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Adult Neuro One > Outcome Measures > Flashcards

Outcome Measures Flashcards

1
Q

ABC

A

Activities - Specific Balance Confidence Scale

Patient rates confidence during performance of ADLs
Higher scores indicate less risk of falling

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2
Q

MSWS - 12

A

12 item MS walking scale

patient rated measure of walking quality
higher score indicate greater impact of MS on walking

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3
Q

FES - 1

A

Fall Efficacy Scale

Higher score indicates greater risk of falling

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4
Q

Romberg or Sharpened Romberg

A

Romberg or Sharpened Romberg

measures static stability
should be able to do 30 seconds

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5
Q

SLS

A

part of Berg and Mini Bes test

measures static stability
the longer you can hold pose the better

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6
Q

FRT

A

functional reach test (part of Berg)

measures limits of stability
community dwelling elderly can do 7 inches

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7
Q

MFRT

A

modified functional reach test (part of Berg for those who can’t stand)

measures limits of stability

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8
Q

BBS

A

Berg Balance Scale

a multi domain balance test
max score 56, balance deficit cutoff score is 45

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9
Q

FTSST or 5xSTS

A

five time sit to stand test

measures LE functional strength and anticipatory balance (mini Bestest)
arms must be folded across chest
community dwelling elderly 12 sec
balance of vestibular disorders cuttoff 13 sec

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10
Q

30 sec STS

A

30 second sit to stand test

functional LE strength and endurance measure
there is a correlation between strength and balance
pt may use arms during test to push up from chair

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11
Q

CTSIB/mCTSIB

A

Clinical test for sensory interaction and balance

measures sensory orientation/interaction
need to be able to complete 30 sec in each position
cutt off score is a composite score of <260 sec

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12
Q

TUG

A

Timed Up and Go

measures gait/mobility. also assesses proactive/anticipatory aspects of postural control
cut off for community dwelling older adults: 13.5 sec
older stroke pt: 14 sec
frail elder: 32.6 sec
PD: 11.5
vestibular disorders: 11.1 sec

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13
Q

TUG Dual Task

A

Manual dual task (ex. carry cup of water)
cut off: 14.5 sec

Cognitive (count backwards by 3s)
cut off: 15 sec

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14
Q

WWT

A

Walking while talking test

measures gait and mobility

simple: walk 40 ft and recite alphabet.
cut off: >20 sec

complex: walk 40 ft and recite every other letter of the alphabet \
cut off: >33 sec

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15
Q

DGI

A

Dynamic gait index

measures how pt modify gait in response to changing tasks during ambulation
highest score is 24
community dwelling older adults: 19

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16
Q

FGA

A

Functional Gait Assessment

similar to DGI but eliminates walking around obstacles and adds walking tandem, ambulating backwards, and ambulating with eyes closed
can use AD
highest score is 30
community dwelling older adults: 22 pts

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17
Q

10MWT

A

10 meter walk test

used to measure preferred and max gait speed
AD may be used

cut off for stroke pt
<0.4 = household ambulators
0.4-0.8 = limited community ambulators
>0.8 = community ambulators

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18
Q

6MWT

A

6 minute walk test

assessment of distance walked over 6 mins as a sub-max test of aerobic capacity and endurance
AD allowed

cut off scores not established

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19
Q

2MWT

A

2 minute walk test

same as 6MWT but only 2 minutes. performed at FASTEST speed possible

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20
Q

3-M BWT

A

3 meter backward walking test

testing for fall likelihood. backwards walking related to functional tasks like backing up to a chair, opening a door that pulls out and avoiding obstacles

< 3 s = unlikely to have reported a fall
> 4.5 s = 81% reported falls

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21
Q

FSST

A

four square step test

assessment of person’s ability to change directions while stepping. assessment based on time to complete task.

older adults > 15 sec = at risk for multiple falls

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22
Q

Mini-Best

A

Mini Balance Evaluation Systems Test

looks at anticipatory, reactive balance, sensory orientation and dynamic gait
higher score = less likely to fall

cut off scores:
chronic stroke: 17.5 points
PD: 19-21 pts

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23
Q

POMA

A

performance oriented mobility assessment

9 balance tasks and 7 gait tasks
total 28 points (want higher points)

cut off score:
older adults: 19

24
Q

HiMAT

A

High-level Mobility Assessment Tool

designed to assess pt who suffer from high-level balance and mobility problems
min mobility requirement is independent walking over 20 meters w/o AD
max score is 54 (want higher)

cut off scores not established

25
CB & M
Community Balance and Mobility Scale developed for identifying postural instability and evaluating change following intervention in individuals with TBI No AD allowed highest score is 96 (want higher) cut off scores not established
26
MMSE
Mini-Mental Status Exam provides a quick screen of cognitive function >24 = no impairment 18-23 = mild cog impairment <17 = severe cognitive impairment
27
GCS
Glasgow Coma Scale examen: eye opening response, best verbal response, and best motor response 3-8 severe brain injury 9-12 moderate brain injury 13-15 minor brain injury (15 top score)
28
NIHSS
national institute of health stroke scale physicians typically complete (similar to our neuro screen) > 25 = very severe impairment 15-24 = severe impairment 5-14 = moderate impairment < 5 = mild impairment <5 = associated with discharge home 6-13 = associated with discharge to rehab >14 = associated with discharge to SNF
29
FMA
Fugl-Meyer Assessment of Physical Performance used to determine motor function after stroke. Impairment based. organized based on Brunnstrom stages of recovery, measures ability to move in and out of synergies higher score is better! for combined UE and LE motor score 0-35 = severe stroke 36-55 = moderately severe stroke 56-79 = moderate stroke >80 = mild stroke
30
STREAM
stroke rehabilitation assessment of movement measure of voluntary movement and basic mobility. used to document motor recover over time and predict discharge destination higher score is better >63 = home <63 = IPR or SNF
31
SIS
stroke impact scale self report measure to assess function and QOL after stroke higher score is more impact so bad
32
Chedoke-McMaster Stroke assessment
Chedoke-McMaster Stroke assessment physical impairment and disability after stroke has an impairment inventory and activity inventory
32
TIS
Trunk Impairment Scale 0-23pts, higher is better MS, CVA, acute/rehab settings
33
FIST
Function in Sitting Test Berg but in sitting, 56 total pts, higher is better cut off of 41.5 is predictive of DC home after IPR
34
CIQ
Community Integration Questionnaire valid and reliable in TBI, ABI, SCI, Brain tumors and stroke 0-29, higher = more participation
35
MRS
Modified Rankin Handicap Scale global disability measure ranked by the perception of the provider higher score is bad
36
JFK - Coma Recovery Scale
6 subscales: auditory, visual, motor, oralmotor, communication and arousal functions scored 0-23 >10 classified as emerging conscious state *used to track recovery
37
PTA
post traumatic amnesia <53 days associated with living w/o assistance <43 days classified "good" recovery <27 days employed
38
O-Log
orientation log measures orientation to time, place and circumstance > or = 25 is considered "oriented" *higher score is better, can track orientation over time
39
ABS
Agitated Behavior Scale measures agitation in individuals with TBI higher score is bad >35 severe agitation 29-35 moderate agitation 22-28 mild agitation <21 within normal limits
40
MARS
moss attention rating scale for those in Ranchos LOCF 4 or higher score ranges 22-110, likert scale higher not necessarily better
41
What are some measures for postural control and gait that can be used in those suffering from TBI?
Hi-MAT CBM Berg Mini Best DGI/FGA 10MWT 6MWT walking while talking dual task TUG
42
GOAT
Galveston Orientation and Amnesia Test measures post traumatic amnesia normal 76-100, <76 positive for PTA
43
Supervision rating scale
rates patients current level of supervision needed just for those with TBI
44
Neurobehavioral rating scale - revised
29 items, measure neurobehavioral disturbances examines memory, attention, communication, mood, and agitation in just those with TBI
45
FIM
functional independence measure (TBI) measures functional mobility, ADLs, cognition and communication used in inpatient rehab and is useful for monitoring progress and evaluating outcomes higher is better
46
FAM
functional assessment measures (TBI) similar to FIM but includes for functional areas like community access, reading, writing, safeyu, employability, and adjustment to limitations
47
What are some TBI measures for community reintegration and Qol
Community integration questionnaire (CIQ) Participation assessment with recombined tools-Objective (PART-O) quality of life after brain injury tool (depression/anxiety) Dizziness handicap inventory (DHI) D w/ functional activities
48
AST
Apraxia Screen of TULIA out of 12 pts cut off: <9 = diag with apraxia <5 = severe apraxia
49
What are some subjective reports of fatigue
VAS RPE Fatigue Severity Scale
50
MAS
modified ashworth scale measures spasticity 0 = normal 1 = catch and release 1+ = catch and increased stiffness 2 = no catch, increased stiffness whole range 3 = very stiff whole range 4 = almost impossible to move/contracture
51
MoCA
montreal cognitive assessment free screen for cog deficits that might require referral for mild cog impairment or dementia use to change POC or refer out. Mini-Mental exam could also be used but there is copyright issues
52
CARE tool
Continuity Assessment Record and Evaluation 6 - independent 5 - setup/clean up assistance 4 - supervision or touching assistance 3 - partial/mod assist 2 - substancial/max assist 1 - dependent items include: rolling in bed left and right, supine to EOB, Sit to supine, STS, chair/bed to chain t, toilet transfer, walk/wheelchair mobility 150 ft, pick up object in standing, up/down curb, walk 50 ft w/ 2 turns, 12 steps, 4 steps, walk 10ft uneven surface, wheel up/down ramp 12 ft
53
Pain assessment
DN4 - neuropathic pain pain detect PainAD
54
AM-PAC
activity measure for post acute care PT evaluates pt's ability to turn in bed, supine to sit, bed to chair, STS, walk, 3-5 steps with rail higher score is better
55
Ranchos Los Amigos Scale
level of cognitive functioning scale 1 - no response 2 - generalized response 3 - localized response 4 - confused, agitated response 5 - confused, inappropriate non-agitated response 6 - confused, appropriate response 7 - automatic, appropriate response 8 - purposeful, appropriate response

Adult Neuro One (10 decks)

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