Functional Examination

Question 1

Definition of Functional

Answer 1

of or having a special activity, purpose, or task

relating to the way in which something works or operates

Question 2

importance of functional exam

Answer 2

baseline level of function
goal setting and intervention planning
objective information
appropriate tests and measures 
discharge planning and placement decisions
assessment of safety

Question 3

Exam of Function is the determination of two things:

Answer 3

habitual level of function

capacity of function

Question 4

if those two things don’t match what do you do?

Answer 4

the patient’s desired level of function is what the PT must adhere to even if it’s lower than capcity

Question 5

Performance Based Functional Tests are

Answer 5

indication of what a patient can do under certain circumstances
identifies current level of function or predicts max function
can be global or specific to a body condition/region

Question 6

Performance Based Functional Tests does not give

Answer 6

DOES NOT GIVE REAL WORLD INFORMATION

Question 7

Self Reports are

Answer 7

Barthel Index and
Katz Index
DASH

Question 8

Self Reports wording indicates:

Answer 8

habitual vs capacity and specific time frame

Question 9

Interpreting Test of Function are crucial to determine

Answer 9

why the test has resulted in a report of diminished function

Question 10

Key Descriptors

Independent

Answer 10

performs with no one present

Question 11

modified independent

Answer 11

assistive device
increased time
safety issues
NO MANUAL assistance

Question 12

supervision

Answer 12

standby assistance

requires cueing

Question 13

Contact Guarding

Answer 13

hand on patient

steading assistance maintain balance

Question 14

Min Assist

Answer 14

greater than 75% effort

Question 15

Mod Assist

Answer 15

50-74% effort

Question 16

Max Assist

Answer 16

25-49% effort

Question 17

total asisst

Answer 17

less than 25% effort

or need more than one person

Question 18

Normal Static Balance

Answer 18

maintain steady balance without support

Question 19

Normal Dynamic Balance

Answer 19

accepts max challenge and can shift easily within full range in all directions

Question 20

Good Static Balance

Answer 20

maintains without support with limited sway

Question 21

Good Dynamic Balance

Answer 21

accepts moderate challenge

picks up object from floor

Question 22

Fair Static Balance

Answer 22

maintains balance with handhold support

may require occasional min assistance

Question 23

Fair Dynamic Balance

Answer 23

accepts minimal challenge

maintains balance while during head/trunk

Question 24

Poor Static Balance

Answer 24

requires handhold and mod to max assist to maintain posture

Question 25

Poor Dynamic Balance

Answer 25

unable to accept challenge or move without loss of balance

Question 26

Standardize Performance Functional Tests

Answer 26

``` BERG Balance 10 meter or 6 min walk timed up and go 30 second sit to stand functional reach test ```

Question 27

Bartel Index measures

Answer 27

degree of assistance required by individual on 10 items of mobility and self-care

Question 28

0 on Barthel index means

Answer 28

complete dependence

Question 29

100 on Barthel index means

Answer 29

complete independance

Question 30

Kats Index of ADL's focuses on which

Answer 30

``` bathing dressing toileting transferring continence feeding ```

Question 31

A score means

Answer 31

complete independence

Question 32

G score means

Answer 32

complete dependence

Question 33

Kats is based on

Answer 33

proposed hierarchy of function from neurologic and loco motors responses seen in children

Question 34

DASH is how many items

Answer 34

30 self report

Question 35

DASH was designed to measure

Answer 35

physical function and symptoms in people with any of several musculoskeletal disorders of the upper limb

Question 36

0 score on DASH

Answer 36

least disability

Question 37

100 score on DASH

Answer 37

most disability

Question 38

Katz B

Answer 38

independent in all but one

Question 39

Katz C

Answer 39

Independent in all but bathing and one additional function

Question 40

Katz D

Answer 40

Independent in all but bathing, dressing, and one additional function

Question 41

Katz E

Answer 41

Independent in all but bathing, dressing, toileting and one other function

Question 42

Katz F

Answer 42

Independent in all but bathing, dressing, toileting, transferring, and one other function

Question 43

Tests that measure ADLs

Answer 43

Groningen Activity Restriction Scales Katz Barthel