Outcome Measures Flashcards

1
Q

RA Specific

A

Health Assessment Questionnaire (HAQ):
- self-report
- dressing/grooming, arising, eating, walking, hygiene, reach, grip, common daily activities
- from 0 (no difficulty) to 3 (cannot be done at all)

MACTAR:
~Patient picks specific activities to be evaluated
~Short questionnaire administered by PT
- assess change in the selected impaired activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

OA knee/hip

A

KOOS/HOOS:
-used for a knee injury that can
result in post-traumatic OA
(post ACL injury, meniscus
injury, chondral injury, etc.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Generic subjective health status measurement

A

EuroQoL - 5D (EQ-5D):
-lower score–>lower disability

for General population,
OA, RA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Spasticity

A

Modified Ashworth
Tardieu

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ALS

A

ALS Functional Rating Scale (ALSFRS)
- Self-report
- Assesses disease progression and tracks change over time in 12 areas of physical function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Parkinson’s

A

Unified Rating Scale for Parkinson’s (UPDRS)
- gauge the course of Parkinson’s disease
- Include behaviour, ADL, motor Fx, complication, Modified Hoehn and Yahr Scale, Schwab and England ADL scale

Parkinson’s Disease
Questionnaire (PDQ-39)
- Self-report
- difficulties in 8 different areas of daily living

Hoehn and Yahr
- rating scale to describe how the symptoms of Parkinson’s disease progress and the level of disability
- Modified scale includes stages 1.5 and 2.5 to help describe the intermediate course of the disease

  • Stage 0 = no signs of disease
  • Stage 5 = needs wheelchair or bedridden unless assisted
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

MS

A

Multiple Sclerosis Impact Scale
- self-report
- physical and psychological impacts

(Modified) Fatigue Impact Scale
- Self-report
- effects of fatigue on physical, cognitive, and psychosocial functioning

Expanded Disability Status Scale
- Evaluates level of neurological impairments
- Findings assists with creating an appropriate intervention plan based on the level

From 0-10
- 0 = normal neurological exam
- 5 = disability affects daily function but patient able to walk without an aid for 200 meters
- 10 = death due to MS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ankle dorsiflexion ROM

A

Knee to Wall Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

low back pain/ Lumbar Spinal Surgery

A

Roland Morris Disability Questionnaire
- Self-report
- mild to moderate disability due to acute or chronic LBP

Oswestry Disability Index
- Self-report
- severe disability due to acute or chronic low back pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

imbalances in mobility and stability during fundamental movement patterns

A

Functional Movement Screen
- place an individual in positions where weaknesses and imbalances become noticeable if effective mobility and motor control are not used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Upper limb

A

Upper Extremity Functional Index (UEFI)
- Self-report
- Assesses the level of difficulty performing ADLs

Disability Arm Shoulder Hand (DASH)
- Self-report
- amount of disability and monitors change of function over time

Hand Dynamometry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lower limb

A

Lower Extremity Functional Scale (LEFS)
- Self-report
- can track change over time, guide Fx goal setting
- Area: ADLs, balance, coordination, Fx movement, QOL, range and strength

KOOS
HOOS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Neck pain

A

Neck Disability Index
- Self-report
- Area: pain, ADL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Chornic pain

A

McGill Pain Questionnaire
- Self-report
- Provides detailed information regarding a patient’s chronic pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

gross motor manual dexterity

A

Box and Block Test
- Unilateral only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Self-care

A

Barthel Index
- Self-report
- MSK/Neuro pt both ok
- Assesses the ability of self care

Functional Independence Measure (FIM)
- PT elevate Lv of assistance is required for ADLs

17
Q

Fall

A

History of Falls Questionnaire
- Assesses the circumstances surrounding a fall including:

  • activities prior to falling
  • perceived cause
  • environmental factors
  • a description of injuries
18
Q

dizziness

A

Dizziness Handicap Inventory
- 25-item self-report
- impact of dizziness on daily life

19
Q

TBI

A

Disability Rating Scale (DRS)
- Tracks recovery of Pt from coma to community
- general functional changes over the course of recovery

GCS

Ranchos Los Amigos Level of Cognitive Functioning
- Scale describes behavioural characteristics and cognitive deficits
- understand and focus on the person’s abilities when designing Rx program

20
Q

Cognitive impairment

A

Mini Mental Status Exam (MMSE)
- screening tool
- quantitative assessment of cognitive impairment
- record change over time

21
Q

Stroke

A

Fugl-Meyer Assessment (FMA)
- measure recovery
- 5 domains : motor functioning, balance, sensation, joint ROM, joint pain
- One of the most widely used measures of motor impairment

Chedoke-McMaster Stroke Assessment
- physical impairment and disability
- Provides information regarding shoulder pain, motor recovery in the upper and lower extremity, postural control and physical mobility/function
- PT can classify physical impairment based on stages of recovery

Stroke Impact Scale (SIS)
- Self-report
- Evaluates disability and health related QOL

22
Q

Concussion

A

SCAT #
- For 13 years or older
- Child SCAT: For children 5-12 years old
- Baseline testing: S/S, cognitive, balance, coordination

Immediate Post-concussion Assessment and Cognitive Test (ImPACT)
- For 12-80 years old
- Baseline and post-injury testing
- Computer based program: visual and verbal memory, reaction time, and processing speed
- decide return to sport

23
Q

King Devick Test

A
  • Sideline concussion screening test
  • Duration: <2min
  • eye movement, attention and language
  • > 5 seconds difference from baseline=concussion
24
Q

Applicable to RA

A

EuroQoL - 5D (EQ-5D)
- five dimensions (5D): mobility, self-care, usual activities, pain/discomfort, and anxiety/depression–> 5 level

Fatigue Severity Scale (FSS)
- Self-report
- Severity of fatigue and its impact on activities and lifestyle

25
Q

Infant- less than 18 months

A

Alberta Infant Motor Scale (AIMS)
- Observation, performance-based, norm-referenced
- evaluates motor development over time

except those with altered movement patterns due to functional limitation (e.g. paralysis/spasticity)

26
Q

Ages 4-21

A

Bruininks-Oseretsky Test of Motor Proficiency (BOT-2)
- fine and gross motor skills
- Area including: balance, coordination, dexterity, functional mobility, gait, strength, upper extremity function, vestibular function

27
Q

CP children & youth (0-18 years)

A

Gross Motor Function Classification System (GMFCS)
- 5-level classification system
- sitting, walking and wheeled mobility
- Level I= walk without restrictions but limited in some advanced gross motor
- Level V= very limited even with assistive device

Gross Motor Function Measure (GMFM)
- Observation
- measures change in gross motor function over time
- Assesses motor function rather than the quality
** Can be used for down syndrome and acquired brain injuries**

28
Q

10 Meter Walk Test

A
  • walking speed in m/s
  • balance and mobility
29
Q

30 Second Sit to Stand Test

A
  • elderly
  • functional lower extremity strength and balance
30
Q

6-Minute Walk Test (6MWT)

A
  • distance walked over 6 minutes
  • sub-maximal test of endurance
31
Q

Activities Specific Balance Confidence (ABC) Scale

A
  • Self-report questionnaire
  • degree of balance confidence when performing various activities
32
Q

Balance Error Scoring System (BESS)

A
  • For Concussion return to play
  • Objective measure –> static postural stability
33
Q

Clinical Outcome Variable Scale (COVS)

A
  • functional mobility for neurological conditions
  • Items include: rolling, lying to sitting, sitting balance, transfers, ambulation, wheelchair mobility, and arm function
34
Q

Community Balance and Mobility Scale (CB&M)

A
  • high-level balance and mobility deficits for community ambulation
  • Examples:
    single leg stance,
    tandem walking,
    hopping,
    walk and pick up item from floor, running and stopping,
    forwards to backwards walking, stairs,
    step ups
35
Q

Dynamic Gait Index (DGI)

A
  • Balance while walking with external demands
  • Assess: gait, balance and falls risk
  • 8 aspects of gait including:
    gait on level surface,
    change in gait speed,
    gait with horizontal head turns,
    gait with vertical head turns,
    gait with pivot turn,
    step over obstacle,
    step around obstacle,
    stairs
36
Q

Berg Balance Scale (BERG)

A
  • static and dynamic balance in sitting and standing
  • Test items
    sitting balance,
    transfer,
    sit to stand,
    stand to sit,
    standing balance,
    eyes closed standing,
    standing with feet together,
    forward reach,
    picking up object from floor,
    turning to look behind,
    360 degree turn,
    tandem stance,
    single leg stance,
    alternate foot tap ups

5-point ordinal scale (0 – 4) with a total score out of 56
- 20 or lower = high falls risk
- 21-40 = moderate falls risk
- 41-45 = low falls risk

37
Q

Tinetti Test - aka Performance Oriented Mobility Assessment (POMA)

A
  • sitting, standing, dynamic balance during ambulation
  • Seated/standing test items include:
    sitting balance,
    movement from sit to stand, standing balance,
    standing eyes closed,
    external perturbation,
    turning 360 degrees,
    sitting down
  • Gait assessment (15 ft) looks at:
    step length,
    foot clearance,
    step symmetry,
    deviation in ambulation path amount of trunk sway
    BOS
  • 3-point ordinal scale (0 – 2) with a total score out of 28
    (16 = balance, 12 = gait)
  • 18 or lower = high falls risk
  • 19-23 = moderate falls risk
  • Score 24 or higher = low falls risk
38
Q

Functional Reach Test

A
  • maximal distance: reach forwards while standing in a fixed position
  • Modified=sit in a fixed position and reach

Normal:
Able to reach 10 in/25cm

39
Q

Timed Up and Go (TUG)

A
  • mobility, balance, walking ability and fall risk in older adults
  • may stop and rest (but not sit down) if needed
  • sitting–>walks to a cone 3 meters away–>turns around–>walks back to the chair–>sits down
  • Record the time: back leaves the backrest –> back touches the backrest again

<10 sec: normal
20-30 sec: good community mobility, mobile without a gait aid
>30 sec: mobility problem, can’t go outside alone, need gait aid