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NCS Prep > Outcome Measures > Flashcards

Outcome Measures Flashcards

1
Q

Functional Gait Assessment cutoff

A
  • cutoff: 22/30, fall risk
  • postural stability during walking
  • balance, gait, fall risk
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2
Q

Falls Efficacy Scale

A
  • self-administered questionnaire to assess fear of falling in community dwelling older adults
  • 10-100
  • 70 cutoff for fear of falling
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3
Q

ABC

Cutoff for fall risk for chronic stroke:

Cutoff for elderly adults:

A

81%

67%

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4
Q

9 hole peg test

A 
Age:              Mean time (secs):
21-35              16-18
36-50:             17-19
51-65:             18-21
66-older:         21-25

Females slightly faster than male norms

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5
Q

Gait speed norms based on age

A

20s: 1.39/1.41 (m/f)
30s: 1.46/1.42
40: 1.46/1.39
50s: 1.39/ 1.40
60s: 1.36/1.30
70s: 1.33/1.27

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6
Q

Orpington Prognostic Scale

-excellent validity for prognostic factors in acute stroke

A

<3.2 = high likelihood for returning home

4.2 - 5.2 = respond better to rehab

> 5.2 = dependent with increased risk for institutionalization

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7
Q

FIM norms

  • may assist to determine expected small or large gains while in inpatient rehab
A
  • scores of 37 to 72 at admission showed higher gains than patients who scored > 73 or < 36
  • 18-126
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8
Q

National Institute of health stroke scale (NIHSS)

Measures severity of stroke

A

Very severe: > 25
Severe: 15-24
Mild to moderate: 5-14
Mild: 1-5

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9
Q

Walking speed (picture)

Dependent with ADLs/IADLS & more likely to be hospitalized

Need intervention to reduce risk for falls

D/C to SNF

Less likely to have adverse event

Independent in ADLs/ less likely to be hospitalized

D/c to home more likely

Household walker

Limited community

Community

Cross street

A

0- 0.6 m/s

0- 1.0 m/s

0- 0.1 m/s

  1. 0-1.4 m/s
  2. 0- 1.4 m/s
  3. 1- 1.4 m/s

Household: 0- 0.3 m/s

Limited community: 0.3- 0.8 m/s

Community: 0.8- 1.2 m/s (greater then 0.8 is cutoff for community)

Cross street: 1.24- 1.4 m/s

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10
Q

Mini mental state level of impairment

  • monitoring memory deterioration over time
A

None: 24-30
Mild: 18-24
Severe: 0-17

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11
Q

Berg Balance Scale

Score interpretation

MDC for

Stroke

PD

Huntington’s

A

0-20: wheelchair bound
21-40: assistance with walking
41-56: independent

Cutoff for elderly: 45/56
- 39= 100% risk for falls
Acute stroke: 6-7 points
Chronic stroke: 4.6-6.7 points

PD: 5 points - no fall cutoffs for PD

HD:
(Premanifest): 1 point
(Early stage): 4 points
(Middle-late): 5 points

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12
Q

Berg Balance Cutoff score

Non specific / Older Adult

A

= 40 : almost 100% fall risk

= 50 : fall risk

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13
Q

10 meter walk test

MCD for CVA

A

0.16 m/s

(Look for change from one category to be next) ex: household ambulator to community ambulator

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14
Q

Berg Balance Cutoff score

Non specific / Older Adult

A

= 40 : almost 100% fall risk

= 50 : fall risk

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15
Q

Timed Up and Go

Risk for fall score

Community dwelling adults

Bilateral vestibular disorders

Variety of vestibular disorders

A

> 13.5 seconds : community adults

> 14: older pts with stroke

> 15: older pts already attending a falls clinic

> 19: LE amputees

> 11.5-7.9 : Parkinson’s

> 10: hip OA

> 11.1 seconds: vestibular disorders

  • difference b/w tug and tug manual over 4.5 secs = greater risk for falls in okder adults
  • b/w tug and tug cog over 15 seconds = greater risk for falls in older adults
  • high diagnostic accuracy of predicting shunt effectiveness in patients with NPH (vs 10MWT), 5 seconds from pre to post tap
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16
Q

Four square step test

Fall risk cutoff

Community dwelling

Vestibular disorders

A

15 seconds: community

12 seconds: vestibular

17
Q

Five Times Sit to Stand

High risk for falls cutoff score

Aged Norms
- for LE strength and endurance ***

A

More than 12 seconds: high risk for falls

Aged norms:
50-59: 7.1 seconds
60-69: 8.1 seconds
70-79: 10 seconds
80-89: 10.6 seconds
18
Q

Dynamic Gait Index

24 point scale

High risk cutoff score:

A

19 or below: high fall risk (community dwelling elderly and vestibular)

< 12 for MS

MCID: 1.8 for CDA

19
Q

Tinetti Mobility Scale

  • measure of gait and balance
A

Gait: max score = 12
Balance: max score = 16
Total= 28

Below 19= high risk for falls

20
Q

ALS functional rating scale - revised

Max score

Cutoffs

A

48= max score

Cutoffs: 41/48 mild ADL and mobility deficits

28/48= moderate disability (middle stage)

10/48 = severe disability (late stages)

21
Q

Moss Attention Rating Scale
- restlessness/distractibility, initiation, sustained attention

  • valid for TBI, not valid for nTBI
  • predictor of disability 1 year after TBI
  • Ranchos level 4-5
  • 5 point likert scale
  • observations you made over the past 2 days
A

22-110
- higher = poorer attention

1= definitely false 
2 = false, for the most part
3=sometimes true, sometimes false 
4= true, for the most part 
5=definitely true
22
Q

Burke Lateropulsion Scale

  • pushing scale
A

0-17 (resistance scale)

  • higher = worse (add an extra point if resistance to both sides)
  • supine, sitting, standing, transfers, walking

> /= 2 : pushing cutoff

> /= 11 : impaired safety in sitting

23
Q

Hoehn and Yahr Scale for PD

A

Stage 1: unilateral involvement only, minimal to no functional disability

Stage 1.5 (modified): unilateral and axial involvement

Stage 2: bilateral or midline involvement without impairment of balance

Stage 2.5 (modified): mild bilateral disease with recovery of pull test

Stage 3: bilateral, mild to moderate disability with impaired postural reflexes, physically independent (same as modified)

Stage 4: severely disabling, able to stand or walk unassisted (same as modified)

Stage 5: confinement to bed or wheelchair unless aided (same as modified)

24
Q

6 meter walk test

Community dwelling adults

60-69:

70-79:

80-89:

A

60-69: 538-572m

70-79: 471-527m

80-89: 392-417

25
Q

MIP and MEP

Percentage of norms for significant pulmonary muscle weakness

A

MIP: 50-77% of predicted norms

MEP: 34-60% of predicted norms

26
Q

Box and block test norms

A

40s: 83-78 blocks in 1 minute
50s: 73-79
60s: 72-71

70s +: 63-66

27
Q

To detect non organic paresis in LE

A
  • resisting abduction in paretic LE, sound LE remains fixed - organic paresis
  • resisting abduction in paretic LE, causes sound limb to hyperadduct in non-organic
28
Q

Hoovers sign (to assess non organic weakness)

A
  • supine SLR with downward pressure on paretic side and upward pressure under uninvolved side with either:
  • paretic leg exerts full downward pressure when non paretic is raised
  • OR uninvolved side exerts weak downward pressure or can be lifted by examiner when paretic side is raised
29
Q

Tardieu Scale measures

A

Muscle tone and hyperreflexia (body structures/function)

30
Q

Push and release test measures

A

Stepping strategy (activity/movement strategy)

31
Q

TASK characteristics

A

Stability, transitions, mobility, manipulation, concurrent tasks

32
Q

SLUMS screening for dementia

A

20 or below = dementia

21- 26 = mild cog disorder

33
Q

Walking while talking test cutoffs

Dementia

A

20 seconds: simple

30 seconds: complex

34
Q

Dizziness Handicap inventory

A

Excellent reliability and validity for peripheral vestibular disorders

35
Q

Expanded Disability Status Scale (EDSS)

For MS

A 
0-3.5 = normal to mild disability 
4- 5.5 = mild to moderate disability 
6-7.5 = moderate to severe 
8-9.5 = severe disability with restriction to bed or wheelchair 
10 = death
36
Q

30 second chair to stand cutoff

A

< 8-13 reps = increased fall risk

37
Q

Global deterioration scale (dementia)

A

1-7

1- no cognitive decline
2- very mild decline (age related)
3- mild cog decline
4- mild dementia (new learning)
5- moderate dementia 
6- moderately severe dementia 
7- Severe dementia
38
Q

SARA: scale for assessment and rating of ataxia

A

0-40

40= severe

39
Q

Mini Best test cutoff

A

PD: 20/32 - to identify fallers

NCS Prep (11 decks)

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