Lecture 1: introduction to assessment and management of adults with acquired brain injury Flashcards
what is the APTa model of clinical practice
● Examination
● Evaluation
● Diagnosis
● Prognosis
● Intervention
● Outcomes
what are the 6 core measure for APTA
• Berg Balance Scale
• Functional Gait Assessment
• Activities-Specific Balance Confidence Scale
• 10 Meter Walk Test
• 6 Minute Walk Test
• 5 Times Sit to Stand
What scale is used for stroke patients as a participation measure
stroke impact scale (SIS)
stroke impact scale is a questionnaire that focuses on what 4 things and is who’s point of view is it from
impairments, activity limitation/disability, quality of life, stroke recovery
survivors POV
what are the 2 measures used for stroke patients to measure activity
- stroke rehabilitation assessment of movement (stream)
- Postural Assessment Scale for Stroke (PASS)
barthel index , UDS-MR Functional Independence Measure and Centers for Medicare/Medicaid Services (CMS) Quality Indicator GG codes are what kind of measures
general activity measures
what score is needed on the barthle index to be capable of caring for self
> 60
if < 60 then need significant help
what kind of limitation is the barthel index and UDS-MR Functional Independence Measure looking at
activity/participation
what are the 7 measures for the body structure/fucntion measures for stroke patients
- stream
- Fugl-Meyer Evaluation of Physical Performance
-Trunk Impairment Scale
-Chedoke-McMaster Stroke Assessment
-Postural Assessment Scale for Stroke
-Function in Sitting Test - action reach arm test
-perception tests
what measure is used to assess static sitting balance for stroke patients
trunk impairment scale
what are the 6 outcome measures for a TBI
• Glasgow Coma Scale
• JFK Coma Recovery Scale
• Galveston Orientation and Amnesia Scale • Rancho Levels of Cognitive Function
• UDS-MR FIM-FAM
• Disability Rating Scale
what are teh 7 movement system diagnosis’s we will most likely see post stroke
-movement pattern coordination deficits
-force production deficit
- fractionated mvoement deficits
-postural vertical deficit
- sensory selection and weighting deficits
-hypokinesia
- dysmetria
what is the Orpington Prognostic scale
prognosis and plan of care measure for stroke patients
FOr clinical practice guidelines for improving walking function in ambulatory chronic CVA, iSCI, TBI what should clinicians perform ?
- walking training at mod to high intensities
- walking training with VR
FOr clinical practice guidelines (CPG’s) for improving walking function in ambulatory chronic CVA, iSCI, TBI what should not be performed by clinicians ?
- static or dynamic standing balance activities
robot assisted gait training