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(1) Fundamentals of Physical Therapy > S3_L4: Functional Assessment > Flashcards

S3_L4: Functional Assessment Flashcards

1
Q

TRUE OR FALSE: The ultimate goal in any rehabilitation program is to restore the highest level of physical, vocational, and social functions of patients.

A

True

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2
Q

Characteristic action of body parts and characteristic performance of an individual

A

Function

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3
Q

Enumerate the main categories of function

A
  1. Physical function
  2. Psychological function
  3. Social function
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4
Q

Level of assistance where the therapist applies three or more points of contact

A

Maximum assistance

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5
Q

Level of assistance where the therapist applies two points of contact, such as supporting one knee and holding the upper trunk

A

Moderate assistance

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6
Q

Level of assistance where the therapist applies one point of contact, such as holding the guard belt, relative hold on the pt’s garter of pants, or holding the upper trunk

A

Minimal assistance

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7
Q

Level of assistance where no contact is applied but the PT is not comfortable leaving the
patient

A

Stand-By Assist (SBA)

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8
Q

Enumerate the types of instrument in functional assessment

A
  1. Performance based
  2. Self assessment
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9
Q

Determine the corresponding descriptions of the static balance grades

  1. With handhold support; mod-max assist
  2. Patient unable to maintain balance
  3. Able to maintain steady balance without handhold support
  4. With handhold support; occasional minimal assist
  5. Maintain balance without support, limited postural sway

A. 0 - Absent
B.
 1 - Poor
C. 2 - Fair
D. 3 - Good
E. 4 - Normal

A
  1. B
  2. A
  3. E
  4. C
  5. D
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10
Q

Determine the corresponding descriptions of the dynamic balance grades

  1. Maintain balance while turning head/trunk
  2. Maintain balance while picking object from floor
  3. Unable to accept challenge or move without loss of balance
  4. Patient unable to maintain balance
  5. Accepts maximal challenge and can shift weight easily within full range in all directions

A. 0 - Absent
B.
 1 - Poor
C. 2 - Fair
D. 3 - Good
E. 4 - Normal

A
  1. C
  2. D
  3. B
  4. A
  5. E
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11
Q

Determine the corresponding measurement construct for these outcome measures

  1. WL - 26
  2. Visual Analog Scale
  3. Patient - Specific Scale
  4. Goniometric Measures
  5. Neck Disability Index

A. Pain
B.
 Joint ROM
C. Activity Limitation / Participation Restriction
D. Impairment / Activity Limitation / Participation Restriction

A
  1. D
  2. A
  3. C
  4. B
  5. C
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12
Q

Determine the corresponding measurement construct for these outcome measures

  1. Patient Satisfaction Scales
  2. Numeric Pain Rating Scale
  3. Roland-Morris LBP and Disability Questionnaire
  4. Oswestry Disability Index

A. Pain
B.
 Joint ROM
C. Activity Limitation / Participation Restriction
D. Impairment / Activity Limitation / Participation Restriction

A
  1. D
  2. A
  3. C
  4. C
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13
Q

In the context of health, this is the physiological function of body systems

A

Body functions

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14
Q

In the context of health, this is anatomical parts of the body

A

Body structures

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15
Q

In the context of health, this describes problems in the body function or structure such as a
significant deviation or loss (anatomical or
physiological)

A

Impairments

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16
Q

In the context of health, this is the execution of a task or action by an individual

A

Activity

17
Q

In the context of health, this describes difficulties an individual may have in executing activities

A

Activity Limitation

18
Q

In the context of health, this describes involvement in life situations

A

Participation

19
Q

In the context of health, this describes problems an individual may experience in involvement
in life situations

A

Participation Restriction

20
Q

Tools that determine health gain or costs associated with treatment. It is used to objectively determine the
baseline function of a patient at the beginning of treatment and determine progress and treatment efficacy once commenced.

A

Outcome measures

21
Q

Determine the corresponding descriptions of the psychometric properties of outcome measures

  1. Divided into inter-rater, intra-rater, and test-retest
  2. Checks if the PT has time and the equipment needed to use the outcome measure
  3. Asks, “Is your test measuring what it’s supposed to measure?”
  4. Uses minimal detectable change (MDC)
  5. Uses minimal clinically important difference (MCID)
  6. Uses standard error of measurement (SEM)

A. Validity
B.
 Reliability
C. Responsiveness to change
D. Clinical Utility

A
  1. B
  2. D
  3. A
  4. C
  5. C
  6. C
22
Q

Determine the corresponding types of reliability each of the following scenarios describes

  1. The dorsiflexion lunge test being used by one or more therapists to measure ankle dorsiflexion of the same person at different times
  2. Three therapists measuring ankle
    dorsiflexion one at a time using the same goniometer
  3. One therapist measuring ankle
    dorsiflexion three times using the same goniometer

A. Inter-rater reliability
B.
 Intra-rater reliability
C. Test-retest reliability

A
  1. C
  2. A
  3. B
23
Q

The testing frequency of outcome measures in an in-patient is done within (1)__ days of admission and within (2)__ days of discharge

A
  1. 3
  2. 3
24
Q

The testing frequency of outcome measures in an out-patient is done in what 3 settings?

A
  1. Upon admission
  2. Every month
  3. Before pt is discharged
25
Q

Outcome measure used to determine how neck pain affects a patient’s daily life and to assess the self-rated disability of patients with neck pain.

A

Neck Disability Index (NDI)

26
Q

A patient took the self-assessment NDI questionnaire. Their score is 18/50. This score is interpreted as?

A

Moderate disability

Range for moderate: 15-24

27
Q

A patient took the self-assessment NDI questionnaire. Their score is 10/50. This score is interpreted as?

A

Mild disability

Range for mild: 5-14

28
Q

TRUE OR FALSE: In the NDI, the higher the score given translates to better functioning.

A

False

Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst.

29
Q

This outcome measure assesses symptom and severity of low back
pain in terms of disablement and the degree to which back or leg pain impacts functional activities. It is a self-assessment outcome measure consisting of 10 sections.

A

Oswestry Disability Index (ODI)

30
Q

In the interpretation of ODI scores, the patient got a score of 65% and back pain impinges on all aspects of the patient’s life. Positive intervention
is required. This score is interpreted as?

A

Crippled

Range for crippled: 61-80%

31
Q

In the interpretation of ODI scores, the patient got a score of 58% and pain remains the main problem but activities of daily living are affected. This score is interpreted as?

A

Severe disability

Range for severe disability: 41-60%

32
Q

A 30-item self-report questionnaire
designed to assess musculoskeletal disorders and function of the upper
limbs

A

Disabilities of the Arm, Shoulder, and Hand

33
Q

TRUE OR FALSE: In the DASH questionnaire, the higher the score given translates to worse functioning, more severe disability.

A

True

Additional: A score ranging from 0-29 is interpreted as the “upper limb disorder is no longer a problem”

34
Q

A 13-item self-report questionnaire developed to assess pain, and disability related to shoulder problems. It was designed to measure the impact of shoulder pathology on pain and
disability in an out-patient setting.

A

Shoulder Pain and Disability Index (SPADI)

35
Q

The Shoulder Pain and Disability Index (SPADI) consists of 2 subscales, namely?

A
  1. pain (5 items)
  2. disability (8 items)
36
Q

A 20-item self-assessment test that measures the functional capacity of the lower extremities, including the baseline functioning, progress, outcome, and functional goals of the pt. It aims to see the pt’s ability to perform everyday
tasks/ADLs.

A

Lower Extremity Functional Scale (LEFS)

37
Q

TRUE OR FALSE: In the LEFS questionnaire, the higher the score given translates to worse functioning, more severe disability.

A

False

The lower the score = greater disability

38
Q

Maximum score in the Lower Extremity Functional Scale (LEFS) is

A

80/80

39
Q

What are the 3 areas of assessment in the Lower Extremity Functional Scale (LEFS)?

A
  1. Balance
  2. Functional ability
  3. Gait function

(1) Fundamentals of Physical Therapy (11 decks)

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