Impairment Tests

Question 1

MMT

Answer 1

Strength assessment through varying ranges and resistances

Treatment ideas?
-mental practice
-ROM
-isometric
-isokinetic

Question 2

SARA

Answer 2

Measurement fool for assessing Ataxia:
Gait, stance, sitting balance, speech disturbance, finger chase, nose finger test, alternating hands, heel shin
/40

Treatment ideas?
- reaching exercises
- visual cues
- strength exes
- whole / part practice

Question 3

Tardieu Scale

Answer 3

Spasticity assessment that measures ROM and type of muscle reaction at varying velocities
- V1: as slow as possible
-V2: speed of limb falling (gravity)
-V3: fast

X= Qualify of muscle reaction (0= no resistance, 1= slight resistance, no clear catch, 2= clear catch followed by release, 3=fatigabal clonus (<10sec) 4= infatqiuable Clonus (>10sec) 5= joint immobile)

START IN TH POSITION OF THE MUSCLE YOU ARE TESTING
Example: testing elbow flexion, start in elbow flexion and move into ext.

Treatment
Strengthen opposing muscle to reduce spasticity
Stretching

Question 4

NOTTINGHAM SENSORY ASSESMENT (Tactcile)

Answer 4

A standardised scale for Ax of sensory impairment

Scoring:
0: Absent, fails to identify on 3 occasions
1: Impaired: identifies test sensation, not on all three occasions
2: normal
9: unable to test

If score 2 on light touch, give 2’s for all pressure & pinprick.

• Light Touch: Touch not brush, with cotton ball
• Pressure: Press just enough to deform the skin
• Pinprick: neurotip mainting even pressure
• Temperature: hot and cold test tubes (use the side)
• Tactile localisation: only test where pt has scored 2 on pressure: talcum powder… point exact same spot.
• Bilateral Simultaneous Touch: touch corresponding sites on one or both sides of the body.

Question 5

RASP

Answer 5

Rivermead assesment of somatosensory performsnce
joint discrimination and Proprioception?

Elbow, wrist, thumb or finger, ankle and toe joints moved six times in a random order

Question 6

Ritchie Articular Index

Answer 6

Joint tenderness of the hemiplegic shoulder

Supine, body supported. Hemiplegic shoulder is abducted to 30 degrees, elbow extended to 90 degrees flex. and forearm in neutral position.

From this position, rotated to 90°
Scoring

YOU ARE LOOKING AT THE PT. FACIAL EXPRESSIONS
0 = no tenderness, 1 = complains of pain voluntarily or when asked, 2 = complains of pain voluntarily, wines 3 = complains of pain voluntarily, wines AND withdraws

Question 7

NPRS/VAS

Answer 7

self reported pain

Question 8

Scale for contraversive pushing

Answer 8

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