Functional Assessments Flashcards

1
Q

Objective assessments: cardiopulmonary

A

heart rate
respiratory rate
blood pressure

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2
Q

Objective assessments: cognition

A

mini-cog

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3
Q

Objective assessments: balance

A

single-leg stance, tandem stance, functional reach

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4
Q

Objective assessments: musculoskeletal

A
5x repeated chair stands
30 sec chair stands
30 sec arm curls
sit and reach
back scratch
wall to occiput
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5
Q

Objective assessments: gait

A

gait speed

timed up and go

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6
Q

Gait speed functional markers

A
>1/5m/sec = fun
1.5-0.8m/sec= function
0.8-0.3m/sec = frail 
<0.3m/sec= failure

0.05m/sec = clinically meaningful change

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7
Q

functional balance tests

A
romberg/sharpened romberg EO & EC
single-leg stance
functional reach
multidirectional reach test
the physical performance test
the tinetti POMA
berg balance scale
fullerton advanced balance scale
short physical performance battery
four square step test
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8
Q

Comprehensive Geriatric Eval:
for high functioning?
for low moderate functioning?

A

fullerton advanced balance scale
berg balance scale
tinetti POMA balance section

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9
Q

Aerobic capacity/endurance tests

A

six minute walk test
seated step test
graded exercise testing
two minute step in place test

know rest and response to exercise vitals

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10
Q

What are exercise requirements? If they aren’t meeting it, what should you do?

A

150 min/week of mod intensity aerobics
75 min/week of vigorous intensity aerobics

if they aren’t meeting this, assess aerobic capacity before setting activity goals

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11
Q

posture and flexibility tests

A
6 maneuver test
goniometric ROM
inclinometer
wall-occiput test
back scratch test
sit and reach
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12
Q

What is the cut off for single-leg stance? low risk and high risk for falls?

A

> 30s low risk

<5s high risk

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13
Q

What is the cut off for functional reach?

A

<6in high risk for falls

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14
Q

What is the cut off for 5x sit to stand?

A

> 12s multiple risk for falls

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15
Q

What is the cut off for 4 square step test?

A

> 15 s multiple risk for falls

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16
Q

What is the cut off for Berg Balance scale?

A

<45 points high risk for falls

17
Q

What is the cut off for dynamic gait index?

A

<20 points high risk for falls

18
Q

What is cut off for timed up and go?

A

> 13.5s high risk for falls

19
Q

What is cut off for gait speed?

A

<0.5m/s high risk for falls

20
Q

What is cut off for tinetti POMA?

A

<19 high risk for falls

25-58 low risk for falls

21
Q

What are contraindications for 6MWT?

A

Absolute:unstable angina/MI during previous month
Relative: BP > 180/100. HR> 120

22
Q

SFT 30 sec chair stand. risk zone for mobility impairment

A

<8 stands

23
Q

SFT arm curls. risk zone for mobility impairment

A

<11 curls

24
Q

SFT 2 minute marching step. risk zone for mobility impairment

A

<65 steps

25
Q

SFT 6MWT. risk zone for mobility impairment

A

<350 yards (1050 feet)

26
Q

SFT Chair sit-and-reach. risk zone for mobility impairment

A

< -4” men

< -2” women

27
Q

SFT back scratch. risk zone for mobility impairment

A

< -4” men

< -2” women

28
Q

SFT 8 foot up and go. risk zone for mobility impairment

A

> 9s

29
Q

What score on the FABS indicates a heightened risk for falls and need for immediate intervention?

A

25 or lower

30
Q

What score on the BBS is used as a threshold for falls?

A

45-50
50 may id fallers that are not actually fallers
<46 will benefit from immediate attention.

31
Q

What score on the SPPB indicates a high risk for mobility disability?

A

<10

32
Q

What score on the FSST is predictive of multiple falls in older adults?

A

> 15s

33
Q

What score on the FGA was found to be effective in predicting falls in older adults who reside in community-dwellings

A

22/30 or less