PT examination, recreation and leisure

Question 1

Why is a good screening so important?

Answer 1

it drives tests and measures

Question 2

What is the significance of an older adult being unable to perform a SLB for 5s?

Answer 2

increases chances of sustaining injury due to fall by 2x

Question 3

What is gait speed for a community ambulator? Limited community ambulator?

Answer 3

Community = 1.2 m/s

Limited ambulator = .8 m/s

Question 4

What is the needed walking distance for a community ambulator? curb height?

Answer 4

Distance = 300 m (~1000 ft)
Height = 20.32 cm (8 in)

Question 5

What is the MDS of gait speed?

Answer 5

.1 m/s

• gain = predictor for well-being in those without normal WS
• loss = poorer health status, more disability, longer hospital stays, increased medical costs

Question 6

What are the measures used to screen mental status?

Answer 6

1. Mini Cog
2. Montreal Cognitive Assessment
3. SLUMS (St. Louis University Mental Status Exam)

Question 7

What are the scales used to screen depression?

Answer 7

1. Beck Depression Inventory

2. Geriatric Depression Scale

Question 8

What are the measures used to screen stress?

Answer 8

Holmes and Rahe Life Events Scale

Question 9

What is the psychomotor component of outcome measures (part 1)?

Answer 9

1. PT Driven

2. Self- Report

Question 10

What is the clinical utility of outcome measures (part 2)?

Answer 10

1. ICF Level
2. Clinical Reasoning
3. Secondary Evidence

Question 11

What are some of the musculoskeletal self-report outcome measures?

Answer 11

1. Neck Disability Index (NDI)
2. Western Ontario Rotator Cuff Index (WORC)
3. DASH; Quick DASH
4. Lower Extremity Functional Scale (LEFS)
   AND MANY MORE

Question 12

What are the neuro self-report outcome measures?

Answer 12

1. Falls Efficacy
2. ABC
3. SF-36
4. DASH
   - note: these are all PARTICIPATION level assessments

Question 13

What is the normal STS time?

Answer 13

1.8s

Question 14

What ADLs do you need to do to be able to live independently?

Answer 14

eating, dressing, transfers, grooming, walking, bathing, continence

Question 15

What IADLs do you need to do to be able to live independently?

Answer 15

telephone, transportation, driving, shopping, cooking, housework, medication management, money management

Question 16

What is a self-report measure of independence in ADLs?

Answer 16

ADL and IADL scale (component of OARS - older American resources and services multidimensional functional assessment Q)

Question 17

What is a measure of independence in ADLs that is done by observations by rater, attendants, and personnel?

Answer 17

revised parachek geriatric behavior rating scale

Question 18

What is an indolence in ADLs measure that is done through direct examination by personnel (Performance)?

Answer 18

1. COPM
2. Katz Index - bathing, dressing, toileting, transferring, maintaining continence, and feeding; scored independent, assistance, or dependent
3. Barthel Index -feeding, transferring w/c to bed, grooming, transferring toilet, bathing, walking or w/c amb., stair climbing, dressing maintaining bowel, maintaining bladder- (0,5,10,15) (weighted mobility and continence higher)
4. FIM - measures disability in ADL’s, cognitive function, and communication.

-Performance are not affected by depression like Self-report

Question 19

What affects accaetance of intervention for problems with ADLs and IADLs?

Answer 19

values, lifestyle, cost, degree of disability, ease and number of tasks
- Adapt behavior, modify physical environment with AD, or accept assistance from one or more caregivers