L11 - PT OUTCOME MEASURES ON LL REHAB Flashcards
General principles of PT OM
GENERAL PRINCIPLES
- Importance: informed decision making for safety, motivating for patients/athletes
- Purpose: evaluate function, monitor progress, inform decision-making (ex: return to sport) & guide
treatment planning
- Types:
o Patient-reported outcome reassures (PROMs): mostly reports function & pain
o Performance-based outcome measures: objective functional tests
o Clinician-reported outcome measures. Objective tools: used to plan rehab programs & assess
progress
Hip outcome measures
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Gait functional OM in elderly patient after hip surgery
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Hip screening for athletes profile
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Knee OM
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Knee screening athletes’ profile
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Ankle OM
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Ankle screening athletes profile
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Muscle strain OM
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OM for Health & professional athletes:
- description
- return to training
- return to play
High performance expectations, low tolerance for reinjury risk
- Decision-making guided by objective data, sport-specific demands
Return to training (RTT)
- Load monitoring (GPS, RPE, HRV)
- Movement quality (2D/3D motion analysis, FMS, YBT)
- Muscle strength symmetry (ideally > 90% vs contralateral limb)
- Functional testing
- 15% muscle strength difference
Return to play (RTP)
- Sport-specific tests under fatigue
- Isokinetic testing strength ratios & asymmetry
- Reactive strength index
- Psychological readiness
- Clearance criteria: pain-free, full ROM, strength > 90%, neuromuscular control
ACLR PT OM: overview
Overview
- Outcome measures guide progress, safety & return to play decisions
- Combine objective, functional & patient-reported tools
- Progress should be criteria-based, not time based alone
ACLR PT OM: phases
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Key takeaways
KEY TAKEAWAYS
- Use progressive, multi-dimensional testing approach
- Don’t rely solely on time for RTS clearance
- Include strength, function, neuromuscular control & psychological readiness