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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
Q

CB & M

A

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
Q

MMSE

A

Mini-Mental Status Exam

provides a quick screen of cognitive function

> 24 = no impairment
18-23 = mild cog impairment
<17 = severe cognitive impairment

27
Q

GCS

A

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
Q

NIHSS

A

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
Q

FMA

A

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
Q

STREAM

A

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
Q

SIS

A

stroke impact scale

self report measure to assess function and QOL after stroke
higher score is more impact so bad

32
Q

Chedoke-McMaster Stroke assessment

A

Chedoke-McMaster Stroke assessment

physical impairment and disability after stroke
has an impairment inventory and activity inventory

32
Q

TIS

A

Trunk Impairment Scale

0-23pts, higher is better
MS, CVA, acute/rehab settings

33
Q

FIST

A

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
Q

CIQ

A

Community Integration Questionnaire

valid and reliable in TBI, ABI, SCI, Brain tumors and stroke
0-29, higher = more participation

35
Q

MRS

A

Modified Rankin Handicap Scale

global disability measure ranked by the perception of the provider
higher score is bad

36
Q

JFK - Coma Recovery Scale

A

6 subscales: auditory, visual, motor, oralmotor, communication and arousal functions

scored 0-23
>10 classified as emerging conscious state
*used to track recovery

37
Q

PTA

A

post traumatic amnesia

<53 days associated with living w/o assistance
<43 days classified “good” recovery
<27 days employed

38
Q

O-Log

A

orientation log
measures orientation to time, place and circumstance
> or = 25 is considered “oriented”
*higher score is better, can track orientation over time

39
Q

ABS

A

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
Q

MARS

A

moss attention rating scale

for those in Ranchos LOCF 4 or higher
score ranges 22-110, likert scale higher not necessarily better

41
Q

What are some measures for postural control and gait that can be used in those suffering from TBI?

A

Hi-MAT
CBM
Berg
Mini Best
DGI/FGA
10MWT
6MWT
walking while talking
dual task TUG

42
Q

GOAT

A

Galveston Orientation and Amnesia Test

measures post traumatic amnesia
normal 76-100, <76 positive for PTA

43
Q

Supervision rating scale

A

rates patients current level of supervision needed just for those with TBI

44
Q

Neurobehavioral rating scale - revised

A

29 items, measure neurobehavioral disturbances
examines memory, attention, communication, mood, and agitation in just those with TBI

45
Q

FIM

A

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
Q

FAM

A

functional assessment measures (TBI)

similar to FIM but includes for functional areas like community access, reading, writing, safeyu, employability, and adjustment to limitations

47
Q

What are some TBI measures for community reintegration and Qol

A

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
Q

AST

A

Apraxia Screen of TULIA
out of 12 pts
cut off: <9 = diag with apraxia
<5 = severe apraxia

49
Q

What are some subjective reports of fatigue

A

VAS
RPE
Fatigue Severity Scale

50
Q

MAS

A

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
Q

MoCA

A

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
Q

CARE tool

A

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
Q

Pain assessment

A

DN4 - neuropathic pain
pain detect
PainAD

54
Q

AM-PAC

A

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
Q

Ranchos Los Amigos Scale

A

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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