Outcome Measures Must Know!

Question 1

Kurtzke EDSS

Answer 1

Multiple Sclerosis. 0-10. 0=normal, 4.5 = work full day but may need assist, no AD for gait, 6 = cane, 6.5=walker, 7 = wheelchair, 9=eat/swallow, 10=death.

Question 2

Glasgow Coma Scale

Answer 2

TBI. 3-15. Eye response, Verbal Response, Motor Response.13 or higher correlates with a mild brain injury, 9 to 12 is a moderate injury and 8 or less a severe brain injury.

Question 3

Items on Glasgow Coma Scale

Answer 3

Best Eye Response. (4) 
1. No eye opening.
2. Eye opening to pain.
3. Eye opening to verbal command.
4. Eyes open spontaneously.
Best Verbal Response. (5)
1. No verbal response
2. Incomprehensible sounds.
3. Inappropriate words.
4. Confused
5. Orientated
Best Motor Response. (6)
1. No motor response.
2. Extension to pain.
3. Flexion to pain.
4. Withdrawal from pain.
5. Localising pain.
6. Obeys Commands.

Question 4

JFK Coma Recovery Scale Revised

Answer 4

TBI. 23 items, 6 subscales. scores at 1-3 months predictive of function at 1 year.

Question 5

Items on JFK CRS-R

Answer 5

AUDITORY FUNCTION SCALE
4 - Consistent Movement to Command *
3 - Reproducible Movement to Command *
2 - Localization to Sound
1 - Auditory Startle
0 - None
VISUAL FUNCTION SCALE
5 - Object Recognition *
4 - Object Localization: Reaching *
3 - Visual Pursuit *
2 - Fixation *
1 - Visual Startle
0 - None
MOTOR FUNCTION SCALE
6 - Functional Object Use t
5 - Automatic Motor Response *
4 - Object Manipulation *
3 - Localization to Noxious Stimulation *
2 - Flexion Withdrawal
1 - Abnormal Posturing
0 - None/Flaccid
OROMOTOR/VERBAL FUNCTION SCALE
3 - Intelligible Verbalization *
2 - Vocalization/Oral Movement
1 - Oral Reflexive Movement
0 - None
COMMUNICATION SCALE
2 - Functional: Accurate t 
1 - Non-Functional: Intentional *
0 - None
AROUSAL SCALE
3 - Attention 
2 - Eye Opening w/o Stimulation
1 - Eye Opening with Stimulation
0 - Unarousable
TOTAL SCORE

Question 6

Items Modified Hoehn and Yahr

Answer 6

Parkinson’s
Stage 0 – No signs of disease.
Stage 1 – Unilateral disease.
Stage 1.5 – Unilateral plus axial involvement.
Stage 2 – Bilateral disease, without impairment of balance.
Stage 2.5 – Mild bilateral disease with recovery on pull test.
Stage 3 – Mild to moderate bilateral disease; some postural instability; physically independent.
Stage 4 – Severe disability; still able to walk or stand unassisted.
Stage 5 – Wheelchair bound or bedridden unless aided.

Question 7

ALS Severity Scale

Answer 7

4 paralysis - 40 normal. LE (Walking), UE (Dressing/Hygiene), Speech, Swallowing. Each subsection rated 1=paralysis to 10=normal.

Question 8

Items RLA Levels Consciousness

Answer 8

1 no response - 10 Mod I.
I No Response: Total assistance
II Generalized response: Total assistance
III Localized response: Total assistance
IV Confused-agitated: Maximal assistance
V Confused-inappropriate, non-agitated: Maximal assistance
VI Confused-appropriated: Moderate assistance
VII Automatic-appropriated: Minimal assistance for daily living skills
VIII Purposeful-appropriate: Stand-by assistance
IX Purposeful-appropriate: Stand-by assist on request
X Purposeful-appropriate: Modified Independent

Question 9

FIM

Answer 9

18 impaired - 126 high functioning. Each item rated 1-7.