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NMR II > Standardized Outcome Measures > Flashcards

Standardized Outcome Measures Flashcards

1
Q

What is intrarater reliability?

A

Consistency of repeated measurements by the same person overtime

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2
Q

What is interrater reliability?

A

Consistency of repeated measurements by more than one person

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3
Q

What is minimal clinically important difference (MCID)?

A

Smallest difference in patients condition that the patient or clinician considers worthwhile that would warrant a change in patients management.

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4
Q

What is minimal detectable difference (MDD)?

A
  • Minimum detectable change in a patient’s condition beyond the threshold of measurement error
  • Smallest difference of change that would be statically significant
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5
Q

Why were CPG’s established?

A

Effort to streamline and standardize assessment tools for individuals with neurologic conditions

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6
Q

What is the cutoff score for Berg Balance Scale?

A

Under 45 indicate fall risk

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7
Q

What is the purpose of the Berg Balance Scale?

A

Assess static/dynamic sitting and standing balance and fall risk in adults

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8
Q

What is the purpose of the functional gait assessment?

A

Assess changes in dynamic walking balance while walking

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9
Q

What it the cutoff score for older adults of the functional gait assessment?

A

less than or =22/30 indicates fall risk

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10
Q

What is the alder adult cutoff score of the Activity specific balance confidence scale?

A

<67%

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11
Q

When interpreting the 10 meter walk test what is the cutoff for household ambulator?

A

<0.4 m/sec

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12
Q

When interpreting the 10 meter walk test what is the cutoff for limited community ambulator?

A

0.4 to 0.8 m/sec

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13
Q

When interpreting the 10 meter walk test what is the cutoff for community ambulator?

A

0.8 to 1.2 m/sec

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14
Q

When interpreting the 10 meter walk test what is the cutoff for able to safely cross streets?

A

> 1.2 m/sec

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15
Q

What is a gain of 0.1 m/s on the 10 meter walk test a predictor of ?

A
  • Well being in those without normal WS
  • A change of 0.1 m/sec should be patient goal
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16
Q

What is the purpose of the 6 minute walk test?

A

Assess changes walking distances

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17
Q

What is the purpose of the 10 meter walk test?

A

assess changes in gait speed

18
Q

In regards to the 6 minute walk test what is the MDC for geriatrics?

A

58.2 m

19
Q

Using the 5 time sit to stand what is the cutoff score for community dwelling older adults?

A

> 15 seconds = risk of falls

20
Q

What does the 5 time sit to stand assess?

A

Sit to stand transfers

21
Q

What does the Activities -specific Balance confidence scale assess?

A

Changes in balance confidence

22
Q

When using the timed up and go (TUG) what score must the patient earn to be considered:
- Independent
- Increased risk for falling
- High risk for fall

A
  • Independent: <10 sec
  • Increased risk for falling: >20 sec
  • High risk for fall: >30 sec
23
Q

When using the timed up and go (TUG) what score indicates a community dwelling adult is a fall risk?

A

> 13.5 seconds

24
Q

What is the cutoff score for community dwelling elderly when using the dynamic gait index (DGI)?

A

<19/24 predictive of fall risk

25
Q

What does the dynamic gait index assess?

A
  • Gait, balance, & fall risk
  • Patients ability to modify balance while walking presence of external demands
26
Q

What is the cut off score (chronic stroke) when using the mini BESTest?

A

less than or = 17.5 indicates risk of falls

27
Q

What is the purpose of min BESTest?

A

Assess balance, gait & fall risk

28
Q

What is the cutoff score for older adults when using the Tinetti Performance Oriented Mobility Assessment?

A

<19

29
Q

What it the purpose of the Tinetti Performance Oriented Mobility Assessment?

A

measure gait & balance

30
Q

What is the purpose of the 2 minute step test?

A

Assess ability to march in place endurance

31
Q

What is the purpose of the four square step test (FSST)?

A

Dynamic balance and coordination that assess the patients ability to step over objects forward, sideways & backwards

32
Q

What it the cutoff score for older adults/geriatrics when using the four square step test (FSST)?

A

> 15 seconds = at risk for multiple falls

33
Q

What is the cutoff score for each age range when using the functional reach test?
- 20 to 40 years
- 41 to 69 years
- 70 to 87 years

A
  • 20 to 40 years: 14.5-17 inches
  • 41 to 69 years: 13.5-15 inches
  • 70 to 87 years: 10.5-13.5 inches
34
Q

What functional ADLs does the back scratch test relate to ?

A

Donning & doffing shirts & bra

35
Q

When interrupting the modified falls efficacy scale what does higher score and lower scores indicate?

A
  • Higher scores: more confidence and less fear of falling
  • Lower score: less confidence and more fear of falling
36
Q

What is reported on the medical outcomes study short form (SF-36)?

A

Patients reported outcome measure that qualifies health status and measure health related quality of life

37
Q

What is the mean score for the medical outcomes study short form (SF-36)?

A

50

38
Q

When interpreting the levels of cognitive impairment using the mini mental state examination (MMSE) what scores indicate:
- None
- Mild
- Severe

A
  • None: 24-30
  • Mild: 18-23
  • Severe: 0-17
39
Q

When interpreting the Montreal Cognitive Assessment (MoCa) what score indicates normal and what is the cut off score?

A
  • Normal: 26-30/30
  • 25 or below may indicate mild cognitive impairment
40
Q

When interpreting the Saint Louis University Mental Status Exam (SLUMS) what is the scores the indicate:
- Normal
- Mild Neurocognitive Disorder
- Dementia

A
  • Normal: 27-30
  • Mild Neurocognitive Disorder: 21-26
  • Dementia: 1-20

NMR II (14 decks)

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