Outcome Measures Flashcards
SIS
-Stroke Impact Scale
-subjective experience of stroke impact on life
-strength, memory, mood, communication, ADLS. mobility, hobbies, work
PASS
-Postural Assessment Scale for Stroke Patients
-maintaining and changing posture after stroke
Functional Independence/Assessment Meausre
-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
Tardieu Scale
-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
STREAM
-Stroke Rehabilitation Assessmnent of Movement
-progressive
-voluntary mmt of limb
-measure quality of movement
-measures impairement and activity level
SARA
-Scale for the Assessmentt of Rating of Ataxia
-gait, stance, sitting, speech
-how ataxia affects it
Orpinton Prognsotic Score
-quick screen
-prognosis of stroke
-grade of deficit, proprioception, balance, cognition
NIHSS
-National Institues of Health Stroke Scale
-ER, ICU, Acute care
-severity of stroke
-no standing
Modified Ashworth Scale
-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
Line Bisection Test
-check for neglect and homonymous hemianopsia
-“place line in middle of each line”
Fugl-Meyer Test
-sensory motor function
-synergies, reflexes, voluntary mmt, coordination, sensation, joint mmt
Double Letter Cancellation Test
-check for neglect and homonymous hemianopsia, and disordered problem solving
Clock Circle
-check for neglect/visuospatial, executive fun, attention, memory
Agitated Behavior Scale
-ABS
-14-56 (worse)
-agitation from TBI and how it affects engagement
Glasgow Coma Scale
-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
DRS
-Disability Rating Scale 0-30 (death)
-ability to open eyes, speak, move, eat, toilet grooming, employability, level of function, weakness
-from coma to community
GOAT
-Galveston Orientation and Amnesia Test
-test for amnesia
-determine if coming out of Post traumatic amnesia
-orientation, knowledge of self, location, day, time
CHART
-Craig Handicap Assessment & Reporting Tequnique
-mobility, independence, occupation, social integration, cognitive
Participation Objective/Participation Subjective
-POPS
-life, transportation, relationships, community, work
Supervision Rating Scale
-SRS
-how much supervision is needed
-level1-level 5
Rancho Los Amigos Level of Cognitive Functioning Scale
1-3
- No response (no sleep/wake cycles)
- Generalized Response
-limited, inconsistent responses - 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
JFK Coma/Near Coma Scale- CRS
-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
Rancho Los Amigos Level of Cognitive Functioning Scale
4
- Confused, Agitated
-heightened state of activity, confusion, disorientation, agressive behavior
-internal confusion
-violence
Moss Attention Rating Scale
-observational tool related to attention-related behaviors after TBI
-Used in hospital
