Outcome Measures

Question 1

Parkinson’s Disease

Answer 1

Universal Parkinson’s Disease Rating Scale
- assesses ability to perform functional tasks
Pastor’s Test
- tests ability to resist postural perturbance
TUG - general mobility and balance

Question 2

Multiple Sclerosis

Answer 2

Expanded Disability Status Scale - quantifies disability in MS, by assessing disability in 8 functional systems

use outcome measure specific to the location of their lesion and their symptoms

Question 3

Guillian Barre Syndrome

Answer 3

Assess function - timed functional tasks, TUG
Assess balance
Assess strength - Oxford Grading Scale

Question 4

Vestibular Impairments

Answer 4

Fukuda test - identifies unilateral dysfunction
Sensory integration testing - has vestibular specific section
Dynamic gait testing
Other balance measures

Question 5

Balance

Answer 5

Trunk impairment scale - good for sitting balance 
Step test - dynamic, single leg stance 
Berg Balance Scale - from sit to stand to standing balance, to more complex tasks 
Timed Up and Go test - dynamic
Functional Reach - dynamic
Romberg - static 
Sensory integration test - variety 
Dynamic Gait Index 
HiMAT - high level balance and mobility

Question 6

UL Function

Answer 6

9-Hole peg test - arm and hand dexterity, repeated timed task
Wolf motor function test - time based joint specific and whole arm movement
Action Research arm test - observe various tasks
Manual Ability Measure (MAM-16) - measure manual ability, 16 functionally relevant tasks

Question 7

Gait/Mobility

Answer 7

temporal and distances measures (velocity, stride length, cadence)
dynamic gait index - high level patients
TUG - good for less able patients, simple
HiMAT - high level patients, balance and mobility

Question 8

Stroke (Cortical Injury)

Answer 8

Ritchie Articular Index - assesses shoulder pain
Motor Assessment Scale - cortical injury only, more functional, hemiplegic specific
CMII - variety of cortical injuries, more time consistent, people more complicated than just hemiplegic

Fugl-Myer test of upper and lower extremity function

Question 9

Cerebellar Injury

Answer 9

Scale for the assessment and rating of ataxia - evaluation of motor function in cerebellar disorders

Impairment specific
Timed functional tasks

Question 10

Perceptual Injury

Answer 10

Pusher Rating Scale 
3 = severe
2 = moderate
1 - mild 
0 - non 

Perceptual Screening/Assessment

Question 11

Cognition

Answer 11

Short portable mental status questionnaire - measure of cognition
Glasgow Coma Scale - measure of levels of consciousness. Assesses according to eye opening, motor responses and verbal responses

Question 12

Spasticity

Answer 12

Tardieu Scale - measure of spasticity
0 = no resistance throughout passive movement
1 = slight resistance throughout passive movement, no clear catch
2 = clear catch at precise angle, followed by release
3 = fatigable clonus, at precise angle, occurs less than 10 seconds
4 = non-fatigable clonus, at precise angle, occurs more than 10 seconds

Australian Spasticity Scale - extension of Tardieu scale, paediatric specific
0 - no catch on rapid passive movement (RPM)
1 - catch occurs with RPM followed by release, no resistance throughout remainder of range
2 - catch occurs second half of range during RPM, followed by resistance
3 - catch occurs first half range during RPM, resistance throughout remaining range
4 - with RPM, body apart appears to be fixed, but can move with slow movement

Question 13

Spinal Cord Injury

Answer 13

Standard Neurological Classification of Spinal Cord Injury