Phyisical Assessment Tools

Question 1

UE coordination tests

Answer 1

Diadochokinesis
Alternating arm inhibition (pronate one while other is supinated, switch as quick as possible)
Finger to nose ( don’t move finger, try with eyes open then closed)
Circles (big to small, reverse)

Question 2

LE coordination

Answer 2

Alternate foot tap (over binder rings, 10 taps, binder 16-24” away from pt)
Heel to shin

Question 3

Alternate foot tap scores

Answer 3

> 7.92 sec is impaired

12.75 sec correlated to traffic conviction rates

Question 4

30 sec chair rise (what does it test)

Answer 4

Balance, endurance, LE strength

Question 5

Norms 30 sec chair rise women

Answer 5

60-64: 12-17
65-69: 11-16
70-79: 10-15
80-84: 9-14
85-89: 8-13
90-94: 4-11

Question 6

Norms 30 sec chair rise men

Answer 6

60-64: 14-19
65-69: 12-18
70-74: 12-17
75-79: 11-17
80-84: 10-15
84-89: 8-14
90-94: 7-12

Question 7

Arm curl test norms women

Answer 7

60-64: 13-19
65-69: 12-18
70-74: 12-17
75-79: 11-17
80-84: 10-16
85-89: 10-15
90-94: 8-13

Question 8

Arm curl test norms men

Answer 8

60-64: 16-22
65-69: 15-21
70-74: 14-21
75-79: 13-19
80-84: 13-19
85-89: 11-17
90-94: 10-14

Question 9

Rapid pace walk scores

Answer 9

7 or more sec associated with higher crash risk

>10 sec is abnormal

Question 10

Walker, crutch, cane questions

Answer 10

Where to stow (front seat, back seat, other)
Quality of mvmt for lifting moving and loading device
Positioned and secured so it is easily retrieved?
If it shifts during travel can client still retrieve and unload it?
Quality of transfer in and out of car with and without device

Question 11

Prosthesis questions

Answer 11

Upper or lower body?
LB: articulating or fixed joints
Does it impede transfer into vehicle
Does it need to be removed for transfer or driving?
Quality of movement and efficiency for donning/doffing device
Impact if removing it on balance?
Where is it stowed?
How is it retrieved?

Question 12

W/c mobility management questions

Answer 12

How does client use chair
What is quality of propulsion
Ability to manage curbs, hills, even/uneven terrain?
How do they manage tight space between car seat and w/c seat?

Question 13

W/c transfer

Answer 13

How will client transfer (w/c to seat, load chair then transfer?)
Quality of transfer
Can client clear wheels during transfer
Even vs uneven surfaces
How much time is needed for transfer and loading
Extra equipment ?
An client close door and fasten seatbelt

Question 14

W/c loading and unloading

Answer 14

Manually or with lift?
Where?
Dismantle w/c (seat cushion, wheels, leg rests, arm rests)
If manually loaded: mobility and strength if trunk fir flexing, rotating, bending, lifting)
Pull across them or load into back seat?
Activity tolerance for transfer and wheelchair
Method and quality for retrieving Chair and transferring back to it