NDD Assessment & Techniques

Question 1

What kind of subjective assessment can we ask ?

Answer 1

• ADLs (Functional independence measure, Barthel Index)
• QoL
• Level of disability
• Fatigue (Borg scale)
• Cognition

Question 2

PAS

Answer 2

= Modified Parkinson activity scale
- 14 items divided in 3 domains (chair transfer, gait akinesia, bed mobility)
- assess independence/dependence in those domains

Question 3

PDQ-39

Answer 3

=Parkinson’s disease questionnaire
- 39 items questionnaire about 8 ADL domains, scored from 0 to 100 pts - 0 being highest level of independency
- (Mobility, ADL, Emotional well-being, Cognition, communication…)

Question 4

EDSS

Answer 4

= Expanded disability status scale
-> MS
- quantify disability from 0 = normal neurological function to 10 = death

Question 5

MSWS-12

Answer 5

= 12 items MS walking scale
- self-reported measure of the impact of MS on walking abilities

Question 6

Which assessments can we use for gait & balance in NDD?

Answer 6

• ABC
• DGI
• TIS
• BBS
• TUG
• 6MWT
• Gait analysis

Question 7

Which assessments can we use for UL in NDD?

Answer 7

• NHPT
• PPT
• BBT

Question 8

SARA

Answer 8

= Scale for assessment & rating of ataxia
- for cerebellar ataxia, evaluate gait & limb-kinetic impairments in patients w/ sub cortical motor def

Question 9

What can you add to a technique for a PD treatment?

Answer 9

• Cueing
  1. Auditory cues
  2. Visual cues

Question 10

What king of PA can PD & MS patient do?

Answer 10

• aerobic ex : cycling, swimming, walking..
• strength : weights, Pilates, resistance bands..
• gymnastic/yoga & stretching

Question 11

What’s the goal of PA for PD & MS patients?

Answer 11

• slowing down progression of disorder, improving secondary sympts, reconditioning

Question 12

What kind of exercise should you do or not do for spasticity in MS patients

Answer 12

• Do : ROM exercies
• Don’t : Stretching ex
  => Patient uses their spasticity to walk.. As long as the spasticity is not impairing the ROM, not painful & not superior or equal to 3/5 on MAS scale
  => otherwise, treat it

Question 13

What’s the clinical implication of strength training in MS?

Answer 13

• can improve strength but not gait (speed or endurance)