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VW NCS Prep > Outcome Measures > Flashcards

Outcome Measures Flashcards

1
Q

World Health Organization QoL- BREF

A

WHOQOL-BREF

Populations: PD, dementia, SCI, stroke, geriatrics, w/c users

Measures: QoL based on culture, values, and goals

PARTICIPATION RESTRICTION

Domains: physical and psychological health, social relationships, and environment

Scores: each domain has a max of 100; higher scores = increased QoL

MDC for SCI: 5.37

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2
Q

Dynamic gait index

A

DGI

Populations: brain injury, MS, PD, vestibular dysfunction, geriatrics, stroke

ACTIVITY LIMITATION

Measures dynamic balance with various walking tasks

Cut-off: =/>19pts indicates falls risk

Community-dwelling elderly
MDC: 2.9 pts
MCID: 1.9 pts

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3
Q

Gross Motor Function Measure

A

GMFM

-Criterion-referenced
-Used to monitor change over time
-Validated with CP ages 5 mos to 16 yrs

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4
Q

Bruininks-Oseretsky Test of Motor Proficiency

A

BOTMP

-valid for 4.5-14.5 years
- Norm-referenced and best used to compare a patient to age-matched peers.

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5
Q

Barthel Index

A

Population: stroke, TBI, geriatrics

Measures: performance of 10 ADL/mobility tasks

ACTIVITY LIMITATION

Scores: 0-100 higher scores indicate greater IND

Stroke: <62.90 moderate disability
<21.30 severe disability

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6
Q

Functional Independence Measure

A

FIM

Populations: stroke, TBI, SCI, MS and geriatrics

Measures: level of disability and amount of assist required for ADL’s with performance of 18 tasks

ACTIVITY LIMITATION

Scores: 18-126 higher scores indicate higher level of function

MCID stroke: 22 pts

FIM total score of 37-72 at admission showed higher gains than >73 or <36

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7
Q

National Institutes of Health Stroke Scale

A

NIHSS

Population: stroke

Measures: severity of symptoms and impairments following stroke

BODY STRUCTURE/FUNCTION

Score: 0-42 (lower indicates less severity)

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

Outcomes related to scores at admission
- <5: 80% discharged home
- 6-13: typically require acute inpatient rehab
- >14: frequently require long-term skilled care

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8
Q

Expanded Disability Status Scale

A

System for quantifying disability d/t MS

-0-4.5: able walk IND
-6.0: intermittent or constant unilateral assist (cane, crutch, brace) required to walk about 100 meters with/without resting
-6.5: constant bilat UE assist required to walk about 20 meters
-7: essentially in a w/c, IND with propulsion/transfers
-8.5: essentially restricted to bed for much of day; some effective use of arm, retains some self care

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9
Q

Mini Mental State Exam

A

MMSE

Populations: stroke, TBI, geriatrics, PD, alzheimer’s/dementia

Screening tool uses several questions and tasks to assess cognitive impairment

BODY STRUCTURE/FUNCTION

Score: 0-30 (higher scores indicate better cognition)

=/<24 indicates presence of cognitive impairment

None: 24-30
Mild: 18-23
Severe: 0-17

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10
Q

Montreal Cognitive Assessment

A

MoCA

Populations: geriatrics, PD, stroke, dementia

Screening tool used to detect mild cognitive dysfunction

BODY STRUCTURE/FUNCTION

Scores: 0-30 (higher scores indicate greater cognition)

<23 suggests cognitive dysfunction

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11
Q

Mini BESTest

A

Populations: acquired/TBI, geriatrics, movement disorders, MS, PD, stroke, vestibular dysfunction

BODY STRUCTURE and FUNCTION

Scores: 0-28 (higher scores indicates less impairment)

14 items rated 0-2 that address anticipatory/reactionary postural adjustments, sensory orientation and dynamic gait

Falls risk
Stroke: =/<17.5
PD: <23

MDC/MCID
Vestibular: 4 pts
PD: 5.5 pts

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12
Q

Scale for the Assessment and Rating of Ataxia

A

SARA

Populations: cerebellar dysfunction, stroke

Provides quantitative assessment of impairments related to ataxia

BODY STRUCTURE/FUNCTION, ACTIVITY LIMITATIONS

0-40 (lower score indicates less ataxia)

Gait: =/<8: IND
=/<11.5 quad cane
=/<12.25: walker

ADL’s:
=/<5.5 IND
=/<10 min DEP
=/<14.25 mod DEP
=/< 23 max DEP

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13
Q

Rancho Level I

A

No response

Complete absence of observable behavior when presented with visual, auditory, tactile, proprioceptive, vestibular or painful stimuli

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14
Q

Rancho Level II

A

Generalized Response

Reaction to external stimuli is non-specific, inconsistent, and non-purposeful manner with stereotypical and limited responses

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15
Q

Rancho Level III

A

Localized Response

Responds specifically and inconsistently to stimuli with delays

-Turn toward or away from auditory stimuli
-Following moving object within visual field
-May follow simple commands (squeeze my hand)

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16
Q

Rancho Level IV

A

Confused/agitated
-Alert and in heightened state of activity
-May be restless aggressive or abusive d/t confusion
-Absent short-term memory
-Performance of motor activities without purpose
-Lack of deficit awareness (SAFETY CONCERN)

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17
Q

Rancho Level V

A

Confused/inappropriate/non-agitated

-Alert and non-agitated
-Not oriented
-Gross attention to environment but highly distractible
-Severely impaired recent memory
-Unable to learn new info
-Absence of goal-directed, problem solving, self-monitoring behavior
-Appropriate responses to simple commands with external cues

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18
Q

Rancho Level VI

A

Confused/appropriate

-Inconsistently oriented to person, place, and time
-Emerging awareness of appropriate response to self, family, and basic needs
-Goal-directed behavior but dependent on external cues
-Remote memory better than recent memory
-Demonstrates carry-over for some re-learned familiar tasks (self- care)
-Consistently follows simple directions

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19
Q

Rancho Level VII

A

Automatic/appropriate (Robotic)

-Appropriate behavior in familiar settings
-Performs daily routines automatically
-Demonstrates carry-over of new learning
-Unrealistic planning for the future and overestimates abilities
-Initiates social interactions, but judgement remains impaired
-Imitates others

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20
Q

Rancho Level VIII

A

Purposeful/appropriate (SBA)

-Consistently oriented
-IND for familiar tasks in distracting environments
-Aware of impairments, difficulty taking corrective action when completing tasks
-Difficulty with abstract reasoning, stress tolerance, and judgement

21
Q

Rancho Level IX

A

Purposeful/appropriate (SBA on request)

-IND shifts between tasks for two hours
-Requires some assistance to adjust to life demands
-Emotional and behavioral issues possible

22
Q

Rancho Level X

A

Purposeful/appropriate (mod-I)

-Goal-directed and able to handle multiple tasks IND with strategies
-May continue to have decreased attention and require additional time to compete tasks or need an AD

23
Q

Walking Index for SCI II

A

WISCI

Population: SCI

Determines amount of physical assistance and/or aids for walking

ACTIVITY LIMITATION

Scores: 0-20pts (higher score indicates less impairment)

RANK ORDER
0= unable to stand/participate in assisted walking
0-5 in // bars
6-19 various AD’s, braces and lvl of assist
20= ambulates 10m without AD, braces of physical assist

No normative/cut-off data

24
Q

Postural Assessment of Stroke

A

PASS

Population: stroke

ACTIVITY LIMITATION

Assesses and monitors postural ability in lying, sitting and standing while maintaining or changing position in 12 tasks

Scoring: 0-36 (higher score indicates more able); 0-3 on 12 tasks

MDC: 2-3 points depending on chronicity

Predicting IND ambulation at d/c 12.5pts

25
Q

6MWT

A

Populations; ALL

ACTIVITY LIMITATION

Measures the distant walked in 6 minutes- ambulatory endurance

Normative values for community-dwelling elderly:
-60-69y: 538-572m (1,764-1,876ft)
-70-79y: 471-527m (1,544-1,764ft)
-80-89y: 392-417m (1,286-1,544ft)

MCID:
- Geriatrics: 50m (164ft)
- Stroke: 34.4m (113ft)

MDC’s across multiple populations between 110ft to 269(PD) is outlier

26
Q

10MWT

A

ACTIVIT LIMITATION

-<0.1m/s d/c to SNF
->0.1m/s d/c more likely home
-<0.6m/s DEP with ADL’s and increased risk of hospitalization
-1.0m/s IND with ADL’s and less likely to fall
-<1.0m/s needs intervention to reduce fall risk
-Household ambulator: <0.4m/s
-Limited community ambulator: 0.4-0.8m/s
-Community ambulator: >0.8m/s

MDC:
- PD: 0.18m/s comfortable, 0.25m/s fastest

MCID:
- Geriatrics: 0.10m/s
- SCI: 0.13m/s
- TBI: 0.15m/s comfortable, 0.25m/s fastest

27
Q

Berg Balance Scale

A

BBS
Populations: stroke, MS, PD, core set

BODY STRUCTURE/FUNCTION

Scores: 0-56pts, higher indicates better balance, 0-4 scores

=/<45/56pts increased risk of falls

MDC: 5-7pts across multiple diagnoses

28
Q

SCI Acute
(Highly Recommended)

A

(0-3 months)

-ISNSCI/ASIA Impairment Scale
-6MWT
-10MWT
-Hand held myometry
-TUG
-Walking Index for SCI II

29
Q

SCI Acute
(Recommended)

A

-BBS
-FIM
-MMT
-Needs Assessment Checklist
-NPRS
-SC Independence Measure III
-SCI Functional Ambulation Inventory

30
Q

SCI Sub-Acute
(Highly Recommended)

A

3-6 months

-6MWT
-10MWT
-ISNSCI/ASIA Impairment Scale
-Hand Held Myometry
-TUG

31
Q

SCI Sub-Acute
(Recommended)

A

3-6 months

-BBS
-FIM
-MMT
-Needs Assessment Checklist
-NPRS
-Sickness Impact Profile 68
-SCI Functional Ambulation Inventory
-SCI Independence Measures III
-WISCI II

32
Q

SCI Chronic
(Highly Recommended)

A

> 6 months

-6MWT
-10MWT
-ISNSCI/ASIA Impairment Scale
-Hand Held Myometry
- NPRS
-World Health Organization QoL BREF

33
Q

SCI Chronic
(Recommended)

A

-BBS
-Capabilities of UE Functioning Instrument
-Craig Handicap Assessment and Reporting
-Craig Hospital Inventory of Environmental Factors
-FIM
-Graded and Redefined Assessment of Sensibility Strength and Prehension
-Life Satisfaction Questionnaire 9
-MMT
-Multidimensional Pain Inventory, SCI Version
-Reintegration to Normal Living Index
-Satisfaction with Life Scale
-Short Form 36
-Sickness Impact Profile 68
-SCI Functional Ambulation Inventory
-SCI Functional Ambulation Profile
-SCI FIM III
-TUG
-WISCI II
-W/c Skills Test
-W/C Users Shoulder Pain Test

34
Q

Motion Sensitivity Quotient

A

MSQ

0-10%: mild motion sensitivity
11-30%: moderate motion sensitivity
31-100%: severe motion sensitivity

Those with Meniere’s and Vestibular Migraines had significantly higher scores than controls.

35
Q

Freezing of Gait Questionnaire

A

Only validated tool to subjectively test freezing of gait

6-item questionnaire to be completed during “on” times

Scoring: 0 (absence of sx’s) to 4 (most severe)

Total score of 0-24

Answered based on last week or overall presence of freezing during the entire day

36
Q

Agitated Behavior Scale

A

Populations: TBI, dementia, Alzheimer’s disease

Scoring: 14-56pts (high indicates more agitation)

WNL: =/<21
Mild agitation: 22-28pts
Moderate: 29-35
Severe: >35

37
Q

Modified Falls Efficacy Scale

A

Population: geriatrics

Assesses perception of balance and fear of falling during ADL’s

ACTIVITY LIMITATION/PARTICIPATION RESTRICTION

0-10 (higher score indicate more confidence)

<5 predictive of falls and longer hospital stay

38
Q

Modified Rankin Scale

A
  1. No symptoms
  2. No significant disability despite symptoms; able to carry out all usual duties and activities
  3. Slight disability: unable to carry out all previous activities but able to look after own affairs without assistance
  4. Moderate disability: requiring some help, but able to walk without assistance
  5. Moderately severe disability: unable to walk without assistance, and unable to attend to own bodily needs without assistance
  6. Severe disability: bedridden, incontinent, and requiring constant nursing care and attention
  7. Death
39
Q

Push and Release Test

A

Populations: cerebellar dysfunction, PD, vestibular dysfunction, general balance patients

Assesses instability by ability to regain balance. Tested with patient leaning backwards.

BODY STRUCTURE/FUNCTION, ACTIVITY LIMITATIONS

Scores 0-4 (lower scores indicate better ability)

0: recovers with 1 step IND
1: 2-3 steps required but IND
2: 4+ steps required by IND
3: Able to step but requires assistance
4: Falls without attempting a step or unable to stand without assistance

40
Q

9-hole peg test

A

Populations: acquired brain injury, stroke, PD, MS

Timed test to measure finger dexterity

BODY STRUCTURE FUNCTION/ACTIVITY LIMITATION

90th percentile

Female 20-24: 12.5 secs R, 11.5 secs L
Male 20-24: 10.5 secs R, 11 secs L

Female 60-64: 17.5 secs R, 18.5 secs L
Male 60-64: 18.5 secs R, 20 secs L

Female 80-84: 20 secs R, 22 secs L
Male 80-84: 22.5 secs R, 24.5 secs L

> 33.3 secs indicates severe hand dysfunction in MS

41
Q

Modified Fatigue Impact Scale

A

Populations: MS and TBI

BODY STRUCTURE AND FUNCTION/ACTIVITY LIMITATIONS

0-84 (lower number indicates less impact of fatigue)
24 items rated 0- never to 4-almost always

MCID for MS: 16.2pts

42
Q

Conversions

A

3.28 feet = 1 meter
1 inch = 2.54 cm

43
Q

Functional Reach Test

A

Populations: MS, stroke, PD, community dwelling elderly, PD, SCI, vestibular disorders

ACTIVITY LIMITATION

<18.5cm indicates falls risk in geriatrics

<31.75 cm indicates falls risk in PD

44
Q

Medical Outcomes Study SF-36

A

Populations: stroke, TBI, MS, Cancer, PD, SCI

The 8 subscales are:
1) Physical Functioning
2) Role Limitations due to Physical Problems
3) General Health Perceptions
4) Vitality
5) Social Functioning
6) Role Limitations due to Emotional Problems
7) General Mental Health
8) Health Transition

Each sub scale is scored 0 (negative health)-100 (positive health)

45
Q

Trunk Impairment Scale

A

Populations: stroke, PD, MS

BODY STRUCTURE FUNCTION/ACTIVITY LIMITATION

Scores range from a minimum of 0 to a maximum of 23.
If patient scores 0 on the first item, the total score on the TIS is 0.
Each item can be performed three times.
The highest score counts; otherwise, no practice sessions are allowed.
The patient can be corrected between attempts.

Three subscales: static sitting, balance, dynamic sitting balance and coordination. Each subscale has between three and 10 items.

46
Q

Rivermead Mobility Index

A

Populations: TBI, SCI, stroke, MS

ACTIVITY LIMITATION

Scores: 0-15pts (higher scores indicate better mobility), 0= No or cannot perform task, 1= YES or can perform task

Tasks include: turning over in bed, sit<>stand, walking, running

47
Q

SCI Functional Ambulation Profile

A

SCI-FAP
Recommended in chronic stages

ACTIVITY LIMITATION

Scores: total is 2100

Tasks include obstacles, carry, stairs, walking through a door

48
Q

SCI Functional Ambulation Inventory

A

SCI-FAI

Recommended in acute, sub-acute and chronic stages

Gait parameter (qualitative characteristics), AD parameter, temporal distance parameter

ACTIVITY LIMITATION

Scores: 0-39pts, higher scores indicate better function

MDC: 1.9pts for gait

VW NCS Prep (5 decks)

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