Tests and Measures

Question 1

Scoring for Modified Ashworth

Answer 1

0 No increase in muscle tone

1 Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the ROM when the affect part(s) is moved in flexion or extension

1+ Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM.

2 More marked increase in muscle tone through most of the ROM, but affected part(s) easily moved.

3 Considerable increase in muscle tone, passive movement difficult.

4 Affect part(s) rigid in flexion or extension.

Question 2

Fall risk for Berg Balance Score

Answer 2

0-20 High Fall Risk
21-40 Medium Fall risk
41-56 Low fall risk

Question 3

Action Research Arm Test: General

Answer 3

Population: stroke, MS, and TBI

- Evaluates sub scales of grasp, grip, pinch and gross movement both proximally and distally

Question 4

Action Research Arm Test: Scoring

Answer 4

Increased Score = Decreased Disability
19 Tasks scored on 4 Point scale…
0 = Unable to complete any part in 60 s
1 = Task is partially completed in 60 s
2 = Task completed with great difficulty or abnormally long (>5 sec)
3 = Task performed normally within 50 sec, appropriate posture and normal movements
From 0 to 56

Question 5

Fugl-Meyer: General

Answer 5

Population: Stroke

- Assess Reflexes, synergies, sensory, balance, PROM, and pain with PROM

Question 6

Fugl-Meyer: Scoring

Answer 6

Range from 0-226

- Each item from 0 (can’t do) to 2 (performs independently)

Question 7

Postural Assessment Scale for Stroke (PASS): General + Scoring

Answer 7

Patients: 1st 3 months post-stroke
Increased score = Decreased Disability (0 to 36)
12 Items on 4 point scale –> grade performances in maintaining or changing a lying, sitting, or standing posture.

Question 8

Stroke Impact Scale: General

Answer 8

8 Domains: Strength, hand function, ADL/IADL, Mobility, Communication, Emotion, Memory/thinking, Participation/role function

Question 9

Stroke Impact Scale: Scoring

Answer 9

Increased score = decreased disability
59 Questions self reported
5-pt likert scale
Score from 0-100

Question 10

Tardieu Spasticity Scale: General

Answer 10

Pt Population: CP, Severe TBI, Stroke, adults with profound intellectual and multiple disabilities

• Measures spasticity
• Positioned in sitting to test UEs and supine for LE

Question 11

Tardieu Spasticity Scale: Scoring

Answer 11

Speed Definitions:
- V1: as slow as possible
- V2: speed falling under gravity
- V3 moving as fast as possible
Quality of muscle reaction
- 0: no resistance to passive ROM
- 5 Joint is immobile