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NCS Prep > Outcome Measures- Master > Flashcards

Outcome Measures- Master Flashcards

1
Q

Five times sit to stand

A

-cerebellar dysfunction, cerebral palsy, geriatrics, PD, stroke, vestibular
-functional LE strength
-activity limitation
>13 seconds is balance dysfunction
MCID 2.3 sec

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2
Q

6-minute walk test

A
  • stroke, TBI, PD, pulmonary/cardiac disease, elderly individuals, healthy individuals
  • activity limitation
  • Borg RPE can be used
  • no cut-offs
  • note assistance with ambulation and AD
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3
Q

9-hole peg test

A
  • acquired brain injury, stroke, MS
  • timed test to measure finger dexterity
  • body structure/function and activity limitation
  • no cut-offs, but norms for ages and populations
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4
Q

10-meter walk

A
  • Alzheimer’s, brain tumor, children with neuromuscular diseases, community dwelling older adults, movement disorders, hip fracture, LE amputation, MS, PD, SCI, TBI, stroke, vestibular
  • 3 trials, score average of 2nd and 3rd
  • activity limitation
  • household ambulation <0.4
  • limited community 0.4-0.8
  • community >0.8
  • note assistance with ambulation and AD
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5
Q

12-item MS walking scale

A
  • MS
  • questionnaire designed to subjectively measure an individual’s ability to ambulated
  • activity limitation
  • 12-60 points, 20-100% is range
  • higher number = greater disability
  • no cut-offs
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6
Q

Activities-specific balance confidence scale

A

-MS, PD, stroke, vestibular, TBI
-subjective measure of confidence in walking tasks
-activity limitation and participation restriction
-0-100 score
-higher number = greater confidence
-most common cut-off is 67%, but varies based on population
MCID 10 points or over 80%

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7
Q

Agitated behavior scale

A
  • TBI
  • observation measure- includes distractibility, unpredictable anger, repetitive behaviors, self-abusiveness, etc during acute phase
  • body structure/function and participation restriction
  • score 14-56 (higher = more agitated)
  • WNL <= 21
  • mild 22-28
  • moderate 29-35
  • severe >35
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8
Q

Amyotrophic lateral sclerosis functional rating scale

A
  • ALS
  • subjective report on functional ability while living with ALS
  • revised version includes new items to assess respiratory function
  • activity limitation and participation restriction
  • ALSFRS 0-40, revised 0-48
  • higher score = better function
  • no cut-offs
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9
Q

ASIA impairment scale

A
  • SCI
  • neurologic level of SCI
  • body structure/function
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10
Q

Barthel index

A

-stroke, geriatrics, TBI
-rates performance of 10 ADL/mobility tasks
-activity limitation
-0-100
-higher score is greater independence
-scores indicating favorable outcomes in acute stroke:
—>95 with 85.6% sensitivity, 91.7% specificity
—>90 with 90.7 sens, 88.1 spec
—>75 with 95.7% sens, 88.5% spec
-activities include feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfers, ambulation, stair climbing

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11
Q

Berg balance scale

A

-community dwelling elders, stroke
-activity limitation
-0-56 (higher is better)
<45 falls risk

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12
Q

Balance evaluation systems test (BESTest)

A

-geriatrics, PD, stroke, cerebellar dysfunction, vestibular, MS
-assess balance impairments across 6 systems- bio mechanical constraints, stability limits, anticipatory adjustments, postural responses, sensory organization, and stability in gait
-body structure/function, activity limitation
-max score 108 converted to percentage
-higher score is better function/balance
<69% fall risk

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13
Q

Chedoke-McMaster stroke assessment

A

-stroke, acquired brain injury
-assess presence and severity of physical impairments and amount of change in functional ability
-body structure/function
-0-100 (higher scores reflect normal function)
>9 on the leg and postural control scores indicates independent ambulation

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14
Q

Clinical test of sensory interaction and balance

A
  • vestibular, community dwelling elderly, cerebellar dysfunction, general balance patients
  • ability to maintain balance under various conditions challenging the somatosensory, visual, and vestibular systems
  • body structure/function, activity limitation
  • average time for each condition recorded, higher time better stability
  • CTSIB is 6 conditions, modified is 4 conditions
  • on CTSIB conditions 5 and 6 are vestibular; m-CTSIB condition 4
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15
Q

Coma recovery scale- revised

A
  • TBI, brain tumor, TBI with CVA, hypoxic brain injury
  • assists with differential diagnosis, prognostic assessment, and treatment planning in DOC
  • body structure/function
  • 0-23 (higher score is better functioning)
  • no cut-offs
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16
Q

Community balance and mobility scale

A
  • TBI, cerebral palsy, stroke, geriatric, acquired brain injury, healthy adults
  • high level balance and mobility in community
  • body structure/function, activity limitation
  • 0-95 (higher score is greater ability)
  • no cut-offs
  • can use orthotic but not AD
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17
Q

Disability rating scale

A
  • TBI and acquired brain injury
  • observer-rated 30-point scale that determines function in consciousness, cognitive ability, dependence on others, and employability
  • body structure/function, activity limitation, participation restriction
  • 0-29 (LOWER score is greater ability)
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18
Q

Dizziness handicap inventory

A

-geriatrics, MS, TBI, vestibular
-scale to determine amount of limitation perceived due to effects of dizziness
-body structure/function, participation restriction
-0-100 (LOWER number is less handicap)
>59 increase risk for falls in MS
-for vestibular patients:
— mild perception of handicap 0-30
—moderate 31-60
—severe >= 61
MCID 18 pts

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19
Q

Dynamic gait index

A

-brain injury, geriatric, MS, PD, stroke, vestibular
-assess ability to maintain postural stability during various walking tasks
-activity limitation
-0-24 (higher score better functional ambulation)
<=19 is fall risk
DGI 3 pts or >20

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20
Q

Falls efficacy scale

A
  • MS, PD, SCI, stroke, brain injury, geriatrics
  • assess perception of balance and fear of falling during ADLs
  • activity limitation, participation restriction
  • 10-100 (LOWER score is greater confidence)
  • no cut-off
  • includes only household activities
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21
Q

Frenchay activities index

A
  • stroke, geriatrics
  • assess ability of patients to complete ADLs while recovering from stroke
  • activity limitation, participation restriction
  • 15-60 (higher score is higher level of activity)
  • no cut-offs
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22
Q

Functional assessment scale

A

-stroke, TBI, MS, geriatrics
-12 items to add on to FIM to further target brain injury
-body structure/function, activity limitation, participation restriction
-12-84 (higher score is higher function)
<65 at risk for long term unemployment
-training required

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23
Q

Functional independence measure

A
  • stroke, TBI, SCI, MS, elderly
  • level of disability and amount of assistance required for ADLs with performance of 18 tasks
  • activity limitation
  • 18-126 (higher is higher function)
  • no cut-offs
  • training and certification required, used in IRF
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24
Q

Friedreich’s ataxia rating scale

A
  • Freidreich’s ataxia
  • assess ataxia and resulting impairment
  • 0-159 (LOWER score is less disability)
  • no cut-offs
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25
Q

Freezing of gait questionnaire

A
  • PD
  • subjectively assesses FOG
  • activity limitation
  • 0-24 (LOWER score is less freezing)
  • no cuto-ffs
  • to be completed during “on” state
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26
Q

Fugl-Meyer assessment scale

A
  • stroke
  • impairment and recovery in 5 domains including motor function, sensory function, balance, joint ROM, joint pain after stroke
  • body structure/function
  • 0-226 (higher score is improved function)
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27
Q

Functional gait assessment

A

-geriatrics, PD, stroke, vestibular
-assess balance during various walking tasks
-activity limitation
-0-30 (higher score more functional ambulation)
<23 is falls risk
-similar to DGI with addition of tandem walking, eyes closed, retro-walking
MCID 8 pts

28
Q

Functional reach test

A

-community dwelling elderly, PD, peripheral vestibular disorders, SCI, stroke
-use 3rd metacarpals for reference
-activity limitation
<15 cm is falls risk
-many modifications included seated

29
Q

Goal attainment scale

A

-acquired brain injury, CP, geriatrics, LE amputation, movement disorders, pain, PD, stroke, TBI, vestibular
-individualized goal selection of 1-6 goals rated on 5-point scale
-body structure/function, activity limitation, participation restriction
2+ more than expected
1+ somewhat more than expected
0 goal achieved
1- somewhat less than expected
2- much less than expected
-no cut-offs
-weight by importance and difficulty

30
Q

Hand held myometry

A
  • cerebral palsy, movement disorders, SCI, myopathics, neuropathics, elderly
  • assess strength and finger and wrist musculature used with grip
  • body structure/function
  • no cut-offs
  • compared strength of involved to uninvolved or to age-matched norms
31
Q

High-level mobility assessment tool

A

-traumatic and acquired brain injury
-high level balance and mobility performance
-activity limitation
-0-54 (higher score is better performance)
-no cut-offs
-norms:
—males 18-25 y/o 50-54
—females 18-25 y/o 44-54
-orthotics allowed, must be able to ambulate independently over 20 meters without AD

32
Q

International cooperative ataxia rating scale

A
  • Freidreich’s ataxia, spinocerebellar disorders
  • impairment as a result of hereditary ataxia with regard to postural and gait disturbance, limb ataxia, dysarthria, and oculomotor disorders
  • activity limitation
  • 0-100 (LOWER score is less impairment)
  • no cut-offs
33
Q

Mini-BESTest

A

-acquired/TBI, geriatrics, movement disorders, MS, PD, stroke, vestibular
-abbreviated 14-item scale using psychometric techniques to improve BESTest
-body structure/function, activity limitation
-0-28 (higher score is less impairment)
<23 is fall risk

34
Q

Mini mental state exam

A

-stroke, TBI, geriatrics
-screening tool using several questions and tasks to assess cognitive impairment
-body structure/function
-0-30 (higher score is better cognition)
<24 is cognitive impairment

35
Q

Modified Ashworth scale

A
  • CNS impairment
  • measures spasticity
  • body structure/function
  • 0-4 (higher more spasticity
  • no cut-offs
36
Q

Modified falls efficacy scale

A

-geriatrics
-perception of balance and fear of falling during ADLs
-activity limitation and participation restriction
-0-10 (higher score is more confidence)
<4 predictive of falls and longer hospital stay
-confidence in performing 14 indoor and outdoor tasks rated 0-10. Final score is average (total score/ items rated)

37
Q

Modified fatigue impact scale

A
  • MS
  • determines effects of fatigue involving physical, cognitive, and psychosocial aspects of daily life
  • body structure/function, activity limitation
  • 0-84 (LOWER number is less impact of fatigue)
  • no cut-offs
38
Q

Montreal cognitive assessment

A

-geriatrics, PD, stroke, dementia
-screening tool to detect mild cognitive dysfunction
-body structure/function
-0-30 (higher score is better cognition)
<26 suggests cognitive dysfunction
Involves executive function and memory tasks, good for vascular dementia and vascular cognitive impairment

39
Q

Moss attention rating scale

A
  • TBI
  • observational tool to measure attention-related behaviors following TBI
  • body structure/function
  • 22-110 (higher score is better attention)
  • no cut-offs
40
Q

Motion sensitivity quotient

A
  • vestibular dysfunction
  • measures motion-provoked dizziness
  • body structure/function, activity limitation
  • calculation converts score 0-100% (LOWER score is less motion sensitivity)
  • mild 0-10%
  • moderate 11-30%
  • severe 31-100%
41
Q

Motor activity log

A
  • stroke
  • interview to asses arm function based on quality and amount of movement
  • activity limitation, participation restriction
  • total score based on variation of test used
  • 0-5 (higher score is better function)
  • no cut-offs
  • variations include 14, 28, or 30 tasks
42
Q

Motor assessment scale

A
  • stroke
  • ability to complete tasks completed during normal daily life
  • activity limitation
  • 0-48 (higher score better motor function)
  • no cut-offs
43
Q

MS functional composite

A
  • MS
  • evaluates cognition, gait, and UE function in MS
  • body structure/function, activity limitation
  • includes timed 25-foot walk, 9-hold peg test, and paced auditory serial addition test
  • no cut-offs
44
Q

MS impact scale

A
  • MS
  • questionnaire to measure physical and psychological impact of MS on daily life
  • participation restriction
  • 29-145 (LOWER scores decreased impact of MS on daily life)
  • no cut-offs
45
Q

MS quality of life

A
  • MS
  • QOL questionnaire focusing on physical health and mental health tailored to MS-specific issues
  • activity limitation, participation restriction
  • no overall score, summary scores for physical and mental health based on combination of scale scores
  • no cut-offs
46
Q

National institutes of health stroke scale

A
  • stroke
  • measures severity of symptoms and impairments following stroke
  • body structure/function
  • 0-42 (LOWER score is less severity
  • mild 1-5
  • mild to mod 5-14
  • severe 15-24
  • very severe >25
47
Q

Numeric pain rating scale

A
  • populations with pain, SCI
  • subjective intensity of pain
  • body structure/function
  • 0-10 (LOWER score less pain)
  • mild 1-3
  • moderate 4-6
  • severe 7-10
48
Q

Orpington prognostic scale

A
  • stroke including those with aphasia, dysarthria, and dementia
  • four sub scales (motor deficit in arm, proprioception, balance and cognition) to determine stroke severity
  • body structure/function
  • 1.6-6.8 (LOWER score is less deficit)
  • mild to mod <3.2
  • mod to severe 3.2-5.2
  • severe or major >5.2
49
Q

Parkinson’s disease questionnaire-39

A
  • PD
  • questionnaire assessing PD-specific health-related QOL based on 8 dimensions (mobility, ADLs, emotional well-being, stigma, cognition, communication, bodily discomfort)
  • participation restriction
  • 0-156 (LOWER score better QOL)
  • no cut-offs
50
Q

Patient health questionnaire

A

-cardiology, dementia, general medical outpatients, oncology, PD, primary care, SCI, stroke, TBI
-self-report of depressive symptoms over previous 2 weeks
-body structure/function
-0-27 (higher score more depression)
>12 suggests major depressive disorder

51
Q

Physical performance test

A

-PD
-assess ability to complete tasks representative of ADLs
-activity limitation
-0-36 (higher score better performance)
<17 unable to function in community
17-24 moderate frailty
25-32 mild frailty
32-36 not frail
-modified version with 7 items instead of 9

52
Q

Postural assessment scale for stroke patients

A
  • stroke
  • assess and monitor postural ability in lying, sitting, and standing while maintaining or changing position in 12 tasks
  • activity limitation
  • 0-36 (higher score more able)
  • no cut-offs
53
Q

Push and release test

A

-cerebellar dysfunction, PD, vestibular, general balance patients
-assess instability by ability to regain balance
-body structure/function, activity limitation
-scored 0-4
0- recovers with 1 step independently
1- needs 2-3 steps to recover
2- 4+ steps required but independent
3- able to step but needs assistance
4- falls without attempting a step or unable to stand without assistance
-no cut-offs

54
Q

Quality of life after brain injury

A
  • TBI
  • health-related QOL questionnaire
  • participation restriction
  • 0-100 (higher is greater QOL)
  • no cut-offs
55
Q

Rancho levels of cognitive functioning

A
  • TBI
  • behavioral and cognitive characteristics associated with various stages of recovery after TBI
  • body structure/function
  • levels 1-8 (reviewed has 10 levels)- higher is greater function
  • no cut-offs
56
Q

Retropulsive pull test

A

-cerebellar dysfunction, PD, general balance patients
-assess nonvestibular-related balance impairment
-body structure/function, activity limitation
-scored 0-4
0- recovers independently with 1-2 steps or ankle strategy
1- recovers independently with 3+ steps
2- requires assistance to prevent fall
3- very unstable, loses balance spontaneously
4- unable to stand without assistance
-no cut-offs
-usually used for PD as part of UPDRS

57
Q

Scale for the assessment and rating of ataxia

A

-cerebellar dysfunction, stroke
-quantitative assessment of impairments related to cerebellar ataxia
-body structure/function, activity limitation
-0-40 (LOWER score less ataxia)
-gait
—<=8 independent
—<=11.5 quad cane
—<=12.25 walker
-ADLs
—<=5.5 independent
—<=10 min dependent
—<=14.25 mod dependent
—>=23 max dependent

58
Q

Sensory organization test

A
  • cerebellar dysfunction, general balance patients, vestibular
  • computerized posturography using 3 balance systems (somatosensory, visual, vestibular)
  • body structure/function, activity limitation
  • average COG sway for each trial and condition, composite score and ratios obtained to quantify use of each system
  • conditions 5 and 6 isolate vestibular input
59
Q

Stroke impact scale

A
  • stroke
  • self-report on stroke impact in 8 areas- strength, hand function, ADL/IADL, mobility, communication, memory and thinking, emotion, and participation/role function
  • activity limitation, participation restriction
  • 0-100 (higher score less impact/impairment)
  • no cut-offs
60
Q

Timed 25 foot walk

A
  • MS
  • obtain quantitative measure of mobility and leg function
  • activity limitation
  • no cut-offs
  • average of 2 timed trials
61
Q

Timed up and go

A

-geriatrics, MS, PD, SCI, stroke, vestibular, LBP, arthritis, amputees
-mobility, balance, and fall risk
-3 meters
-activity limitation
>13.5 seconds is falls risk
>=14.5 fall risk for TUG manual or difference of 4.5 seconds between TUG and TUG manual
>=15 falls risk for TUG cognitive

62
Q

Tinetti performance oriented mobility assessment

A
  • stroke, PD, geriatrics
  • balance and functional ambulation
  • activity limitation
  • total 0-28
  • balance score 0-16
  • gait score 0-12
  • higher score is better independence
  • 25-28 low fall risk
  • 19-24 medium fall risk
  • <19 high fall risk
63
Q

United Parkinson disease rating scale

A
  • PD
  • comprehensive assessment to determine impact of diagnosis of PD on daily life
  • body structure/function, activity limitation, participation restriction
  • 0-260 (LOWER score decreased disease impact)
  • no cut-offs
  • motor portion most commonly used in PT practice
64
Q

Walking index for SCI II

A
  • SCI
  • determines amount of physical assistance and reliance on ambulatory aids for walking following SCI-related paralysis
  • activity limitation
  • 0-20 (higher score less severe impairment)
  • no cut-offs
65
Q

World Health Organization quality of life- BREF

A
  • dementia, geriatrics, PD, SCI, stroke, wheelchair users
  • measures QOL based on culture, values, goals
  • participation restriction
  • max score 100 each domain (higher score better QOL)
  • no cut-offs
  • domains- physical health, psychological health, social relationships, environment
66
Q

Four square step test

A

> 15 seconds is multiple falls risk for older adults

NCS Prep (19 decks)

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