Outcome Measures - PD

Question 1

What is the purpose of the 5 STS?

Answer 1

Assess LE strength, predict fall risk, identify movement strategies

Question 2

Equipment needed

Answer 2

17-18 inch height chair, stopwatch

Question 3

Administration of 5STS (setup and instructions)

Answer 3

Set up: pt sits in chair with arms across chest and back against the back of the chair

Instructions:
-“I want you to stand up and sit down 5x in a row, as quickly as you can, when I say go. Be sure to stand up fully and try not to let your back touch the chair back between each repetition. Do not use the back of your legs against the chair”

Question 4

What is pt is unable to complete first STS w/o arms? Unable to complete 5 stands w/o arms?

Answer 4

Test is terminated

Pt scores 0

Question 5

What is the purpose of the TUG?

Answer 5

measures one aspect of transfer skill, assesses functional lower extremity strength and fall risk

Question 6

Setup for TUG

Answer 6

Chair with arm rests, small cone at 3 meters (~10 ft)

Question 7

Instructions for 5STS

Answer 7

-pt sits in chair with hips all the way back
-“When I say go, stand up and walk around the cone, walk back and sit down. Walk at your regular pace”

Question 8

What is allowed and not allowed for 5STS

Answer 8

-untimed trial is allowed
-AD is allowed
-rest breaks are allowed as long as the pt doesn’t sit down
-pt allowed to use arm rests
-assistance from another person not allowed

Question 9

What is the norm value for 80-99? Fall risk for community dwelling frail older adults?

Answer 9

11.3 sec
>14 sec

Question 10

Purpose of TUG cognitive

Answer 10

Dual-task dynamic measure and assess fall risk

Question 11

Pull test set up

Answer 11

-SPT stands 1-2 meters from a wall
-Pt stands in front of SPT
-Instruct pt on what is happening - “I’m going to pull your shoulders back. Do whatever it takes to avoid falling”
-1st time is mild demo, 2nd time is forceful enough to make pt step back

Question 12

Purpose of pull test

Answer 12

Examine postural stability and evaluate pt’s ability to recover from backward pull

Question 13

Why would a PD pt have difficulty with regaining balance during pull test?

Answer 13

-BG damage causes issues with movement
-abnormal postural control

Question 14

Grading for pull test

Answer 14

Using UPDRS as a guide, have to summarize results

0 - normal: no problems and able to recover in 1-2 step

1 - slight: 3-5 steps w/o assistance

2 - mild: >5 steps w/o assistance

3 - moderate: stands safely, but w/ absence of postural response, falls if examiner not there

4 - severe: very unstable, loses balance spontaneously or w/ gentle pull

Question 15

Purpose of FGA? What does FGA stand for?

Answer 15

Assess postural stability and motor tasks while walking

Functional Gait Assessment