Standardized examination part 2

Question 1

Activities-Specific Balance Confidence Scale (ABC Scale)

benefits

Answer 1

Excellent internal consistency and reliability
High clinical feasibility, free, requires less than 5 minutes to administer
Minimal time-cost
gives insight into safety behaviors and awareness

Question 2

Activities-Specific Balance Confidence Scale (ABC Scale)

Risk, Harm and cost

Answer 2

Potential burden to patients, as the ABC is a patient-reported measure

Question 3

Activities-Specific Balance Confidence Scale (ABC Scale)

Exclusions

Answer 3

Clinicians should use discretion when applying the ABC with patients undergoing neurological rehabilitation who do not have goals to improve balance confidence

Question 4

Functional Gait Assessment (FGA)

benefits

Answer 4

Excellent internal consistency and reliability
High clinical feasibility, minimal equipment, free, requires
less than 20 minutes to administer

Question 5

Functional Gait Assessment (FGA)

risk, harm and cost

Answer 5

No adverse events documented in research

Question 6

Functional Gait Assessment (FGA)

exclusions

Answer 6

Clinicians should use discretion when applying the FGA for patients who do not have explicit goals to improve balance while walking
Not appropriate for patients who do not have the capacity to walk (score 0)

Question 7

Functional Gait Assessment (FGA) vs dynamic gait index (DGI) differences

Answer 7

Functional Gait Assessment (FGA) (on the basis of the DGI) increased the challenge of the assessment so that the test would be sufficiently sensitive to monitor changes for patients with high ambulation function.

10-item test that contains 7 of the 8 items (except walking around obstacles) from the DGI and 3 additional tasks, including walking with a narrow base of support, walking with the eyes closed, and ambulating backward.

Question 8

Functional Gait Assessment (FGA) vs dynamic gait index (DGI) comparisons

Answer 8

The Functional Gait Assessment showed the least floor and ceiling effects, indicating it has the best discriminative ability for patients with stroke with high walking function.

spatiotemporal characteristics of the DGI tasks appeared to be relatively reliable and distinguished participants with balance or vestibular disorders.

Question 9

Dynamic Gait Index (DGI)

Answer 9

developed to capture walking problems in maintaining stability during gait activities and determine falls risk in older people.
validated in older people and patients with vestibular dysfunction or stroke.
ceiling effect of the DGI in patients with vestibular disorders has been reported.
DGI score could be used to predict fall risk outcome at the beginning of stroke rehabilitation.

Question 10

6 minutes walk (6MinW)

Benefits

Answer 10

Excellent reliability (chronic) 
High clinical feasibility, minimal equipment

Question 11

6 minutes walk (6MinW)

Risk, harm and cost

Answer 11

Minimal risk provided the patient’s vital signs are monitored and appropriate guarding is provided

Question 12

6 minutes walk (6MinW)

exclusions

Answer 12

Not appropriate for patient who do not have the capacity to walk

Question 13

Walking Speed: 10m walk

Benefits

Answer 13

Excellent reliability (chronic) 
Minimal equipment

Question 14

Walking Speed: 10m walk

Risk, harm and cost

Answer 14

Minimal risk provided the patient’s vital signs are monitored and appropriate guarding is provided

Question 15

Walking Speed: 10m walk

exclusions

Answer 15

Not appropriate for patients who do not have the capacity to walk

Question 16

> 1 m/s

Answer 16

can do all ADL’s

Question 17

<1 m/s

Answer 17

benefit from fall prevention

Question 18

<0.6 m/s

Answer 18

predicts future fall risk and hospitalization

tend to require assistance with ADL’s and IADL’s

Question 19

<0.4 m/s

Answer 19

longer length in acute care

Question 20

Which test is a Best practice recommendation (Level V*)

Answer 20

5 Times Sit to Stand (5TSTS)