Lecture 2

Question 1

Types of Tests and measures

Answer 1

Observations and Outcome measures

Question 2

2 types of outcome measures

Answer 2

Clinical Based and Patient-centered (Self-Report)

Question 3

Patient centered assessments: Pros and Cons

Answer 3

pros: info relevant to pt, wide range, easy, fast, inexpensive
cons: limited by pt interpretation, number of tasks limited, psychosocial factors, unintentional inaccuracy

Question 4

what type of response is yes and no response?

Answer 4

nominal measures

Question 5

what type of response is measured in rank order, not equal intervals?

Answer 5

ordinal measures

Question 6

what type of response has equal intervals between responses

Answer 6

interval/ratio measures

Question 7

a ______ instrument measures a phenomenon dependably, time after time, accurately, predictably, and without variation

Answer 7

reliable

Question 8

a tested measure should demonstrate:
_________ stability (over time)
_________ reliability (within the same rater)
_________ reliability (between raters_

Answer 8

test-retest
intra-rater
inter-rater

Question 9

face validity is

Answer 9

the idea that the instrument measures what it claims to measure

Question 10

content validity is

Answer 10

the idea that the subcomponents of the instrument adequately cover the entire construct

Question 11

what effect results from an activity that is too difficult?

Answer 11

floor effect

Question 12

what effect results from an activity that is too easy?

Answer 12

ceiling effect

Question 13

the amount of change in a variable that must be achieved to reflect a true difference, not by error or chance

Answer 13

minimal detectable change(statistical)

Question 14

the smallest difference in a measured variable that signifies an important rather than trivial difference in the patient’s condition

Answer 14

minimal clinically important difference (clinical)

Question 15

Global disability/ QoL measures what?

Answer 15

patient’s overall disability (regardless of
condition) or measures Quality of Life

Question 16

Goal of QoL

Answer 16

To capture a broad range of health status facets

Question 17

Global disability/QoL: Pros and Cons

Answer 17

Pros: variety of pts, extensive normative data
Cons: sacrifice depth for broadness, irrelevance to some conditions, less sensitive to changes

Question 18

ADL measures: Pros and Cons

Answer 18

Pros: overall function, real-world view
Cons: limited number of activities, too basic for some pt

Question 19

ADL measures are dependent on what the ___________ identifies as essential

Answer 19

individual

Question 20

Cognitive/Affect Measures: Pros and Cons

Answer 20

Pros: more detailed assessment in an area, wide range of clinical pop
Cons: may not change in response to PT, limited in scope

Question 21

Goal of Diagnosis-Specific measures

Answer 21

assess the patient’s perception of the effect of a specific disease

Question 22

Diagnosis-Specific measures: Pros and Cons

Answer 22

Pros: relevant content for condition, more likely to detect imp changes over time
Cons: applicable to specific pts, unlikely to detect changes in broad aspects of QoL

Question 23

Arthritis Measures

Answer 23

Arthritis Impact Measurement Scale – version 2 (AIMS)
Western Ontario McMaster Arthritic Category (WOMAC)

Question 24

Spine Measures

Answer 24

Oswestry Disability Index (ODI)
Roland Morris LBP Disability Questionnaire (RMQ)
Neck Disability Index (NDI)

Question 25

Global Upper Quarter Scales

Answer 25

DASH/qDASH
Up Ex Functional Scale (UEFS)

Question 26

Shoulder Area Scales

Answer 26

Shoulder Pain and Disability Index (SPADI)- high score means low function
Scale of Shoulder Function-Flexilevel (Flex-SF)- high score high function
Simple Shoulder Test (SST)- high score high function
UCLA Shoulder Scale- high score high function

Question 27

Hand Area Scales

Answer 27

Michigan Hand Questionnaire (MHQ)
Alderson-McGall Hand Function Questionnaire
Site-Specific Scales

Question 28

Global Lower Quarter Scales

Answer 28

Lower Extremity Activity Profile (LEAP)
Lower Extremity Function Scale (LEFS)
Lower Extremity Activity Scale (LEAS)

Question 29

Hip Area Scales

Answer 29

Harris Hip Function Scale

Question 30

Knee Area Scales

Answer 30

Lysholm’s Knee Scoring Scale
Knee OA Outcome Scale (KOOS)

Question 31

Foot/Ankle Scales

Answer 31

Foot Function Index (FFI)- high score high function
Foot and Ankle Disability Index (FADI)- high score low function
Foot and Ankle Outcome Scale (FAOS)- high score high function

Question 32

Performance-Based Outcome Measures: Pros and Cons

Answer 32

pros: measurable, observe tasks, ID problem areas, appropriate psychometric properties
cons: improvements may or may not be relevant, time consuming, limited number of activities,

Question 33

Aerobic Physical Perfomance tests

Answer 33

6 Min Walk test
Upper Quarter Test

Question 34

Gait Locomotion tests

Answer 34

Dynamic Gait Index
TUG
Functional Gait Assessment

Question 35

General Function Tests

Answer 35

FIM

Question 36

Balance Tests

Answer 36

Tinetti
Star Excursion Test
Y balance

Question 37

Region Specific Test

Answer 37

hand dynamometry
Time LE stand test
Biering Sorensen

Question 38

Power Tests

Answer 38

seated throw

Question 39

Athlete Tests

Answer 39

vertical jump
agility t-test
cross over hop

Question 40

Household ambulator cut off speed

Answer 40

less than .40 m/s

Question 41

limited community ambulator cut off

Answer 41

0.40- LESS THAN .80 m/s

Question 42

community ambulator cut off

Answer 42

greater than or equal to .80 m/s