Fxnal Exam

Question 1

Pros and cons of defining levels of assistance:

Answer 1

Pros: familiar to healthcare providers, quick, simple
Cons: somewhat subjective, does not describe quality of mvmnt

Question 2

Describe the GUG test:

Answer 2

Get Up and Go Test: developed as a quick screening tool for detecting balance problems in the elderly.
Requires that subjects stand up from an arm chair, walk 3 meters, turn around, and return to sitting in the chair. As assistive device may be used.

Question 3

Describe the GUG test scoring:

Answer 3

Performance scored according to the following scale:
      1 = normal
      2 = very slightly abnormal
      3 = mildly abnormal
      4 = moderately abnormal
      5 = severely abnormal

Increased risk for falls found in older adults who score 3 or higher

Question 4

Describe the TUG:

Answer 4

Time to complete performance of the test is measured. Designed to detect BOTH functional mobility deficits as well as predict fall risk.

Question 5

The TUG primarily examines _____ aspects of postural control associated with rising from a chair, turning and sitting down.

Answer 5

Proactive or Anticipatory aspects of postural control

Question 6

What components of postural control are NOT tested with the TUG?

Answer 6

Sensory components of postural control are NOT manipulated during the test

Question 7

Per authors, neurologically intact adults who are independent in balance and mobility skills are able to perform the TUG in less than __ sec.

Answer 7

< 10 sec

Question 8

Shumway-Cook found that if score > __ sec on TUG, high risk for falls in community dwelling elders.

Answer 8

> 14 sec

Question 9

Adults with neurologic pathology who took > __ sec to complete the TUG are likely to be dependent in most ADLs and mobility skills.

Answer 9

> 30 sec

Question 10

Describe scoring criteria for the TUG:

Answer 10

Time for ‘Up and Go’ test __ sec.
Unstable on turning? _________
Walking aid used? _______ Type of Aid: ___________

Question 11

Which broad areas is the TUG validated for measuring?

Answer 11

fxnal mobility

falls risk

Question 12

Describe the reason TUG DT is used:

Answer 12

Dual task: By adding a secondary task to the TUG, clinicians can examine the effect of cognitive demand on anticipatory aspects of postural control. Originally created to see if adding a secondary task would increase the sensitivity and specificity of the TUG as a measure of fall risk in community-dwelling older adults

Question 13

Describe the TUG DT Cognitive component:

Answer 13

Subjects were asked to complete the TUG while counting backwards by 3’s.

Question 14

Describe the TUG DT Manual component:

Answer 14

Subjects were asked to complete the TUG while carrying a cup of water.

Question 15

How is the TUG DT performed?

Answer 15

Patients are timed (in seconds) when performing the TUG in 3 conditions: alone, cognitive, manual

Question 16

How has the TUG been adapted for use in peds?

Answer 16

Concrete task: children asked to touch target on the wall (abstract instructions shown to limit performance in children with CP).

Repeated instructions: Children allowed to behave spontaneously, so no qualitative instructions were given.

Change in stop/start time: Timing started as bottom leaves seat rather than on command “go” in order to solely movement time. Child seated with feet flat, 90 degree angle.

Question 17

The PEDI TUG has been shown to be reliable for use in which populations?

Answer 17

Reliable in children without disability aged 3-9 y.o.

Reliable in young people with physical disability aged 3-19 y.o. (in Myelodysplasia (Spina Bifida) and CP).

Question 18

Timed fxnal mvmnts are used to:

Answer 18

Objectively measure functional performance in any patient.

Consider safety, tracking progress, performance w/ and w/out meds, etc.

Question 19

Describe the ACIF:

Answer 19

acute care index of fxn: 20-item test developed to standardize the fxnal assessment of pts with acute neurologic conditions.
(12-15 minutes)

Question 20

What are the 4 subgroup items that the ACIF tests?

Answer 20

mental status
bed mobility
transfers
mobility

Question 21

ACIF reliability?

Answer 21

Excellent reliability with acute neuro patients

Question 22

The CS-PFP looks at:

Answer 22

Ordinary activities of daily life, performed at maximum effort within the bounds of safety and comfort.
Designed to provide a comprehensive, in-depth measure of physical fxn that reflects abilities in several separate physical domains.

Question 23

What does the CS-PEP include?

Answer 23

15 tasks performed in sequential order from easiest to most difficult.

Question 24

How is the CS-PEP scored?

Answer 24

Uses RPE throughout the test.
Test yields a total score (0-100) that is the average of five separate physical domain scores: upper body strength, lower body strength, flexibility, balance, coordination, and endurance.

Question 25

CS-PFP psychometric properties:

Answer 25

Valid, Reliable, and sensitive measure of physical function that is applicable to a wide range of functional levels.
Can be used to evaluate, discriminate, and predict physical functional performance for both research and clinical purposes.

Question 26

CS-PFP stands for

Answer 26

continuous scale physical fxnal performance test

Question 27

WST stands for

Answer 27

wheelchair skills test

Question 28

WST is intended to test:

Answer 28

specific person in a specific wheelchair in a standardized manner.

Question 29

WST is used as:

Answer 29

• diagnostic measure early in course of rehab program to create POC
• also used as an outcome measure

Question 30

Age range for FAC?

Answer 30

Adults: 18-64 years

Question 31

OGA stands for

Answer 31

observational gait assessment

Question 32

What is OGA used for?

Answer 32

Organized approach to observing joint movements, timing of movements and quality of movements during walking.

Question 33

In elderly, OGA and gait speed are predictive of:

Answer 33

• Hospitalization for any cause
• Requirement for a caregiver, nursing home placement
• Falls and Fractures
• Death in healthy elderly persons

Question 34

What is the best method of calculating gait velocity?

Answer 34

One commonly used tool validated and reliable in neurological populations is the 10 Meter Walk Test
(Stroke, SCI, PD)

Question 35

What does HiMAT stand for?

Answer 35

high level mobility assessment tool

Question 36

What is the population HiMAT is specifically designed for?

Answer 36

Assesses high-level mobility in people who have sustained a TBI, but is being used by some clinics for other neurological populations.

Question 37

What does HiMAT test?

Answer 37

20m walk, walking backwards, walking on toes, walking over an obstacle, 20m run, 20m skipping, 10m hopping, bounding on affected and less affected leg, up stairs, down stairs.