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NCS 2021 > Outcome Measures > Flashcards

Outcome Measures Flashcards

1
Q

5 times sit to stand

A

Cut off scores for CVA-12 sec and for PD-16 sec; >13 sec indicates balance dysfunction

Activity limitation

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2
Q

6 minute walk test

A

Activity limitation

Cut off scores not established

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3
Q

9-hole peg test

A

Normal values based on age group

20-30s- 17 sec
30-40s- 18 sec
40-50s- 19 sec
50-60s-19-21 sec
60-70s- 21-22 sec
\+70-25 sec
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4
Q

10 MWT

A 
6th vital sign
<0.4 m/sec- household ambulation
0.4-0.8 m/sec- limited community
0.8 m/sec- community
>1.2- cross walks

<1.0 m/sec- intervention to reduce fall risk
>1.0 m/sec- INDEP w/ ADLs, less likely to be hospitalized
<0.6 m/sec- DEP in ADLs, more likely to be hospitalized

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5
Q

Activities Specific Balance Confidence Scale

A

Cut off score 67% in elderly adults
Cut off score of 81% in chronic stroke

Higher scores indicate increased confidence in one’s balance

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6
Q

Agitated Behavior Scale

A

<21 WNL
22-28- Mild
29-35-Moderate
>35- Severe

Score 14-56
>22= presence of agitation

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7
Q

Berg Balance Scale

A

Cut off score for fall 45/56

Activity limitation

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8
Q

Chedoke-McMaster Stroke Assessment

A

> 9 on the leg and postural control scores indicate independent ambulation

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9
Q

Clinical Test of Sensory Interaction and Balance

A

1- firm surface, EO
2- firm surface, EC
3- compliant surface- EO
4- compliant surface- EC

Measures up to 30 sec, average across 3 trials

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10
Q

Coma Recovery Scale

A

Score from 0-23; lower scores= brainstem/reflex activity

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11
Q

Functional Independence Measure

A

FIM
18-126; higher scores= higher level of functioning
Training required, used in IP rehab

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12
Q

Functional Gait Assessment

A

FGA

Cut off score <23/30

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13
Q

Disability Rating Scale

A

0-29;

Lower scores indicates greater ability

TBI/ABI

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14
Q

Dizziness Handicap Inventory

A

0-100
Higher score= increased severity
>59 = increased risk for falls in individuals with MS
>61= severe perception of handicap for vestibular dysfunction

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15
Q

Dynamic Gait Index

A

DGI
0-24
<19 indicates fall risk

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16
Q

Timed Up and Go

A

Increased risk for falls
CVA- >14 sec
Elderly->13.5 sec indicates increased risk for falls

> 14.5 sec on TUG manual or difference of 4.5 sec or greater between TUG and TUG manual indicates falls risk

> 15 sec indicates falls risk for TUG Cognitive

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17
Q

Tinetti Performance Oriented Mobility Assessment

A

25-28- low fall risk
19-24- medium fall risk
<19 = high falls risk

On a scale of 0-28

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18
Q

United Parkinson Disease Rating Scale

A

UPDRS

0-260 (lower scores suggests decreased impact of disease)

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19
Q

Walking Index for Spinal Cord Injury II

A

WISCI

0-20 (higher scores indicates less severe impairment)

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20
Q

Stroke Impact Scale

A

Score from 0-100

Higher scores= less impairment

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21
Q

Retropulsive Pull Test

A

0-4

0: recovers independently with 1-2 steps or ankle strategies
1: recovers INDEP with 3+ steps
2: requires assistance to prevent fall
3: very unstable; loses balance spontaneously
4: unable to stand w/o assistance

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22
Q

Orpington Prognostic Scale

A

Where a patient will DC
3.2-5.2= IP rehab
>5.2= SNF
<3.2= home

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23
Q

Postural Assessment Scale for Stroke Patients

A

PASS
0-36 (higher score indicates higher ability)
Score of 14= INDEP ambulation

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24
Q

National Institutes of Health Stroke Scale

A

NIHSS

Mild: 1-5
Mild/Moderate: 5-14
Severe: 15-25
Very severe >25

0 (no impairment)- 42 (highest impairment)

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25
Q

Montreal Cognitive Assessment

A

MoCA
0-30
<26 suggests cognitive dysfunction

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26
Q

Moss Attention Rating Scale

A

22-110

Higher score indicates better attention

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27
Q

Functional Reach Test

A

Cut off scores <6’’ or <15 cm indicates fall risk

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28
Q

Hand held myometry

A

Normal values
Male- 100 lbs
Female- 65 lbs

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29
Q

High level Mobility Assessment Tool

A 
HiMat
0-54 (higher score indicates better performance)
Normative values
Men- 50-54
Female-44-54
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30
Q

Mini-Best Test

A

0-28
Higher score indicates less impairment
<23 suggests increased risk for falling

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31
Q

Mini Mental State Exam

A

MMSE
0-30
<24= presence of cog impairment

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32
Q

Modified Ashworth Scale

A 
MAS
0-4
Higher score=increased spasticity
0-None
1- slight catch/release, at end of ROM
2- Increase muscle tone throughout most ROM
3- Passive movement difficult
4-Unable to move/rigid
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33
Q

What are the highly recommended OMs used in acute CVA?

A
  • Orpington prognostic scale
  • Functional reach test
  • PASS
  • 6MWT
  • 10MWT
  • TUG
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34
Q

What are the highly recommended OMs using in IP rehab and OP post CVA?

A
  • 6MWT
  • 10MWT
  • TUG
  • Functional reach test
  • FIM (IP only)
  • PASS
  • Goal attainment scale
  • Motor activity log
  • Stroke impact scale (OP only)
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35
Q

Tinetti Falls Efficacy Scale

A

Self report for rating balance confidence
Lower score=better
On a scale of 1 (very confident)- 10 (not confident)

> 70 points= FOF
80 points= risk of falling

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36
Q

Fugl-Meyer

A

GRASP (Graded repetitive Arm Supplementary Progrma

  • Level 1 Fugyl Meyer score 10-25 (fine motor skills not required)
  • Level 2 Fugyl Meyer score 26-45; more graded control of hand grasp/release
  • Level 3 Fugyl Meyer score 46-58; requires fine motor skills
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37
Q

Modified Rankin Scale

A

Looks at assistance level required for self care, ADLs, and overall function

  • Mix of self report and observation measure
  • 0= no symptoms
  • 5 = bed ridden
  • Initially moderately disabled (score of 3) achieved INDEP state within 96 days
  • Severely disabled (score of 4)= 585 days
  • Very severely disabled (score of 5)= >600 days
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38
Q

Barthel index

A

Functional limitation measure

  • Shows individuals ability to care for self
  • 10 ADL items rated based on level of assist the patient requires
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39
Q

Functional ambulation categories

A 
0= non functional
6= independent
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40
Q

Trunk impairment scale for non-ambulatory patients

A
  • Can score 0-23
  • Average score for non-ambulatory patients is 8
  • Average score for ambulatory patients is 14
  • looks at static sitting, balance, dynamic sitting balance, and coordination
41
Q

What score on the BBS indicates a more likely DC to home?

A

20/56

42
Q

Functional reach cutoff score for fall risk

A

<6 inches or 15 cm

43
Q

Postural Assessment Scale for Stroke

A

able to predict functional ability and DC destination better than the trunk impairment scale

44
Q

What range of FIM scores demonstrates higher gains with rehab?

A

score between 37-72

45
Q

What are the STREAM score categories for DC home?

A

<63 has 0% chance
63-95 has 55% chance
95-100 has 86% chance

46
Q

What are the mini-mental state exam categories?

A

None 24-30
Mild- 18-24
Severe- 0-7

47
Q

Motor activity log

A

Self rating of quality and amount of hemiparetic arm use
Activity level
IP and OP setting only

48
Q

What is the Action Research Arm Test

A

Provides more information on grasp, grip, and pinch

Activity level measure

49
Q

What is the SIP-30?

A

Assess perceived health status
Self report
0-100% where higher score is worse health status

50
Q

What are the highly recommended outcome measures in the acute care setting for TBI?

A
  • RLAS
  • CRS
  • ABS
  • Moss attention rating scale
51
Q

What are the highly recommended outcome measures in the IP rehab setting for TBI?

A
  • CRS

- MARS

52
Q

What are the highly recommended outcome measures in OP setting for TBI

A
  • 6MWT

- Functional Assessment Measure

53
Q

Based on the CRS, what indicates emergence from minimally conscious state?

A

Score of 0-23 (lower scores indicate reflexive and brainstem level activity)

  • Motor score of 6 or communication score of 2 indicates emergence from minimally conscious state
  • functional object use and functional/accurate communication
  • appropriate for P’s rancho levels I-IV
54
Q

Disability rating scale scoring

A

higher scores indicate higher level of disability

55
Q

What is the cutoff score for the Functional Assessment Measure?

A
  • FAM score <65 indicative of risk for long-term unemployment
  • Activity level measure
56
Q

Dizziness handicap inventory (DHI)

A

Self report measure where higher score indicates greater handicap due to dizziness

57
Q

Glasgow Coma Scale

A

Mild- 13-15
Moderate- 9-12
Severe: <8
Vegitative: <3

Motor response (1-6), Verbal response (1-5), and eye opening (1-4)

Eye opening

  1. no eye opening
  2. eyes open to pain
  3. eyes open to speech
  4. spontaneous eye opening

Verbal response

  1. no sounds
  2. Incomprehensible sounds
  3. Inappropriate words and jumbled phrases of workds
  4. Confused, yet coherent speech
  5. Alert and oriented

Motor response

  1. No response
  2. Decerebrate posturing
  3. Decorticate posturing
  4. Withdraws from noxious stimuli
  5. Localizes to noxious stimuli
  6. Obeys command fully
58
Q

What are highly recommended OMs in PD?

A
  • UPDRS
  • MOCA
  • 6MWT
  • 10MWT
  • Mini BESTest
  • FGA
  • 5XSTS
  • Participation- PDQ 8 or 39
59
Q

What is the only validated measure of freezing of gait?

A
  • FOG questionnaire
  • Higher scores=greater severity of FOG
  • self reported measure
  • completed during “on” medication time
60
Q

ABC cutoff scores for PD

A

67% indicates risk of falling

<69% predictive of recurrent falls

61
Q

What stages of PD is the TUG recommended for?

A

1-4

62
Q

MDS-UPDRS

A

Measure of burden and extend of PD, disease severity

  • lower score indicates less impact of PD symptoms
  • part 1: mentation, behavior, and mood
  • part 2: assessment of ADLs
  • part 3: motor exam
  • part : motor complications

Mean score in PD population= 68 (highest score is 108)

63
Q

Montreal Cognitive Assessment (MoCA) cuttoff scores for PD

A

cutoff score for PD-mild cognitive impairment <26/30

cutoff score for PD dementia: 22/30

64
Q

MiniBesTest

A

cutt off score for propsective fallers- 16/32

Assessment of dynamic balance

65
Q

FGA cutoff score to identify fallers in PD population

A

15/30

66
Q

What stages of PD is the BBS recommended for?

A

Stage 2 and 3 (ceiling effect in stage 1, floor effect in stage 4)

67
Q

PDQ 9 or PDQ 39

A

Self reported measure
Assess PD specific health related QOL
lower score= better QOL

68
Q

ALS-Functional Rating Scale

A

Higher score= better functioning

out of 40 points

69
Q

Unified Huntington Disease Rating Scale

A

Lower score=better functioning

70
Q

Cutoff score for increased fall risk in HD on the BBS?

A

40/56

71
Q

Highly recommended OMs used in MS?

A 
MSWS-12 (for EDSS up to 7.5)
6MWT
DHI (OP only)
MS Functional Composite (OP only)
MS Quality of Life
MSIS-29
72
Q

What type of measure is the MSWS-12 walking scale?

A

Self report measure of impact of MS on walking ability
sore 1-5 with 1 as no limitation and 5 as extremely limited
lower score is better
activity level measure

Average score on the MSWS-12 for falls= 75/100

73
Q

What comprises the MS Functional composite?

A
  • Timed 25-foot walk test
  • 9 hole peg test
  • paced auditory serial addition test
  • OP setting
74
Q

MSQOL-54

A

contains items from SF 36 with 18 new items added
activity and participation level
self report

75
Q

Normative value for 6MWT in MS?

A

1260ft (385 meters)

76
Q

What is the cutoff score on the DHI?

A

less than or equal to 59

use in OP setting

77
Q

What score on the DGI is indicative of fall risk in MS?

A

<12/24 points

78
Q

Expanded Disability Status Scale (EDSS) scoring

A
  1. No disability, minimal signs
  2. Minimal disability
  3. Moderate disability
  4. Ambulatory w/o aid or rest 500 m
  5. Ambulatory w/o aid or rest 200 m
  6. intermittent or unilateral constant assistance required for 100 m
  7. unable to ambulate 5 meters with aid, wheels self in WC, transfers alone
  8. restricted to WC, OOB most of day
  9. helpless in bed, can communicate and eat
  10. Death due to MS
79
Q

Fatigue Scale for Motor and Cognitive functions (FSMC)

A

only fatigue measure researched in MS

recommended in all treatment settings

80
Q

MSIS-29

A

Self report measure asking impact of MS on day to day life

  • Score of 1 is not at all and 5 is extremely
  • Max score of 100 meaning greater impact of MS on your life
  • Participation level measure
81
Q

What are the normative values for Box and Blocks test (MS)?

A
  • range from 83-61
  • 83 blocks for people in their 40s
  • 61 blocks for people in their 70s
82
Q

What are the 5xSTS cutoff scores in MS?

A

<20 sec= INDEP for basic transfers

>30= dependent on transfers, do not go out alone

83
Q

What are the highly recommended OMs for AIS A/B?

A

AISA impairment Scale

World Health organization QOL-BREF (recommended at chronic stage >6 months)

84
Q

What are the highly recommended OMs for AIS C/D?

A
  • AISA Impairment Scale
  • World Health organization QOL-BREF (>6 months)
  • 6MWT
  • 10MWT
  • TUG
  • WISCI II (not > 6 months; recommended for acute <3 months)
85
Q

What are the mean TUG times for paraplegia and tetraplegia?

A

Para- 20 sec

Tetra- 15 sec

86
Q

How is the WISCI II scored?

A
  • 0-20
  • 0 is unable to stand/participate in walking
  • 20 is ambulation with no AD or assist
  • gives more information on bracing and ADs
  • Activity level measure
87
Q

What is the SCIM?

A

Spinal cord independence measure

  • activity level measure, similar to the FIM
  • out of 100 points
88
Q

What is the SCI FAI?

A

Spinal Cord Injury Functional Ambulation Inventory

-looks at 3 domains of walking function (gait parameters, assistive device, and temporal distance)

89
Q

What is the WUSPI?

A

Wheelchair users shoulder pain index

  • score ranges from 0-150
  • higher score=more pain with activity
90
Q

What time period post injury has the 6MWT shown the greatest responsiveness?

A

3-6 months post injury

91
Q

What MMT score indicate use of specific strength testing measures?

A

Greater than 3/5= hand held myometry

Less than 2+/5= MMT

92
Q

What is the cutoff score for fall risk on the 5xSTS in the vestibular population?

A

<15 sec

93
Q

What are the cutoff scores on the DHI?

A

Mild- 0-30
Moderate- 31-60
Severe- 61-100

94
Q

What is the cutoff score for falls risk on the miniBEST for vestibular patients?

A

<19= recurrent fallers

95
Q

What is the cutoff for falls risk on the four square step test? (vestibular)

A

> 12 sec

96
Q

What is the cutoff for fall risk on the FGA? (vestibular)

A

22/30

15/30 in PD population

97
Q

What is the cutoff for fall risk on the TUG in the vestibular population?

A

> 11 sec

98
Q

What is considered a positive result on the Dynamic Visual Acuity test?

A

> 1 line loss of vision (is it 2??)

NCS 2021 (2 decks)

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