Outcome Measures

Question 1

FIM
What does it measure
What is the point scale

Answer 1

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

Question 2

SCIM

Answer 2

Spinal cord independence measure
-similar to fim but has WC and respiration categories
high scores associated with better function

Question 3

WST

Answer 3

Wheelchair Skills Test (WST)
4 point scale 
0 = Fail
1 = partial pass
2 = pass
3 = Advanced pass

Question 4

Clinical Test for Sensory Interaction on Balance (CTSIB)

Answer 4

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

Question 5

How do we objectively assess activities?

Answer 5

Outcome Measures:

-tool used to assess a patient’s functional status. Provides a score, may provide a risk categorization

Question 6

Why use Outcome Measures?

Answer 6

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

Question 7

Berg Balance Scale (BBS):

assesses and cutoff scores

Answer 7

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

Question 8

ABC

measures and scoring

Answer 8

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

Question 9

FGA

what is this for and cut off score

Answer 9

Functional Gait Assessment

For balance while walking

cut off score for older adults is 22/30 (risk of falls )

Question 10

10 mWT

what is this for

Answer 10

10 Meter Walk Test

For Walking speed

Question 11

Walking speed for a household walker (m/s)

Answer 11

> 0.4

Question 12

Walking speed for a limited community ambulator (m/s)

Answer 12

0.4-0.8

Question 13

Walking speed for a community ambulator (m/s)

Answer 13

0.8 - 1.3

Question 14

6 mWT

used to

Answer 14

6 Minute Walk Test

Used to assess walking endurance and aerobic capacity via submaximal exercise test

Question 15

FTSTS

used to

Answer 15

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

Question 16

What are the 6 core outcome measures

Answer 16

BBS
ABC
FGA
10 MWT
6 MWT
FTSTS

Question 17

Four Square Step Test

What is this for and what is the cutoff score

Answer 17

Developed for community dwelling older adults

Identify high falls risk:

15 s cutoff score

Question 18

Stroke-Specific Outcomes Measures
Fugl Meyer

evaluates
point scale
domains

Answer 18

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)

1. Motor Function (UE maximum score= 66, LE maximum score=34)
2. Sensory Function (maximum score=24)
3. Balance (maximum score=14)
4. Joint range of motion (maximum score=44)
5. Joint pain (maximum score=44)

Question 19

Stroke-Specific Outcomes Measures
Postural Assessment Scale for Stroke (PASS)

measures

most useful for

scoring

Answer 19

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

Question 20

Stroke-Specific Outcomes Measures

Trunk Impairment Scale

Answer 20

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

Question 21

Stroke-Specific Outcomes Measures

Stroke Impact Scale (SIS)

Answer 21

• 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

Question 22

Stroke-Specific Outcomes Measures

Burke Lateropulsion Scale

Answer 22

• 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