Lecture 1 Flashcards
what are the core measures of the ANPT of APTA?
- berg balance
- functional gait assessment
- activities specific balance confidence scale
- 10 MWT
- 6 Min WT
- 5x STS
ANPT Outcome Measures Recommendations
StrokeEDGE recommendations: student should learn to use:
- FIM
- fugl-meyes assessment scale for stroke
- stroke impact scale
- trunk impairment scale
Traumatic brain injury EDGE recommendations
what is a participation measure for stroke?
stroke impact scale (SIS)
questionnaire from the survivor’s POV
what are activity measures for stroke?
- stroke rehabilitation assessment of movement (STREAM)
- postural assessment scale for stroke (PASS) - or considered impairment measure
general activity measures
barthel index for chronically ill
>60 is good, <60 needs sig help
UDS-MR (IFR-PAI) for any dx
centers for medicare/medicaid servies indicator GG codes for any dx
FIM score of a 7
COM IND
doesn’t need help getting into/out of wheelchair, bed, chair etc.
doesn’t need assistive device or doesn’t take more than reasonable time during transfers.
COMPLETE INDEPENDENCE
FIM score of a 5
SUPERVISION SETUP
needed help getting in/out of wheelchair, bed, chair etc.
**subject provided half of more of the effort for transfer
** ONLY one: needed only supervision, cuing, coaxing or help to set out transfer equipment OR help locking brakes and lifting the foot rest
FIM score of a 6
MOD IND
doesn’t need help getting into/out of wheelchair, bed, chair etc.
needs assistive device or need more than reasonable time when performing transfer
MODIFIED INDEPENDENCE
FIM score of a 4
MIN A
needed help getting in/out of wheelchair, bed, chair etc.
**subject provided half of more of the effort for transfer
** MORE THAN one: needed only supervision, cuing, coaxing or help to set out transfer equipment OR help locking brakes and lifting the foot rest
**not need any incidental help like contact guarding or steadying during bed and chair transfers
FIM score of 3
MOD A
needed help getting in/out of wheelchair, bed, chair etc.
**subject provided half or more of effort for transfer
**doesn’t need supervision
** doesn’t need only incidental help such as contact guarding or steadying during bed, chair transfers
FIM score of 2
MAX ASSIST
- didn’t require total assist for bed, chair, wheelchair transfers such as PT doing al the lifting
- didn’t provide half or more effort
FIM score of 1
TOTAL ASSIST
- required total assist for bed chair wheelchair transfers basically PT did all of the lifting
- did not provide half or more of the effort
decision tree- CMS GG codes
01 - dependent
to
06 - independent
read over slides til 25
once we’ve examined and evaluated the patient, then what?
movement system diagnoses
- mvmt pattern coordination deficit, force production deficit, fractionated mvmt deficit, postural vertical deficit, sensory selection and weighting, hypokinesia, dysmetria
