Outcome Measures Flashcards
why use outcome measures?
evaluate change in patient’s status following therapeutic intervention
enhances and supports clinical decision making
helps develop POC
allow determination of change over time and overall effectiveness of the intervention
assists when communicating with patients, other health care professionals and 3rd party payers bough change in performance or health status
what outcome measures are recommended for stroke?
6 minute walk
10 meter walk
action research arm test
Berg balance test
dynamic gait index
functional reach
Fugl-meyer
ash worth scale
Orpington prognostic scake
postural assessment scale for stroke
stroke impact scale
tardieu spasticity scale
nottingham assessment of somatosensation
rivermead assessment of somatosensory performance
what is the Orpington prognostic scale?
target setting?
optimal time to use?
what does it test?
target setting: acute and inpatient rehab
optimal time to use: within 2 weeks post onset
what does it test: level of impairment within 2 weeks
scoring: 4 domains (motor, proprioception, balance & cognition). scores are summed to provide a total score. A lower score reflects less impairment.
equipment: score sheet, list of cognitive questions
time: 15 min
what is the fugal meyer?
target setting: appropriate in all settings
optimal time: all stages
what does it test: impairment levels for : light touch, proprioception, extremities function, balance, ROM and pain
what is the PASS?
target setting: all settings and at any time. designed specifically for stroke.
what does it test: 12 items of increasing difficulty that measure balance in lying, sitting and standing. measures the ability to maintain stable postures as well as equilibrium in changes of position.
stroke impact scale?
target setting: pt. must be able to answer 3 step commands
what does it test: 5 point ordinal questionnaire used to determine how stroke has impacted the patient’s health, life, current QOL and how much the patient feels they have recovered.
