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Adult Neuro > TBI outcome measures > Flashcards

TBI outcome measures Flashcards

1
Q

Adult FIM

A

18-64 years old

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2
Q

What can adult FIM test for?

A 
Stroke,
Traumatic brain injury,
Spinal cord injury,
Multiple Sclerosis,
Orthopedic Conditions
Elderly undergoing inpatient rehabilitation
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3
Q

WeeFIM

A

children
6 months-7 years
(can include children up to 18 yrs of age with a Developmental disability)

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4
Q

What does WeeFIM test for?

A

Brain injury
Burns
Multiple Diagnosis

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5
Q

Level 7 FIM:

A

Complete Independence

Fully independent

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6
Q

Level 6 FIM:

A

Modified Independence

required the use of a device but no physical help

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7
Q

Level 5 FIM:

A

Supervision

requiring only stand-by assistance or verbal prompting or help with set up

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8
Q

Level 4 FIM

A

Minimal Assistance

requiring incidental hands on help only (subject performs 75% or more of task)

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9
Q

Level 3 FIM

A

Moderate Assistance

subject still performs 50-75% of the task

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10
Q

Level 2 FIM

A

Maximal Assistance

subject provides less than half of the effort (25-49%)

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11
Q

Level 1 FIM

A

Total Assistance

subject contributes less than 25% of the effort or is unable to do the task

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12
Q

Description of FIM

A

Motor has 13 items

Socio-Cognitive has 5 items

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13
Q

Maximal FIM score:

A

126= functional independence

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14
Q

Minimal FIM score:

A

18= complete functional dependence

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15
Q

Timeframe for FIM:

A

The score should be collected within 72 hours of admission to rehab hospital, and within 72 hours before discharge

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16
Q

Coma Recovery Scale Revised:

A

The scale consists of 23 items that comprise six subscales addressing auditory, visual, motor, oral motor, communication and arousal functions. CRS-R subscales are comprised of heirachically-arranged items associated with brain stem, subcortical and cortical processes

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17
Q

Moss Attention Rating Scale

A

observational tool used to measure attention-related behaviors after TBI

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18
Q

Agitated Behavioral Scale:

A

assess the nature and extent of agitation during the acute phase of recovery from acquired brain injury
Its primary purpose is to allow serial assessment of agitation by treatment professionals who want objective feedback about the course of a patient’s agitation

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19
Q

Apathy Evaluation Scale

A

method for measuring apathy resulting from brain-related pathology

20
Q

Balance Error Scoring System:

A

assesses static postural stability (designed for mild head injury to assist in return to sports play decisions)

21
Q

BESS conditions:

A

Double leg stance: firm/foam
Single leg stance: firm/foam
Tandem stance: firm/foam

22
Q

Cog-log and O

A

measures general cognitive abilities, companion to orientation log

23
Q

Community balance and mobility scale

A

used to detect high level balance and mobility deficits based on tasks that are commonly encountered in community environments

24
Q

Disorders of Consciousness Scale

A

bedside test measuring neurobehavorial functioning during coma recovery

25
Q

Dizziness Handicap Inventory

A

24 item self assessment inventory designed to evaluate self perceived handicap effects imposed by dizziness

26
Q

Disability Rating Scale

A

developed and tested with older juvenile and adult individuals with moderate and severe traumatic brain injury (TBI) in an inpatient rehabilitation setting

27
Q

Functional Assessment Measurement

A

12 items added to FIM to enhance its utility for brain injury population

28
Q

PT Considerations RLO I -III

A
  • maintain ROM; prevent contractures, positioning
  • skin integrity
  • maintain respiratory status
  • provide sensory stimulation
29
Q

PT Considerations RLO IV-VI

A
  • provide structure/consistency
  • emphasize safety
  • provide verbal/physical assistance
  • task specific training
30
Q

PT Interventions for LOCF VII-VIII

A
  • allow for increasing independence (closed to open environment)
  • promote independence functional tasks
  • assist in behavioral, cognitive, emotional reintegration
31
Q

Advantages of spasticity:

A

maintains muscle tone/mass
reduces bone loss
promotes blood circulation
helps with performance

32
Q

Disadvantages of spasticity:

A 
limits ROM
pain
interferes with daily function
affects posture	
increases risk for skin breakdown
33
Q

What is Heterotopic Ossification (HO)?

A

Abnormal bone formation in soft tissue and muscles surrounding joints

34
Q

When does HO happen?

A

Happens after injury to the brain or spinal cord

35
Q

Symptoms of HO?

A

Loss of ROM, Pain on movement, localized swelling & erythema

36
Q

Tonic labyrinthine reflexes

Prone position

A

increased flexor tone/flexion of all limb

37
Q

Tonic labyrinthine reflexes

Supine position:

A

increased extensor tone/extension of all limbs

38
Q

Asymmetrical tonic neck reflex (ATNR)

A

rotation of head to one side

flexion of skull limbs, extension of jaw limbs, bow and arrow or fencing posture

39
Q

Symmetrical tonic reflex

Head flexion

A

Flexion of UE, extension of LE

40
Q

Symmetrical tonic reflex

Head Extension

A

Extension of UE, flexion of LE

41
Q

Most desirable position in inpatient rehab?

A

side lying

prone

42
Q

UE Flexion Synergy

A 
scapular retraction/elevation or hyperextension
shoulder abduction, ER
elbow flexion
forearm supination
wrist and finger flexion
43
Q

LE Flexion Synergy

A

hip flexion, abduction, ER
knee flexion
ankle dorsiflexion, inversion
toe dorsiflexion

44
Q

UE Extension Synergy:

A 
scapular protraction
shoulder adduction, IR
elbow extension
forearm pronation
wrist and finger flexion
45
Q

LE Extension Synergy:

A

Hip extension, adduction, IR
knee extension
ankle plantarflexion, inversion
toe plantarflexion

Adult Neuro (26 decks)

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