NM Functional Balance And Locomotion Tests Flashcards
POMA/Tinetti:
Examines _________
How many items?
What do the items include?
Balance
9
Sitting, Sit to stand, Standing, Standing with feet together, Turn 360*, Sternal nudge, Stand on one leg, Tandem stand, Reach up,
Bend over, Stand to sit, Timed rising
And walking (gait initiation, path, turning timed walk, step over obstacles)
POMA/Tinetti
max score?
Patients who score _____ are at high risk for falls
Patients who score ______ are at moderate risk
28
<19
19-24
Berg:
Examines _____ ______
How many items?
What does this include?
Functional balance
14
Sitting unsupported, sit to stand, stand to sit, transfers
In standing: EO to EC, feet together, forward reach, pick object off floor, head turns, turning 360, stepping up, tandem stance, stance on one leg
Berg:
Uses ______ scale with specific scoring criteria for each activity
Some items are ________
Max score is ____
Patients who score less than ____ are at high risk for falls
With scores ________ a 1-point drop is associated with a 6-8% increase in fall risk
Ordinal Timed 56 45 54-46
TUG:
Examines ______ balance during what actions?
Performance on TUG is _____
Functional - during rise from chair, walk 3m, turn, and return to chair
Timed
TUG: normal intact adults can perform the test in less than __ seconds
______ seconds is considered normal for frail elderly or disabled patients
Pts who take ____ seconds are at increased risk of falls
Pts who take ____ seconds are at high risk
10
11-20
>20
>30
Functional Reach: Examines maximal distance a person can reach ______ beyond arm’s length while maintaining a fixed position in _______ (single item test)
Forward
Standing
Functional Reach:
Forward reach normals for age 20-40 in men and women?
Men: 16.7 in +/- 1.9
Women: 14.6 in +/- 2.2
Functional Reach:
Forward reach normals for age 41-69 in men and women?
Men: 14.9 +/- 2.2 in
Women: 13.8 +/- 2.2
Functional Reach:
Forward reach normals for age 70-87 in men and women?
Men: 13.2 +/- 1.6 in
Women: 10.5 +/- 3.5 in
Functional Reach: A score of ___ or less indicates a significant risk for falls
Scores between ______ indicate a moderate risk for falls
6
6-10
Multidirectional Reach Test (MDRT):
Examines maximal instance a person can reach ____, _____, and lateral to _____ and _____
Forward, backward
Left and right
Multidirectional Reach Test (MDRT):
Backward: above average is greater than_____ inches. Below average is less than _____ inches.
Lateral: above average is greater than ____ in. Below average is less than ____ inches.
- 6, 1.6
9. 4, 3.8
5x STS: Examines Sit to stand to sit transitions five times with arms in what position?.
Crossed on chest
5x STS: Test is ______
Timed using stopwatch
ABC Scale: Examples level of confidence using % points - activities rated include __ daily activities including what?
16
Reaching, walking (in house, outside, ramps, stairs), stepping on escalator
ABC: What is the scoring scale?
0-100%
0 no confidence
100 full
The Balance Evaluation Systems Test (BESTest):
A comprehensive instrument with ___ sections
Examines what?
Includes assessment of _____, _____, ____, and ________
6
Biomechanical restraints, stability limits/verticality, transitions/anticipatory, reaction, sensory integration
Posture, gait, transfers, balance/falls
The Balance Evaluation Systems Test (BESTest):
Specific scoring criteria for each section. Uses ______ scale, ______ and ______
Ordinal
Timed items
Observations
The Mini-BESTest Items:
A shorter version of the test with ____ items
14
The Mini-BESTest Items: Items are score ____ with a max score of ___
0-2
28
Hi-MAT: Examines ___ ____ balance and mobility problems
High level
Hi-MAT: Minimal requirement for testing is what?
Independent walking for 20 m without gait aids
Hi-MAT: What does this include?
walking tasks, running, skipping, hopping, bounding, stairs
Hi-MAT: Scored using time or distance on a _____ scale.
Total score is ____
0-5
54
BES: Examines level of ________ when performing functional tasks encountered in daily life
___ questions are scored from _________ confidence
Confidence
18
0-100%
BES: What do the activities include?
Getting out of chair, walking up and down flight of 10 stairs, getting out of bed, getting into and out of tub or shower, removing items from cupboard, walking on uneven ground, standing on one leg
Balance efficacy scale: Total score is divided by ___ to yield mean BES score
Scores less than ____ indicate low confidence
18
<50
SPPB: Includes what?
Repeated chair stands (sit to stand rises) Semitandem Tandem And side-by—side stands As well as a timed 8 FEET walk
SPPB: Tests are scored in terms of ______ __ ______
___ STS, ____ sec in each of the standing conditions, and __ feet walk
An ______ score is given for each section. Summary ___ score: __ worst performance to __ best performance
Time to complete
5
10
8
Ordinal
Ordinal
0
12
DGI: Examines dynamic gait (__ items) including changes in what?
8
Gait speed, head turns, pivot turns, obstacle, and stairs
DGI: Uses a __ point ordinal scale
Total score is __
Scores of __ indicate safe ambulation
While scores less than ___ are predictive of falls in the elderly
4
24
20/24
19/24
Walkie talkie test (stops walking while talking, SWWT):
Test examines ability to talk while walking, which is measure of _______
Dual task control
Walkie talkie test (stops walking while talking, SWWT): Test is positive if what?
The person must stop walking in order to respond to question
Functional gait assessment (FGA): A __ item gait assessment is based on the _______
What additional items does it include
10
DGI
Walking (ambulating backward, with narrow BOS, with eyes closed)
FGA: Items are scaled on _____ scale
Total possible score is ____
Ordinal
30
Modified Emory functional ambulation profile scale (mEFAP):
A _____ measure of walking using ____ environment challenges including
Timed
5
Floor, carpet, up and go, obstacles, stairs
mEFAP: Recorded time is multiplied by a factor related to use of \_\_\_\_\_ No assistance = \_\_\_\_ AFO = \_\_\_ SPC = \_\_\_ Hemiwalker or quad cane = \_\_\_ AFO + SPC = \_\_\_\_\_ AFO + hemiwalker (or quad cane) = \_\_\_\_
AD X1 X2 X3 X4 X5 X6
