Outcome Measures Flashcards
FIM
What does it measure
What is the point scale
Functional independence Measure
skills include self-care, transfers, locomotion, communication, social and bathroom 7 point scale: 1, 2 = complete dependence 1-5 needs helper 7 = independent
SCIM
Spinal cord independence measure
-similar to fim but has WC and respiration categories
high scores associated with better function
WST
Wheelchair Skills Test (WST) 4 point scale 0 = Fail 1 = partial pass 2 = pass 3 = Advanced pass
Clinical Test for Sensory Interaction on Balance (CTSIB)
Foam and dome
Tests attempts to take away either one or two of the three sensory components of balance and see how the remaining structures compensate
How do we objectively assess activities?
Outcome Measures:
-tool used to assess a patient’s functional status. Provides a score, may provide a risk categorization
Why use Outcome Measures?
Monitor changes in functional status over time
Quantify observations and patient reported function
Enhance communication
Increase efficiency of patient care
Examine intervention effectiveness
Generate new knowledge
Berg Balance Scale (BBS):
assesses and cutoff scores
Used to determine a patient’s falls risk
Scored from 0 to 56
56 denoting perfect score and good balance
= 40 almost 100% fall risk
=50 fall risk
ABC
measures and scoring
Assess self-reported changes in balance confidence in adults with neurologic conditions who have goals and the capacity to change in this area.
measured in percentage
0% = no confidence
100% = complete confidence
> 80% = high level physical functioning
50-80% = moderate level
<50% = low level of physical functioning
FGA
what is this for and cut off score
Functional Gait Assessment
For balance while walking
cut off score for older adults is 22/30 (risk of falls )
10 mWT
what is this for
10 Meter Walk Test
For Walking speed
Walking speed for a household walker (m/s)
> 0.4
Walking speed for a limited community ambulator (m/s)
0.4-0.8
Walking speed for a community ambulator (m/s)
0.8 - 1.3
6 mWT
used to
6 Minute Walk Test
Used to assess walking endurance and aerobic capacity via submaximal exercise test
FTSTS
used to
Five Times Sit to Stand
Used to assess transfer skill, functional lower extremity strength, and/or movement strategies for transitional movements
~12 seconds is a risk of falls
What are the 6 core outcome measures
BBS ABC FGA 10 MWT 6 MWT FTSTS
Four Square Step Test
What is this for and what is the cutoff score
Developed for community dwelling older adults
Identify high falls risk:
15 s cutoff score
Stroke-Specific Outcomes Measures
Fugl Meyer
evaluates
point scale
domains
Evaluates recovery in patients with post-stroke hemiplegia
3 point ordinal scale
0=cannot perform, 1=performs partially, 3=performs fully
226 maximum score
5 domains (subscales can be administered without completing the whole test)
- Motor Function (UE maximum score= 66, LE maximum score=34)
- Sensory Function (maximum score=24)
- Balance (maximum score=14)
- Joint range of motion (maximum score=44)
- Joint pain (maximum score=44)
Stroke-Specific Outcomes Measures
Postural Assessment Scale for Stroke (PASS)
measures
most useful for
scoring
12 items with increasing difficulty that measures balance in lying, sitting, and
standing
Measures ability to maintain stable postures and maintain equilibrium during transitions
Most sensitive to assess postural control for first 3 months post-CVA
Total score 36
Individual items scored from 0 to 3
Maintaining posture subscore; Changing posture subscore
Stroke-Specific Outcomes Measures
Trunk Impairment Scale
To assess motor impairment of trunk after stroke
3 subscales: Static sitting balance (3 items) Dynamic sitting balance (10 items) Coordination (4 items) Maximum score: 23
Stroke-Specific Outcomes Measures
Stroke Impact Scale (SIS)
- Self-report questionnaire to assess disability and health related quality of life after CVA
- 59 Items, 8 domains: Strength (4 items) Hand function (5 items) ADL/iADL (10 items) Mobility (9 items) Communication (7 items) Emotion (9 items) Memory and thinking (7 items) Participation/role function (8 items)
- 5 point Likert scale. Summative scores for each domain, range from 0-100. Scoring software available
- SIS-16 available to assess daily activities only
Stroke-Specific Outcomes Measures
Burke Lateropulsion Scale
- 5 item scale that measures pusher syndrome by rating the action/reaction of
patients required to keep or change position - Maximum score=17
- The greater the degree of pushing evident, the higher the score
