Neuromuscular: Examination Tests and Measures Flashcards
1
Q
Glasgow Coma Scale
A
- Relates to consciousness to three elements, eye opening, motor response, verbal response.
- Typically used to asses acute concussions/TBI.
- Score range 3-15
- Minor brain injury=13-15
- Moderate brain injury=9-12
- Severe Brain injury=1-8
2
Q
Coma Recovery Scale-Revised
A
- Examines multiple domains (auditory, visual, arousal, etc.)
- Includes brain stem reflexes (pupillary reflex, corneal reflex, eye movements etc.)
- Recommended for use in multiple rehab settings and patients with various conditions.
3
Q
Mini Mental State Exam
A
- Brief screening test for cognitive dysfunction
- Includes screening for orientation, registration, attention, calculation, recall, and language.
- Max score=30
- Mild cognitive impairment=21-24
- Moderate cognitive impairment=16-20
- Severe Impairment=15 or less
- Evidence based but SHOULD NOT be used as a stand alone tool for diagnosis of cognitive impairment.
4
Q
Rancho Los Amigos Levels of Cognitive Function
A
- Assess cognitive recovery following a TBI
- Eight Levels
- Level I=No response
- Level II=Generalized response
- Level III=Localized response
- Levels IV=Confused agitated response
- Level V=Confused inappropriate response
- Level VI=Confused appropriate response
- Level VII=Automatic appropriate response
- Level VIII=Purposeful and appropriate response
- Delineates emerging behaviors.
5
Q
Modified Ashworth Scale (MAS)
A
- Grading Spasticity
- Six Grades
- 0=no increase in muscle tone
- 1=Slight increase in muscle tone with minimal resistance at the end range of motion.
- 1+=Slight increase in muscle tone, minimal resistance through less than HALF of the ROM
- 2=Marked increase in muscle tone through MOST of the ROM affected part easily moved.
- 3=Considerable increase in muscle tone, passive movements difficult.
- 4=Affected part rigid in flexion and extension.
6
Q
Deep Tendon Reflex Scoring Scale (DTR)
A
- 0=Absent
- 1+=Toe change but no visible movement of extremities.
- 2+=Visible movement of extremities
- 3+=Exaggerated full movement of extremities
- 4+=Obligatory and sustained movement lasting more than 30 seconds.
7
Q
Berg Balance Scale (BBS)
A
- Assesses functional Balance
- Includes sitting and standing balance
- Max score=56
- Fall Risk Scores <45
- Fall risk increases 6-8% for every one point drop from scores between 54-46
- *Part of the APTA recommended outcome measures
8
Q
Activities Specific Balance Confidence Scale (ABC Scale)
A
- Examines confidence to perform 16 different daily activities.
- Scale is 0-100%
- Lower scores=less confidence
- Higher scores=more confidence
- *Part of the APTA recommended outcome measures
9
Q
Functional Gait Assessment (FGA)
A
- Examines dynamic balance while walking.
- Max score=30
- *Part of the APTA recommended outcome measures
10
Q
The 10 Meter Walk Test (10mWt)
A
- Measures gait speed for middle 6 meters and comfortable pace and fast pace.
- Reported as meters/sec
- *Part of the APTA recommended outcome measures
11
Q
Six Minute Walk Test (6mwt)
A
- Examines endurance and stance walked over 6 minutes
- Reported as distance in meters
- *Part of the APTA recommended outcome measures
12
Q
Five Times Sit to Stand
A
- Examines transfer capability
- Timed using stopwatch
- *Part of the APTA recommended outcome measures
13
Q
Timed Up and Go (TUG)
A
- Examines functional dynamic balance
- Normal intact adults=<10 seconds
- Frail elderly/disabled patients=11-20 seconds
- Increased Fall Risk= >20 seconds
- High Fall Risk= >30 seconds
14
Q
Functional Reach Test (FR)
A
- Examines maximal distance a person can reach forward beyond arm’s length while maintaining a fixed position in standing.
- Men 20-40=16.7
- Men 41-69=14.9
- Men 70-87=13.2
- Women 20-40=14.6
- Women 41-69=13.8
- Women 70-87=10.5
- Moderate fall risk=6-10
- High Fall Risk=6 or less
15
Q
Multidirectional Reach Test (MDRT)
A
- Examines maximal distance a person can reach in multiple directions.
- Backward above average= >7.6 inches
- Backward Below Average= < 1.6 inches
- Lateral Above Average= >9.4 inches
- Lateral Below Average= <3.8 inches
