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Neuromuscular > Outcome Measures > Flashcards

Outcome Measures Flashcards

1
Q

SIS

A

-Stroke Impact Scale
-subjective experience of stroke impact on life

-strength, memory, mood, communication, ADLS. mobility, hobbies, work

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2
Q

PASS

A

-Postural Assessment Scale for Stroke Patients
-maintaining and changing posture after stroke

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3
Q

Functional Independence/Assessment Meausre

A

-FIM/FAM
-general rehabilitation
-not specifically post stoke
-Activites Supine to wheelchair
-Transfers, walking/wheelchair, stairs

1: TotalA: Pt does 0-24%
2: MaxA: Pt does 25-49%
3: ModA: Pt does 50-74%
4: MinA: Pt does >75%
5: Supervison: no hands on
6: Mod Independence (AD)
7: Complete Independene

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4
Q

Tardieu Scale

A

-performed at same time with same position
-check each muscle group for :velocity, angle, quality of reaction
-0-4

V1: slow as possible, PROM
V2: speed of limb falling with gravity
V3: As fast as possible

R1: PROM until catch
R2: full PROM

0: no resistance
1: slight resistance through PROM with no catch
2: Clear catch with release
3: Fatiguable clonus
4: Unfatiguable clonus

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5
Q

STREAM

A

-Stroke Rehabilitation Assessmnent of Movement
-progressive
-voluntary mmt of limb
-measure quality of movement
-measures impairement and activity level

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6
Q

SARA

A

-Scale for the Assessmentt of Rating of Ataxia
-gait, stance, sitting, speech
-how ataxia affects it

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7
Q

Orpinton Prognsotic Score

A

-quick screen
-prognosis of stroke
-grade of deficit, proprioception, balance, cognition

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8
Q

NIHSS

A

-National Institues of Health Stroke Scale
-ER, ICU, Acute care
-severity of stroke
-no standing

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9
Q

Modified Ashworth Scale

A

-MAS
-measures spasticity/tone in reference to ROM
-0-4

0: No increase in ttone
1: Slight increase with a catch and release
1+: Slight increase with catch followed by slight resistance throughout
2: More tone through most ROM, but can still move easily
3: More tone, passive movement is difficult
4: Rigidity

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10
Q

Line Bisection Test

A

-check for neglect and homonymous hemianopsia
-“place line in middle of each line”

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11
Q

Fugl-Meyer Test

A

-sensory motor function
-synergies, reflexes, voluntary mmt, coordination, sensation, joint mmt

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12
Q

Double Letter Cancellation Test

A

-check for neglect and homonymous hemianopsia, and disordered problem solving

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13
Q

Clock Circle

A

-check for neglect/visuospatial, executive fun, attention, memory

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14
Q

Agitated Behavior Scale

A

-ABS
-14-56 (worse)
-agitation from TBI and how it affects engagement

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15
Q

Glasgow Coma Scale

A

-GCS
-3-15, Eyes, Motor, Verbal
-used at scene of accident, ER, acute care
-predictor of future outcomes

3-8: severe injury, 44%, coma
9-12: moderate injury, 15%
13-15: mild injury, 41%

Limitations:
-language barriers
-prexisting conditions
-alcohol

Eyes: 1-4, none, pain, speech spontaneous

Verbal: 1-5, None, incomprehensible, inappropriate, confused, oriented

Motor: 1-6, None, extension, flexion, withdraws, localizes, obeys

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16
Q

DRS

A

-Disability Rating Scale 0-30 (death)
-ability to open eyes, speak, move, eat, toilet grooming, employability, level of function, weakness
-from coma to community

17
Q

GOAT

A

-Galveston Orientation and Amnesia Test
-test for amnesia
-determine if coming out of Post traumatic amnesia
-orientation, knowledge of self, location, day, time

18
Q

CHART

A

-Craig Handicap Assessment & Reporting Tequnique
-mobility, independence, occupation, social integration, cognitive

19
Q

Participation Objective/Participation Subjective

A

-POPS
-life, transportation, relationships, community, work

20
Q

Supervision Rating Scale

A

-SRS
-how much supervision is needed
-level1-level 5

21
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
1-3

A
  1. No response (no sleep/wake cycles)
  2. Generalized Response
    -limited, inconsistent responses
  3. Localized Response
    -purposeful responses, follow simple commands

-lots of tubes
-asleep or awake
-high risk for skin breakdown and seizures
-NPO
-unstable vitals
-extreme hypertonicity

22
Q

JFK Coma/Near Coma Scale- CRS

A

-monitor levels of alertness in coma/vegitative state
-more sensitive than GCS and rancho
-huge implication for DC placement
-audittory, visual, motor, oromotor, communication, arousal
-0-23
-includes Coma recovery scale

23
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
4

A
  1. Confused, Agitated
    -heightened state of activity, confusion, disorientation, agressive behavior
    -internal confusion
    -violence
24
Q

Moss Attention Rating Scale

A

-observational tool related to attention-related behaviors after TBI
-Used in hospital

25
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
5-6

A
  1. Confused, Inappropriate, non-agitated
    -alet, distractable, verbally or sexually inappropriate
    -doesnt learn new info
  2. Confused, appropriate
    -good directed behavior
    - needs cueing but can relearn
    -memory problems
26
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
7

A
  1. Automatic, Appropriate
    -out of PTA
    -robot like
    -minimal confusion
    -shallow recall
    -needa structure
    -problem solving
27
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
8

A
  1. Purposeful, Appropriate
    -alert, oriented
    -cognitively independent
    -function at reduced levels in society
    -integrates past events
28
Q

Rancho Los Amigos Level of Cognitive Functioning Scale
9-10

A
  1. Purposeful and Appropriate- Stand by Assistance on Request
  2. Purposeful and Appropriate- Modified Independent
29
Q

HiMAT

A

-High Level Mobility Assessment Tool
-/54
-assess high level of mobility with no AD
-upright movement
-walk, run, ski, bound, upstairs

30
Q

Mini Mental Status Exam (MMSE)

A

-easier to do
-current mental state
-orientation, speech, memory, vision, motor instructions, writing)

31
Q

Montreal Cognitive Assessment (MOCA)

A

-harder
-norms for education differences
-recall, executive function, neglect, naming, attention, language, orientation

32
Q

SLUMS Exam

A

-Orientation, math, memory/recall, neglect, executive function

33
Q

Neurophyschological Testing

A

-3 hrs
-visual, spatial, perceptual, and executive functioning

34
Q

Penn Spasm Scale

A

-spasticty scale
-how many spasms occur

35
Q

PRISM

A

-patient reported impact of spasticity measure
-social
-psychological
-ADLs
-assissttance
-positive impact

36
Q

Trunk Impairment Scale

A

-TIS
-sitting balance, dynamic, cordination

37
Q

Disorders of Consiousness Scale

A

-0-100
-neurobehavior during coma recovery

38
Q

Stroop Test

A

-colors spelled out but colored differently
-must quickly call out the color it is, not the word

Neuromuscular (21 decks)

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