Falls assessment

Question 1

What is an example of the a self report in the functional outcome measures?

Answer 1

Falls Efficacy Scale

Question 2

What is an example of a patient outcome measure?

Answer 2

DASH

Question 3

What is an example of a Observer-rated measure?

Answer 3

BESTest

Question 4

What is an example of a Physiological measures?

Answer 4

Borg RPE

Question 5

What is a self report outcome measure?

Answer 5

patient perception of impairment, function,
QOL

Question 6

What is a patient outcome measure?

Answer 6

asks patient about impact of condition on activities and roles in life

Question 7

What is a Observer-rated measures?

Answer 7

measures observed by PT

Question 8

What is a Physiological measures?

Answer 8

measure single biological entity (ie, cognitive ability, pain, exertion)

Question 9

Intrinsic risk factors

Answer 9

Gait and balance impairment
peripheral neuropathy
vestibular dysfunction
muscle weakness
vision impairment
medical illness
advanced age
impaired ADL
OA
dementia
drugs

Question 10

Extrinsic Risk Factors

Answer 10

Environmental hazards
poor footwear
restraints

Question 11

Ceiling effect outcome measure

Answer 11

too good for the test

Question 12

Floor effect

Answer 12

not going to score high enough on the test
not being able to do 5 x STS instead doing 30 second chair rise

Question 13

what is ankle strategy?

Answer 13

small disturbance of BOS
* may be limited when lacking ROM

Question 14

what is hip strategy?

Answer 14

sudden and forceful disturbance

Question 15

What is Stepping strategy?

Answer 15

COG displaced beyond limits of BOS

Question 16

2 questions PT should ask in screen

Answer 16

a. History and context of falls
b. At least one question about the patient’s perception of difficulty with balance/walking

Question 17

A screening is positive when either of the following conditions is found

Answer 17

1. The patient reports multiple falls regardless of balance and gait impairments.
2. The patient reports one fall and a gait or balance impairment is observed

Question 18

Carotid sinus hypersensitivity leads to

Answer 18

bradycardia, vasodilation, and hypotension
results in syncope

Question 19

These 5 things are part of intervention and w/in PT scope of practice

Answer 19

1. strength training
2. balance training
3. gait training
4. correction of environmental hazards
5. correct footwear

Question 20

Recommend shoes with these 2 things

Answer 20

low heel and high surface contact area on sole

Question 21

Multidiscipline Fall Risk Tools

Answer 21

Morse Fall Scale
Hendrich II Fall Risk Model (acute care setting only)

Question 22

Physical Performance Tests

Answer 22

Physical Performance Test
Physiological Profile Assessment (PPA)
Short Physical Performance Battery (SPPB)
Grip strength

Question 23

Balance Tests

Answer 23

BESTest, BESTmini, BESTbrief
Berg Balance Scale
Activities Specific Balance Confidence (ABC) Scale
Functional Reach Test
4 Square Step Test
Tinetti Performance-Oriented Mobility Assessment (POMA)
Single leg stance

Question 24

Mobility tests

Answer 24

30-second CRT
5X and 10X STS
Floor transfer