Tests and Measures Flashcards
What is the primary concern of patients, PT, and families when taking measurements according to the ICF model?
Activity
What is a good measure to make a prognosis according to the ICF model?
Body function and structure
What part of the ICF model can indicate effectiveness of an intervention?
Body function and structure
What document is specifically designed to guide analysis of measurement tools?
EDGE document (Evaluation Database to Guide Effectiveness)
(true/false) EDGE documents allows for integration of data from multiple studies
true
definition: The smallest amount of change that can be considered above the threshold for error in the measurement.
MDC
definition: The smallest change in an outcome measure that is perceived as beneficial by the patient, and that would lead to a change in the patient’s medical management.
MCID
Tests for ___:
- beck depression inventory
- geriatric depression scale (GDS)
fatigue
Tests for ___:
- light touch
- sharp/dull
- 2-point discrimination
Exteroreception
Tests for ___:
- joint position sense
- kinesthesia test (mirroring test)
proprioception
Tests for ___:
- Dual simultaneous stimulation
- Stereognosis
- Graphesthesia
cortical sensory tests
What are 3 multi-categorial measures?
- Fugl-Meyer Assessment (FMA)
- NIH Stroke Scale (NIHSS)
- Stroke Impact Scale (SIS)
definition: Observational rating scale to provide a reliable, quantitative and valid measure of attention-related behavior after TBI.
–> 22 items
–> 5 point scale
Moss Attention Rating Scale (MARS)
What are the 3 correlated factors being tested w/ MARS?
- Restlessness/ Distractibility
- Initiation
- Sustained/ Consistent Attention
When should you NOT use MARS?
If the patient is Rancho Level IV or higher
What patient population is it most appropriate to use the MARS test on?
Those with moderate to severe attention deficits
definition:
- Developed to assess the nature and extent of agitation during the acute phase of recovery from acquired brain injury
- Primary purpose is to allow serial assessment of agitation by treatment professionals
agitated behavior scale (ABS)
For Agitated behavior scale (ABS), any scores < ____ are considered within normal limits.
< 21
For Agitated behavior scale (ABS), any scores from ____ - ____ are indicative of mild agitation.
22-28
For Agitated behavior scale (ABS), any scores from ____ - ____ are indicative of moderate agitation.
29-35
For Agitated behavior scale (ABS), any scores > ____ are considered severe agitation.
> 35
The ABS is considered as a (observational/self-report) measure.
observational measure
definition: Used to document level of consciousness and grade coma severity over time
Glasgow Coma Scale (GCS)
GCS of < ____ is severe/comatose
< 8
GCS of __-__ is moderate disability
9-12
GCS of ___-___ is mild disability
13-15
What are the three elements of the GCS?
- eye opening
- motor response
- verbal response
(true/false) You can get an accurate score on the GCS even if the patient is fearful, agitated, and/or were sedated recently
FALSE
A GCS score 2-7 days post-op is highly predictive of outcome at ___ months.
6 months
What is the most widely used measure of injury severity?
GCS
What are the 5 levels of the Glasgow Outcome Scale (GOS)?
- Dead
- Vegetative
- Severe Disability
- Moderate disability
- Good recovery
Purpose of the scale is to assist with:
- differential diagnosis
- prognostic assessment
- treatment planning in patients with DOC/brain injury
CRS-R
What are the 6 subscales of the CRS-R from the 23 items?
- auditory
- visual
- motor
-oromotor - communication
- arousal
What are the pros of the CRS-R?
Captures emergence from a coma and the progression through disorders of consciousness
What are the cons of the CRS-R?
Requires training
Despite training still some disagreement re: scoring
May be time consuming depending on level of severity
Used primarily with TBI
CRS-R is primarily used with what injuries?
TBI