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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
Freezing of gait questionnaire
- PD - subjectively assesses FOG - activity limitation - 0-24 (LOWER score is less freezing) - no cuto-ffs - to be completed during “on” state
26
Fugl-Meyer assessment scale
- 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)
27
Functional gait assessment
-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
Functional reach test
-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
Goal attainment scale
-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
Hand held myometry
- 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
High-level mobility assessment tool
-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
International cooperative ataxia rating scale
- 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
Mini-BESTest
-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
Mini mental state exam
-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
Modified Ashworth scale
- CNS impairment - measures spasticity - body structure/function - 0-4 (higher more spasticity - no cut-offs
36
Modified falls efficacy scale
-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
Modified fatigue impact scale
- 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
Montreal cognitive assessment
-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
Moss attention rating scale
- TBI - observational tool to measure attention-related behaviors following TBI - body structure/function - 22-110 (higher score is better attention) - no cut-offs
40
Motion sensitivity quotient
- 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
Motor activity log
- 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
Motor assessment scale
- stroke - ability to complete tasks completed during normal daily life - activity limitation - 0-48 (higher score better motor function) - no cut-offs
43
MS functional composite
- 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
MS impact scale
- 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
MS quality of life
- 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
National institutes of health stroke scale
- 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
Numeric pain rating scale
- 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
Orpington prognostic scale
- 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
Parkinson’s disease questionnaire-39
- 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
Patient health questionnaire
-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
Physical performance test
-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
Postural assessment scale for stroke patients
- 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
Push and release test
-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
Quality of life after brain injury
- TBI - health-related QOL questionnaire - participation restriction - 0-100 (higher is greater QOL) - no cut-offs
55
Rancho levels of cognitive functioning
- 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
Retropulsive pull test
-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
Scale for the assessment and rating of ataxia
-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
Sensory organization test
- 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
Stroke impact scale
- 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
Timed 25 foot walk
- MS - obtain quantitative measure of mobility and leg function - activity limitation - no cut-offs - average of 2 timed trials
61
Timed up and go
-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
Tinetti performance oriented mobility assessment
- 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
United Parkinson disease rating scale
- 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
Walking index for SCI II
- 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
World Health Organization quality of life- BREF
- 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
Four square step test
>15 seconds is multiple falls risk for older adults

NCS Prep (19 decks)

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