops for distance (over tape line)
6 meter timed hop

Question 30

Implication test for arch problem?

Answer 30

Fiess Line

Draw line from medial malleolus to 1st metatarsal head then dot the navicular. Look if it’s above or below to examine the arches.
Navicular above line = pes cavus, below line = pes planus

Question 31

Implication test for a posterior tibialis problem or any other ankle problem potentially?

Answer 31

Single Heel Rise Test- Screens for Posterior Tib tendinopathy, can they do a single leg heel raise without pain?

Question 32

Easy implication test for any patient with LE pain?

Answer 32

Gait analysis or Squat Analysis

Question 33

Implication test for plantar fascia?

Answer 33

Windlass test

Question 34

Written outcome measure for a back patient who is experiencing pain, difficulty sleeping, trouble with lifting and ADLs

Answer 34

Oswestry Disability Index

Question 35

Written outcome measure for neck patient who is experiencing pain, difficulty with sleep, personal care, driving

Answer 35

Neck Disability Index

Question 36

Preformance test for neck patient?

Answer 36

DEEP NECK FLEXOR ENDURANCE TEST

Pt in supine/hooklying position

Pt will retract/tuck chin, then lift head approximately 1 inch above the table

When patient untucks chin or lowers head back down the test is over

you’re finding out the max time they can do it.

Question 37

Preformance Measure for back pain pt?

Answer 37

Biering Sorensen Back endurance test- Stabilize patient’s legs as the torso is off the mat and the patient will hold this position for as long as they can.

Question 38

Written outcome measure for a stroke patient?

Answer 38

Stroke Impact Scale (SIS)- Strength; cognition; Mood and emotions; Communication; ADLs and IADLs; Mobility at home and community; UE activities; Social activities; % of recovery

Question 39

Written outcome measure for a neuro patient who’s a fall risk/balance?

Answer 39

Modified Falls Efficacy Scale (MFES)- Confidence that they won’t fall during certain activities; Balance; ADLs and IADLs; Includes steps; FALL RISK and Older patients

Note: obviously also good for older balance patients

Question 40

Written outcome measure for neuro patient who’s ADLs are impacted?

Answer 40

KATZ BASIC ACTIVITIES OF DAILY LIVING (ADL) SCALE

Really really focuses on ADLs: Toileting, bathing, transfering, feeding

Question 41

Written outcome measure for a patient who tests positive when clearng spine and is now spine patient?

Answer 41

Either NDI or Owestry

Question 42

Preformance measure for Neuro patient’s who have trouble with gait and ADLs?

Answer 42

Timed Up and Go Test (TUG)- Gait and locomotion; Regular footwear and AD, back against the chair, cone 3 m away. 1 practice trial and 2 test trials
Cognition test: count backwards
Manual test: carry a full cup of water
Cutoff level is 13.5 s. >14 s = high risk for falls
Older pts and Fall risk

Question 43

Preformance Measure for balance/neuro patients who struggle with balance?

Answer 43

4 square step test

4-Square Step Test (4SST)- balance; Steps one foot at a time in clockwise direction back to first square then repeats going counterclockwise. Patient will end in the first square. Pt can’t touch the sticks. Pt should face forward during the test. Take two trials

Question 44

Implication tests for neuro patients?

Answer 44

Dermatome

Myotome

Cranial Nerves

Reflexes

Question 45

Implication test for balance?

Answer 45

Sharpened Rhomberg

Rhomberg (10 sec feet together, 10 second semi tandem, 10 second tandem) - Eyes open and eyes closed for each position w/ arms crossed. This can help you figure out whether or not it’s a static or a dynamic balance problem.