Outcome measures

Question 1

Name the 8 main balance outcome measures

Answer 1

The clinical Test for Sensory Interaction in Balance (CTSIB)
Test visual, vestibular and somatosensory input

Functional Balance grades
0 poor - 4 normal (O’sullivan)

The romberg test
Determines proprioceptive contribution to balance

Functional reach test
Balance problems in older adults (≤ 6 inches is predictive of falls)

Berg Balance Scale - gold standard
Static, dynamic balance + falls in adults

Tenetti’s / POMA (performance-oriented mobility assessment)
Static and dynamic balance

GUG - get up and go test
Dynamic balance and mobility

TUG - Timed up and go test
Mobility, balance, walking ability + falls in elderly

Question 2

The clinical Test for Sensory Interaction in Balance (CTSIB)

Answer 2

Test visual, vestibular and somatosensory input

Question 3

Functional Balance grades

Answer 3

0 poor - 4 normal (O’sullivan)

Question 4

The romberg test

Answer 4

Determines proprioceptive contribution to balance

Question 5

Functional reach test

Answer 5

Balance problems in older adults (≤ 6 inches is predictive of falls)

Question 6

Berg Balance Scale

Answer 6

gold standard
Static, dynamic balance + falls in adults

Question 7

Tenetti’s / POMA (performance-oriented mobility assessment)

Answer 7

Static and dynamic balance

Question 8

GUG - get up and go test

Answer 8

Dynamic balance and mobility

Question 9

TUG - Timed up and go test

Answer 9

Mobility, balance, walking ability + falls in elderly

Question 10

Stroke specific postural control and balance measures

Answer 10

PASS and FIST

Question 11

Arousal level outcome measures

Answer 11

GCS - glasgow coma scale

The rancho los amigos levels of cognitive functioning (LOCF)

Galveston orientation and Amnesia Test (GOAT)

Question 12

Galveston orientation and Amnesia Test (GOAT)

Answer 12

Questions about name, city, where pt is, date, month, year and event of injury

Question 13

The rancho los amigos levels of cognitive functioning (LOCF)

Answer 13

1 No response
2 Generalized response
3 confused agitated
4 confused inappropriate
5 confused appropriate
6 automatic appropriate
7 purposeful appropriate

Question 14

GCS - glasgow coma scale

Answer 14

Tracks eye opening, verbal and motor
Total score between 3-15:
Severe = 3-8, moderate = 9-12, mild = 13-15

Question 15

Parkinson’s Outcome measures

Answer 15

Unified parkinson’s disease rating scale (UPDRS)
The parkinson’s disease questionnaire (PDQ-39)

Question 16

PEDS outcome measures

Answer 16

APGAR
Alberta infant motor scale (AIMS)
Bayley scales of infant development (BSID)
Peabody development motor scales (PDMS-2)
BOT-2
Gross motor function classification system (GMFCS)

Question 17

APGAR

Answer 17

Activity, pulse, grimace, appearance, respiration
0-3: severely depressed
4-6 moderately depressed
7-10 excellent condition

Question 18

Alberta infant motor scale (AIMS)

Answer 18

0-18 months
Motor skills

Question 19

Bayley scales of infant development (BSID)

Answer 19

1-42 months
Mental, motor and behavior scales

Question 20

Peabody development motor scales (PDMS-2)

Answer 20

0-60 months (5 years)
Fine and gross motor skills

Question 21

BOT-2

Answer 21

4-21 years
Fine and gross motor skills (good for longitudinal impact)

Question 22

Gross motor function classification system (GMFCS)

Answer 22

Severity and focused on what the child CAN do (common for CP pt’s)
5 age groups ranging from 0-19 years

level 1: walk, stairs w/o handle, run and jump (speed/coordination limited)

level 2: need railing for stairs, indept but needs HHA for long distance, cant run/jump

level 3: Hand held mobility device for indoor and wheeled for long distances

level 4: need powered mobility, may walk short distances at home with body support walker

level 5: manual wheelchair in all settings, can’t maintain antigravity positions

Question 23

Ankylosing spondylitis outcome measures

Answer 23

Bath ankylosing spondylitis metrology index (BASMI)
- 5 components: Cervical rotation, tragus to wall, modified schober (mark above and below PSIS and measure in flexion and neutral), finger to floor lateral flexion, intermalleolar distance (supine abduction)

Chest expansion (will be reduced in AS)

Self reporting measures: BASDI, BASFI

Question 24

Barthel index

Answer 24

measures performance in ADL’s

Question 25

6- minute walk test

Answer 25

sub-maximal aerobic capacity test

Question 26

Borg scale

Answer 26

quantitative measure of perceived physical exertion during activity

Question 27

Medical outcomes short form 36 (SF-36)

Answer 27

used to qualify health status and QOL

Question 28

Modified ashworth scale

Answer 28

amount of tone/resistance through range

0 = no tone
1 = slight catch then release (or minimal resistance at EOR)
1+ = slight catch and minimal resistance through less than half of range
2 some resistance through more than half of rance, but easily moved
3 significant resistance and difficulty moving limb through range
4 rigid limb

Question 29

Functional independence measure (FIM)

Answer 29

assesses level of disability, may also be used to determine pt’s ability to care for themselves (level of dependence)

Question 30

DASH/Quick DASH (Disability arm shoulder and hand OM)

Answer 30

self reported questionnaire that looks at the pt’s ability to do UE tasks

Question 31

Braden scale

Answer 31

assess likelihood of a pt to develop a pressure ulcer

Question 32

Fugl-meyer assessment

Answer 32

hemiplegic stroke pt’s motor function, balance, sensation qualities, joint function