Lecture Statistics and Charting

Question 1

Define Specificity

Answer 1

• ability to correctly identify patients without the disease/condition
• true negatives / (true negatives+false positives)
• SpPin = High Specificity and a Positive test helps to rule the condition In

Question 2

Define Sensitivity

Answer 2

• ability to correctly identify patients with the disease/condition
• true positives / (true positives+false negatives)
• SnNout = High Sensitivity and Negative test helps to rule a condition Out

Question 3

What do we care about more in terms of a physiotherapist, sensitivity or specificity (for strengthening exercises)?

Answer 3

Sensitivity - ie we want to make sure that everyone who needs the treatment gets it

Question 4

what does H-SOAPIER stand for?

Answer 4

H - History
S - subjective
O - objective
A - analysis
P - plan
I - interventions
E - evaluation
R - recommendations

Question 5

What are the mandatory items for OPPQ regulations in the H-SOAPIER (or other forms) chart?

Answer 5

1) clients ID and contact info
2) reason for consultation
3) assessment and pt diagnosis
4) goals and treatment plan
5) for each visit: date, description of services provided, client’s progress note, treatment reactions, treatment recommendations
6) clients consent *obtain before intervention (in p section)

Question 6

What is included in Objective Assessment?

Answer 6

• observation
• functional tests
• ROM (AROM, OP, PROM)
• strength (RISOM, MMT)
• flexibility
• palpation, sensation, circulation
• additional assessment (vitals, chest eval, etc)
• neurological exam, ligament stress test, passive accessory movement, special tests (taught in 560)

Question 7

how long should a client’s file be kept for

Answer 7

• 5 years after last treatment provided

Question 8

define activity vs participation

Answer 8

• activity: execution of a task/action

- participation: involvement in a life situation

Question 9

what elements must a pt diagnosis have?

Answer 9

1) client ID (age, gender)
2) nature, severity, and phase of condition linked to
3) main impairments linked to
4) main activity limitations and/or participant restrictions

Question 10

define: nature

Answer 10

• identification of condition (ie where it is, what it is, structure name - left distal fibular fracture)

Question 11

define: severity

Answer 11

• degree/level of gravity of problem (often using testing) - complete tear, grade 2, 3, displaced, etc.

Question 12

define: phase

Answer 12

• period/stage of condition (acute, subacute, etc)

Question 13

define: impairment

Answer 13

• referring to body function (pain and ROM etc)

Question 14

define: main limitation or restriction

Answer 14

• activity limitations and participant restrictions (limits EWB ability, limits ability to perform IADLs)

Question 15

difference btw ADLs and IADLs

Answer 15

ADL = bathing, dressing
IADL = cooking, driving, etc

Question 16

define intrinsic vs extrinsic factors

Answer 16

intrinsic: linked to the individual ( muscle strength, age Hx, etc)
extrinsic: linked to external environment (concrete floor, job demands)

Question 17

primary vs secondary questions

Answer 17

primary: open ended “what brings you here today”
secondary: close ended, answer constrained to limited options, for verifying unclear points, further exploring, time limited situations “on a scale of 1-10 how much pain do you feel in your leg right now”